OSCEs

Question 1

mnemonic for haem

Answer 1

I peed my pants but Jimmy thought it was water and decided to drink it ew loser

Question 2

haem questions

Answer 2

infection, palpitations, mouth ulcers, paraesthesias, bleeding, jaundice, bony tenderness, weight loss, weakness, anaemia, dyspnoea/chest pain, tiredness, dizziness, easy bruising, lymph nodes

Question 3

mnemonic for neuro

Answer 3

harry potter fights voldemort slowly but steady when dements try to come in

Question 4

neuro questions

Answer 4

headache, pain in neck back and face, fits/faints/funny turns, vertigo and dizziness, sense x 5, bowel/bladder, sensations: pins and needles, walking/gait, disturbances of speech, tremor, trauma, cognition, involuntary movements

Question 5

endocrine mnemonic

Answer 5

skin, weight, eye changes, palpitations, temperature, bowel/bladder, altered mental state, tiredness, headaches/seizures, enlarged hands or feet, dyspnoea, sexual changes, thirst, appetite, menstrual changes, proximal myopathy and muscle weakness, facial changes, voice changes, striae/sensation, hearing/hearing loss

Question 6

resp GI

Answer 6

posture, not out of breath, no terrible cough or wheeze or hoarseness of voice and you look generally well

Question 7

resp hands

Answer 7

4 C’s: clubbing, cyanosis, (creases, capillary return)

4 T’s: tar staining, T1 weakness, tenderness wrist, tremor

Question 8

resp structure

Answer 8

GI, hands, face: eyes, nose and mouth, neck + cervical lymph nodes, chest, liver, legs

Question 9

GIT general inspection

Answer 9

jaundice, wasting, mental state, loss of body hair

Question 10

hands signs in GIT

Answer 10

clubbing, leuconychia, muercke’s lines, blue lunulae, hepatic flap, dupuytren’s contracture, palmar erythema

Question 11

arm signs in GIT

Answer 11

bruising, scratch marks, ‘abnormal veins or capillaries’, acanthosis nigricans, pulsations, visible peristalsis from the side

Question 12

face in GIT

Answer 12

eyes: jaundice, anaemia, Bitot’s spots, Kayser-Fleischer rings, xanthelasma
salivary glands: parotidomegaly
mouth: dehydration - dry mucus membranes, gingivitis, gum bleeding, gum hypertrophy, bad breath, atrophic glossitis, leukoplakia, mouth ulcers, candidiasis

Question 13

chest in GIT

Answer 13

gynaecomastia, abnormal capillaries (spider naevi)

Question 14

abdomen inspection in GIT

Answer 14

scars, striae, distension, local swellings, central and flank visible veins