Prepare yourself for
these common endocrine 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:
-
Diabetes, all scenarios including ER for DKA and consult.
-
Hypoglycemia.
-
Hypercalcemia.
-
Abnormal
lipid profile / Hypercholestrolemia
-
Obesity
/ Weight gain counseling.
-
Weight
Loss.
-
Hirsutism/ Virilization.
-
Galactorhea.
-
Gynecomastia.
-
Neck
mass.
-
Thyroid
nodule/ Enlarged thyroid/ Hyperthyroidism/ Hypothyroidism.
-
Pituitary adenoma.
-
Polydipsia.
-
Adrenal
insufficiency/ excess.
-
Failure
to mature.
-
Failure
to thrive.
 Common
endocrine 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.).
-
Dick Homer is an 21 year
old man came to the emergency complaining of nausea, vomiting and
diarrhea. In the next ten minutes take focused history. At the eighth
minute the examiner will stop you to ask questions. (Lab results). (DKA).
-
Debbie Hamilton is thirty
year old woman who came to your office complaining of fatigue for two
months. In the next ten minutes take focused history. (Hypothyroidism).
-
Rochelle Patrick is 58
year old woman who came last week for her routine annual check up. Her
investigations came back with serum calcium 12 mg/dL. In the next ten
minutes take focused history and perform focused physical examination.
At the eighth minute the examiner will stop you to ask questions. (Hypercalcemia).
-
George Hunter is 51 year
old man who came last week for his routine annual check up. His
investigations came back with elevated serum cholesterol. In the next
ten minutes take focused history and address his concerns. At the eighth
minute the examiner will stop you to ask questions. (Hyperlipidemia).
-
Victoria Atkins is a 31
year old woman who comes to your office with hoarseness. In the next ten
minutes take focused history. (Hypothyroidism).
-
Patricia Spence is 28
year old woman who was sent by the community nurse to you because of
abnormal thyroid tests. In the next ten minutes take focused history and
perform focused physical examination. (Hyperthyroidism).
-
Tanya Allison is 48 year
old woman who was sent by the community nurse to you because she thinks
she felt a thyroid lump. In the next ten minutes take focused history
and perform focused physical examination. (Thyroid nodule).
-
Mary Hamilton is a 53
year old woman who is a patient of your colleague, Dr. Watson, came to
your office because you are covering for Dr. Watson while he is away.
Her blood glucose results has come back 8.7 and 9.1 mmol/L in two
fasting tests. She is very anxious to know what is wrong. In the next
ten minutes talk to her and address her concerns. (DM, initial
visit).
-
Mr. Russell Shantini is a
49 year old man who is a known case of diabetes. He came to your office
for his annual follow up bringing his log book. In the next ten minutes
talk to him . (DM, follow up).
-
Sandy Robert is a 23 year
old woman who comes to your office complaining of recurrent headache and
abnormal hair growth on her chin. In the next ten minutes take a focused
history. (Pituitary adenoma).
-
Laura Battler is 26 year
old woman who comes to your office complaining from weakness and weight
gain. (Cushing).
-
Sarah Anderson is 18 year
old girl who came to your office because she notice her neck is wide. In
the next ten minutes take focused history and perform focused physical
examination. (Goitre).
-
Tony Black is 30 year old
man who came to your office complaining from feeling dizzy and weight
loss. In the next ten minutes take focused history. (Adrenal
Insufficiency).
-
Martin O'Malley is 34
year old man who cam the emergency because of persistent headache and
heart racing. In the next ten minutes take focused history. (Pheochromocytoma).
-
Jim Charles is 12 year
old boy, who is know for diabetes type I, was rushed to the emergency by
his parents after falling unconscious. Please mange him in the next ten
minutes. (Hypoglycemia).
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!
|
