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USMLE Step 2 CS   MCCQE II   PLAB 2    ECFMG   Medical Student

 

 
     
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Clinical Skills Assessment Medical OSCE Exam (OSCE home)

Cardiovascular OSCEs

Cardiovascular OSCEs

 

Prepare yourself for these common cardiovascular topics in Objective Structured Clinical Examinations

The common topics that have been tested in OSCE exams during USMLE Step 2 CS, MCCQE Part II, PLAB 2, OSCEs for medical students and medical school clinical finals, Clinical Skills Assessment for International Medical Graduates are:

  • Chest pain.

  • Myocardial ischemia/infarction: ER management.

  • Cardiac arrest.

  • Palpitation.

  • Atrial fibrillation.

  • Syncope.

  • Hypertension.

  • Hypotensive shock: ER management.

  • Digoxin toxicity, ER management, and counselling setting.

  • Pericarditis.

  • Infective endocarditis.

  • Heart failure/ generalized edema/ ankle swelling.

  • Intermittent claudication.

  • Acute/ chronic leg pain.

  • Deep venous thrombosis.

  • Complete cardiovascular examination.

  • ECG interpretation.

  • Cardiopulmonary Resuscitation (CPR).


Cardiovascular OSCE ExamCommon cardiovascular OSCEs 

 

Common OSCE exam cases that have been seen in USMLE Step 2 CS, MCCQE II, PLAB 2, OSCEs for medical students and medical school clinical finals, Clinical Skills Assessment for International Medical Graduates are:

 

(Please note: For USMLE Step 2 CS, there is no examiner in the room. The encounter is video monitored and taped. Thus, there will be no questions asked in the room other than the patient's questions. However, during physical examination, you are still required to explain what are you going to do to the patient before physically touching him/her. All USMLE Step 2 CS stations are of 15 minutes long and require focused history taking, physical examination, and counselling as needed. Thus, ignore the last statement in the following sample stations about the available time and required tasks to do.).

 

  1. William Hartman is a 46 year old man who comes to your office with chest pain. In the next 5/10/15 minutes take focused history and address his concerns. (Chest pain).

  2. Michael McCarthy is 52 year old man, who is a known case of hypertension. He came to your office for his annual check up. In the next 5/10/15 minutes perform a complete physical examination. On the last minute the examiner will stop you and ask you questions. (Hypertension).

  3. Melissa Pilgrim is a 27 year old woman who has come to your office because oh heart racing. In the next 5/10/15 minutes take focused history and talk to her about a possible management plan. (Palpitation).

  4. Dan Greenspan is a 68 year old man who had brought to the emergency because he passed out earlier today at home. In the next 5/10/15 minutes perform a complete physical examination. (Syncope).

  5. Jenny Davidson is a 23 year old girl who suddenly lost her consciousness today and fainted. In the next 5/10/15 minutes take focused history and address her concerns. (Syncope).

  6. Lenny Sullivan is a 56 year old man who got  a sudden bad chest pain when he was having lunch with his family. He was brought to emergency few minutes ago. In the next 5/10/15 minutes manage him. (MI).

  7. Alfred Sabitto is a 53 year old man who comes to your office because ho got swelling of his legs. In the next ten minutes take focused history and address his concerns. (Heart failure).

  8. David Perry is a 54 year old diabetic man who came to your office because of leg pain after walking. In the next 5/10/15 minutes take focused history and perform a focused physical examination. (Claudication).

  9. Eric O'Malley is a 51 year old man who came to emergency because of chest pain and palpitation. In the next 5/10/15 minutes take focused history and address his concerns. (Chest pain/ Atrial Fibrillation).

  10. Sandra Anderson is 81 year old woman who was brought to emergency by ambulance semiconscious, hypotensive and bradycardia.  In the next 5/10/15 minutes manage him. (Digoxin intoxication).

  11. Andrew McDonald is 60 year old man who has a cardiac arrest while the ambulance is rolling into the emergency. He is quickly brought into the resuscitation room. In the next 5/10/15 minutes run code blue and manage him. (Cardiac arrest).

  12. Tina White is a 22 year old woman who was referred to you by a community nurse because of high blood pressure. In the next 5/10/15 minutes take focused history and talk to her about a possible management plan. (Hypertension/ Pheochromocytoma).

  13. Tim Brown is a 39 year old male who came to emergency because of sharp chest pain. He feels unwell and trouble breathing. In the next 5/10/15 minutes take focused history and perform a focused physical examination. (Pericarditis).


Now;

What do you have to do in these OSCE stations in order to cover the checklist?..... 

What to ask to be thorough and cover the differential diagnosis?.... 

How to ask in an efficient, respectful, and empathic way?.....

How to wrap up the station?.....

How to counsel the patient?..... 

How to perform a complete, safe, and respectful physical examination?.....

 

Your biggest challenge in OSCE exams is the limited available time.

You need to memorize sets of questions and actions to be asked and done while you're in an autopilot manner!

 

 
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