Prepare yourself for
these common undifferentiated
multi-system 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:
 Common
Undifferentiated 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.).
-
Jane Anderson, a 30 years
old woman, came to your office complaining from fatigue for 2 months. In
the next 5/10/15 minutes take focused history. (Fatigue).
-
Elizabeth Smith, a 81
years old women, came to your office complaining of aches and pains all
over her body. In the next 5/10/15 minutes take focused history. (Depression/
Somatization/ Neuropathies/ Metabolic)
-
Suzy Taylor, a 26 years
old female, has been brought to the emergency by ambulance after being
found unconscious in her home. You are the physician on duty in the ER
today. She is in the room with a nurse. In the next 5/10/15 minutes,
please enter the room and mange the patient. (Unconscious / Coma).
-
John Brown, a 50 years
old male, came to your office because his wife insisted that he comes to
see you. In the next 5/10/15 minutes talk to him and address is wife
concerns. (Alcohol abuse / Drug abuse)
-
Fatima Abdul Salam
brought he father, a 62 years old man, to the emergency because he fell
to the ground this morning. The emergency team ruled out any trauma. Mr
Abdul Salam is waiting for you in the room. You had just started your
shift in the ER. Please enter the room and talk to him in the next
5/10/15 minutes. (Fall).
-
Sandy Sony, a 67 years
old woman, came to your office complaining of feeling dizzy. In the next
5/10/15 minutes take focused history. (Dizziness).
-
Terry McDonald is 57
years old. He came to the walk-in clinic complaining from vomiting. you
are the physician on duty here today. In the next 5/10/15 minutes take
focused history. (Vomiting).
-
Eric Brown, a 47 years
old male came to your office because he noticed that his pants became
tide. In the next 5/10/15 minutes take focused history and perform a
focused physical examination. (Abdominal distension).
-
The police brought Mike
Hurt to the emergency because he was throwing bottles out of his
apartment window and scramming. He is 22 years old and has been kept in
this room. In the next 5/10/15 minutes enter the room and talk to him. (Psychosis/
Mania/ Violent)
-
Ann Johnson, a 59 years
old women, came to your office complaining of ankle swelling. In the
next 5/10/15 minutes take focused history. (Edema)
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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