Prepare for these
common hematology &
Immunology 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:
-
Anemia.
-
Eosinophilia.
-
Neutropenia.
-
Thrombocytopenia.
-
Easy
bruising/ Bleeding tendency.
-
Patechae/ Purpura.
-
Elevated
hemoglobin/ Polycethemia.
-
Splenomegaly.
-
Hypercoagulable state.
-
Urticaria/ Angioedema/ Anaphylaxis.
-
Allergic
reactions/ Atopy/ food allergies.
-
Lymphadenopathy; Generalized/ localized.
-
Blood
transfusion reactions.
-
Neck
mass.
-
Mediastinal mass.
-
Complete
hematological examination.
-
Abnormal
Complete Blood Profile, WBC.
 Common
Hematology & immunology 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. ).
-
Kim Quang is a 17 year
old woman who presents to your office with recurrent episodes of
bleeding from her nose. Please take focused history in the next 5/10/15
minutes. (ITP).
-
Jackie Levis is 22 year
old woman who has been booked by the surgeon to undergo laparoscopic
cholecystectomy in two days. She comes to your office with questions
about the risk of blood transfusions as her friend warned her about the
possibility of HIV and Hepatitis infection. Please talk to her in the
next 5/10/15 minutes. (Blood transfusion).
-
Rajeev Khan is a fifty
year old man who is supposed to have his forth blood transfusion today.
He has a hematological disease that he needs blood transfusion every few
weeks. Last time he had a bad reaction that made him feverish and ill.
He refused to go on until he talks to you because he is afraid it might
happen again. Please talk to him in the next 5/10/15 minutes. (Blood
transfusion).
-
Scott Fuller is a 47 year
old man who comes with fatigue and a hemoglobin of 95. Please talk to
him in the next 5/10/15 minutes and address his concerns. (Anemia).
-
Lucy Armstrong is 23 year
old woman who came to your office after she felt a lump in her right
side of her upper neck. In the next 5/10/15 minutes take a focused
history and perform a focused physical exam. (Note: She keeps her bra
and thighs exposed with gestures of seduction. The case is infectious
mononucleosis and she is sexually active. Take sexual history and safe
sex counseling too.) (Lymphadenopathy/ Seduction/ Safe sex).
-
Andres Fallen is a 45
years old man who is a known case of Hodgkin disease under the care of
your colleague Dr, James Brown who is away and you are covering for him.
He came to your office for a follow up. In the next 5/10/15 minutes take
a focused history and perform a focused physical exam. (Lymphadenopathy).
-
Mark Anthony is a 42 year
old man comes to your office because he felt few lumps in his groins. In
the next 5/10/15 minutes take a focused history and perform a focused
physical exam. (Lymphadenopathy).
-
Mary Copper is a 31 year
old woman who had delivered a healthy boy last week came to your office
because of bluish dots and areas over her body. In the next 5/10/15
minutes take a focused history. (Patechae/ Purpura).
-
Sandra Hunter is 27 year
old business woman who had just returned from Asia in a business trip
came to your office because of right calf pain. In the next 5/10/15
minutes take a focused history and perform a focused physical exam. (DVT).
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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