Prepare yourself for
these common gynaecology & obstetric 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:
-
Vaginal
discharge.
-
Pelvic
inflammatory disease.
-
Sexually
transmitted diseases (STD).
-
Vaginal
bleeding (Gynaecological, post menopausal, 1st trimester, 3rd
trimester).
-
Ectopic
pregnancy.
-
Irregular menses.
-
Post-menopausal bleeding.
-
Amenorrhea.
-
Lower
abdominal pain, acute and chronic.
-
Endometriosis.
-
Fatigue
and nausea (Pregnancy).
-
Pre-eclampsia/ Pregnancy induced hypertension.
-
Hormone
replacement therapy counseling.
-
Birth
control counseling.
-
Early
pregnancy counseling and routine tests.
-
Pregnancy planning counseling; teenage, young, and old women.
-
Coagulation disorders with pregnancy.
-
IUGR
counseling.
-
Abortion
counseling.
-
Pap
smear counseling.
-
Breast
nodule/ Nipple discharge/ Self Breast exam.
-
Mammogram counseling.
-
Women
abuse.
 Common
gynaecology & obstetric 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.).
-
Jessica Maul is a 24 year
old woman who comes to your office complaining of vaginal discharge.
Please take a focused history in the next 5/10/15 minutes. (STD/
Pelvic inflammatory disease).
-
Elizabeth Harwal is a 19
year old woman who comes to the office because her periods are irregular
and she missed three periods now. She is a bit concerned about this.
Please talk to her in the next 5/10/15 minutes. (Irregular menses).
-
Janet Nicholas is 25 year
old woman who came the emergency because of lower abdominal pain.
You are the physician on duty here now. Please take a focused history
and a focused physical examination in the next 10/15 minutes. (Ectopic/
or any gynaecological cause)
-
Cathy Simmons is 35 year
old who came to your office because of irregular vaginal spotting.
Please take a focused history in the next 5/10/15 minutes. (Vaginal
bleeding).
-
Susan Rinker is a 32 year
old woman who has been investigated by your colleague, Dr Mark Brown.
She came to see you as you are covering for Dr. Brown while he is away.
The results of the pathology came back as 'Endometriosis'. Please
counsel her and address her concerns in the next 5/10/15 minutes. (Endometriosis).
-
Judy Jurkovich is a 68
years old woman who came to your office because of vaginal bleeding. She
is very worried about this. Please take a focused history and address
her concerns in the next 5/10/15 minutes. (Vaginal bleeding).
-
Debrough Collicot is a 26
year old woman who came to your office complaining of felling sick and
tired. Please talk to her in the next 5/10/15 minutes. (happy lady). (Early
pregnancy counseling and routine tests).
-
Helen Bianco is 10 week
pregnant woman who came to your office with vaginal bleeding. This her
first pregnancy and she is upset with what is happening. Please talk to
her in the next 5/10/15 minutes. (Abortion counseling).
-
Helen Bianco is 6 week
pregnant college student who came to your office considering abortion.
Please talk to her in the next 5/10/15 minutes. (Abortion
counseling).
-
Janice Weigelt a 36 year
old pregnant woman at 34 weeks came to the emergency because of sudden
vaginal bleeding. You are the physician on duty here. Please take a
focused history in the next 5/10/15 minutes. The examiner will stop you
at the last minute to ask you questions. (3rd Trimester vaginal
bleeding).
-
Sarah Timberlake is 28
years old pregnant woman at 36 weeks came to your office because she put
on 5 kg in the last two weeks and she feels her legs are so puffy the
she cannot put her shoes on. Please take a focused history in the next
5/10/15 minutes. The examiner will stop you at the last minute to ask
you questions. (Eclampsia).
-
Marie Salem is a 25
years old pregnant woman who came to your office complaining of
petechiae and easy bruising. Please take a focused history in the next
5/10/15 minutes. The examiner will stop you at the last minute to ask
you questions. (Idiopathic Thrompocytopnia).
-
Tania Chaw is 18 years
old girl came to your office because she wants to go on the birth
control pills. Please talk to her in the next ten minutes. (Birth
control counseling).
-
Chawla Heuang is 36 years
old woman came to your office because she wants to go on the birth
control pills. Please talk to her in the next 5/10/15 minutes. (Birth
control counseling).
-
Debbie Johnson is 52
years old woman who came to your office asking for your opinion about
hormone replacement therapy. Please talk to her in the next 5/10/15
minutes. (HRT counseling).
-
Stephanie Davidson is 41
years old woman who came to your office asking for a mammogram. Please
talk to her in the next 5/10/15 minutes. (mammogram counseling).
-
Catherine Brown is 65
year old woman came to your office because of breast nipple discharge.
Please take a focused history in the next 5/10/15 minutes. The examiner
will stop you at the last minute to ask you questions. (Breast
nodule/ Nipple discharge).
-
Catherine Brown is 25
year old woman came to your office because she felt a lump in her right
breast. Please take a focused history in the next 5/10/15 minutes. The
examiner will stop you at the last minute to ask you questions. (Breast
nodule/ Nipple discharge).
-
Tania Chaw is 18 years
old girl came to your office because she wants to know how pap smears
are done and why and when. Please talk to her in the next 5/10/15
minutes. (Pap smear counseling).
-
Jasmine Chaw is a 21 year
old pregnant woman at 30 weeks who has been investigated by your
colleague, Dr Mark Brown. She came to see you as you are covering for
Dr. Brown while he is away because the ultrasound results came 'Small
for gestational age'. Please counsel her and address her concerns in the
next 5/10/15 minutes. (IUGR).
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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