 Prepare
yourself for these common gastrointestinal 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:
-
Difficulty swallowing (Dysphagia).
-
Nausea /
vomiting.
-
Heartburn/ Gastroesophageal Reflex Disease.
-
Peptic
ulcer disease.
-
Upper GI
bleeding.
-
Lower GI
bleeding.
-
Diarrhea, acute & chronic.
-
Constipation.
-
Steatorrhea.
-
Irritable bowel syndrome.
-
Inflammatory bowel disease, Crohn's & ulcerative colitis.
-
Diverticulosis/ Diverticulitis.
-
Abdominal pain, acute & chronic.
-
Jaundice.
-
Biliary
colic.
-
Hepatomegally/ hepatitis..
-
Splenomegally.
-
Abdominal distension.
-
Abdominal mass.
-
Complete
abdominal examination.
-
Liver
function tests interpretation.
 Common
gastrointestinal 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.).
-
Anthony Smith is a 73
year old man presents to your office complaining of trouble
swallowing. In the next 5/10/15 minutes take focused history. (Dysphagia).
-
Natasha Husinoff is a 36
year old woman presents to your office complaining from diarrhea for six
months. In the next 5/10/15 minutes take focused history. (Diarrhea).
-
Mark Joe is a 52 year old
man who was brought to emergency with abdominal pain and vomiting. His
vitals are: BP 80/40 mmHg, HR 120 bpm, RR 18 bpm, Temp 37.5 C. In the
next 5/10/15 minutes mange him. (Upper GI bleeding).
-
Catherine Roberson is 81
year old who was brought to emergency by her daughter because of blood
with bowel motion. Her vitals are: BP 140/90 mmHg, HR 70 bpm, RR 17 bpm,
Temp 37.5 C. In the next 10/15 minutes take focused history and perform
focused physical examination. (Lower GI bleeding).
-
Michael Johnson is a 62
year old man who came to emergency complaining of LLQ pain and fever. In
the next 5/10/15 minutes take focused history and perform focused
physical examination. (Diverticulitis).
-
Michael Johnson is a 62
year old man who came to emergency complaining of LLQ pain. In the next
10/15 minutes take focused history and perform focused physical
examination. (Ischemic colitis).
-
Leo Alfonso is 19 year
old male who was brought to emergency because of abdominal pain. His
vitals are BP 90/50 mmHg, HR 120 bpm. In the next 5/10/15 minutes
mange him. (Appendicitis).
-
Lorry Samuel is 25 year
old female who came to emergency complaining of recurrent RLQ pain. In
the next 10/15 minutes take focused history and perform focused physical
examination. (Crohn).
-
Kim Ho is 27 year old man
who came to emergency because he turned yellow. In the next 10/15
minutes take focused history and perform focused physical examination. (Jaundice).
-
Lora Timber is 40 year
old woman who came to emergency complaining of recurrent RUQ pain. In
the next 5/10/15 minutes take focused history and perform focused
physical examination. (Cholecystitis).
-
Jessica Smith is 22 year
old woman who came to your office complaining of greasy foul smelling
stool and weight loss. In the next 5/10/15 minutes take focused history.
(Steatorrhea).
-
George Wilson is 64 year
old man who comes to your office requesting a laxative because he is
always 'blocked up'. In the next 5/10/15 minutes take focused history. (Constipation).
-
Steve Gomella was brought
to the emergency by his friends after vomiting blood. In the next
5/10/15 minutes take focused history and talk to him about your possible
plan of management. (Hematamesis).
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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