Undifferentiated OSCEs
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
counseling 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?.....
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