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 counseling 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).
 Common
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
counseling as needed. Thus, ignore the last statement in the following
sample stations about the available time and required tasks to do.).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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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