Gastrointestinal OSCEs
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
counseling 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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