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Clinical Skills Assessment Medical OSCE Exam (OSCE home)

Gynaecology & Obstetric OSCEs

 

 Gynaecology/ Obstetric OSCEs

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 counselling.

  • Birth control counselling.

  • Early pregnancy counselling and routine tests.

  • Pregnancy planning counselling; teenage, young, and old women.

  • Coagulation disorders with pregnancy.

  • IUGR counselling.

  • Abortion counselling.

  • Pap smear counselling.

  • Breast nodule/ Nipple discharge/ Self Breast exam.

  • Mammogram counselling.

  • Women abuse.


Gynaecology/ Obstetric OSCE ExamCommon 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 counselling as needed. Thus, ignore the last statement in the following sample stations about the available time and required tasks to do.).

 

  1. 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).

  2. 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).

  3. 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)

  4. 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).

  5. 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).

  6. 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).

  7. 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 counselling and routine tests).

  8. 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 counselling).

  9. 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 counselling).

  10. 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).

  11. 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).

  12. 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).

  13. 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 counselling).

  14. 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 counselling).

  15. 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 counselling).

  16. 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).

  17. 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).

  18. 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).

  19. 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 counselling).

  20. 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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