Hematology OSCEs
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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