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 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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