Resp/Haem/Derm OSCEs Flashcards
1
Q
Haematological history
A
- ask pt story of what happened
- Lymphoma –> lumps or splenomegaly (abdo lump)
- Neutropenia –> recurrent infections? mouth ulcers?
- SH –> driving and recent trvel (DVT)
- Further steps for management?
2
Q
Lymph nodes and abdominal examination
A
- General inspection
- For any palapble lymph node –> characteristics comment on?
- Further investigations…
- Axillary –> borders
- Lymphadenopathy dx
- Hepatomegaly dx –> >2cm below right costal margin
- Splenomegaly dx –> palpable spleen at left costal margin is splenomegaly
- Anterior triangle anatomy?
- Posterior triangle anatomy?
3
Q
Venepuncture procedure
A
- Contraindications
- which vein?
- Order of draw
4
Q
Blood tests interp.
A
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5
Q
Simman scenarios –> DVT –> PE
A
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6
Q
Simman scenario –> Sickle cell crisis –> neutropenic sepsis?
A
- Management
6
Q
Simman scenario –> Subdural haemorrhage
A
- Chronic management –> common complication?
7
Q
Simman scenario –> Sepsis –> eg. leg ulcer infection which leads to sepsis
A
- order of sepsis six
8
Q
Dermatological history
A
- Derm-specific questions
- Skin lesion assessment
- Relevant PMH
- Relevant drug hx
- Relevant family hx –> skin cancer, atopic hx?
- Relevant social hx
- Further steps for management?
9
Q
Dermatology images
A
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10
Q
Respiratory history
A
- if SOB –> how far can patient walk?
- Vaccination hx
- Family hx –> lung conditions + atopic hx
11
Q
Respiratory examination
A
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12
Q
ABG procedure
A
- Contraindications
- how does oxygen therpay affect ABG results
- ABG reference ranges
- Modified Allen’s test
- Offer lidocaine –> 1% 1ml subcut
13
Q
Info giving –> inhaler technique
A
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14
Q
Peak expiratory flow technique and interp.
A
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