Endocrine OSCEs
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!
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