Prepare yourself for
these common
musculoskeletal 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:
-
Back
pain, acute and chronic.
-
Siatica.
-
Neck
pain/ trauma.
-
Ankylosing spondylitis.
-
Joint
pain/ any joint
-
Osteoarthritis.
-
Inflammatory arthritis/ Rheumatoid.
-
Septic
arthritis.
-
Osteoporosis.
-
Complete
joint examination: Cervical and lumbar pain, shoulder, elbow, wrist,
hip, knee, and ankle.
-
Wound
suturing.
 Common
musculoskeletal 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.).
-
Eric Samuel is 43 year
old man who came to your office complaining of lower back pain for two
days. Please take a focused history and perform a focused physical
examination in the next 10/15 minutes. (Back pain).
-
Cathy Smitherman is 62
year old woman who came to your office complaining of bilateral leg pain
for years which getting worse recently. Please take a focused history
and perform a focused physical examination in the next 10/15 minutes. (Sciatica).
-
John Hamber is a 40 year
old man who came to your office complaining of neck pain after a car
accident two months ago. Please take a focused history and perform a
focused physical examination in the next 10/15 minutes. (Whip
splash injury).
-
Michael Turner is 36 year
old man who came to emergency because of a sudden right knee pain during
football game. Please take a focused history and perform a focused
physical examination in the next 10/15 minutes. (Joint pain).
-
Patty Applewood is a 47
year old woman who came to your office because of right shoulder pain.
Please take a focused history and perform a focused physical examination
in the next 10/15 minutes. (Joint pain).
-
Tony Andreson is 22 years
old who came to your office because of right knee swelling. Please take
a focused history and perform a focused physical examination in the next
10/15 minutes. (Septic).
-
Elizabeth Johnson, a 55
year old woman, came to you office because of stiffness in her fingers.
Please take a focused history in the next 5/10/15 minutes. (Inflammatory).
-
Anthony Smith is a 65
year old man who came to your office complaining of right hip pain.
Please take a focused history and perform a focused physical examination
in the next 5/10/15 minutes. (Joint pain).
-
Susan Rinker is a
55 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 bone density scan came back as 'Osteoporosis'.
Please counsel her and address her concerns in the next 5/10/15 minutes.
(Osteoporosis).
-
Martin Brown is 42 year
old man who came to your office complaining from pain in his right elbow
after a playing golf. Please take a focused history and perform a
focused physical examination in the next 10/15 minutes. (Joint
pain).
-
Jonathan Brown is 57 year
old man who came to your office complaining of left ankle pain. Please
take a focused history and perform a focused physical examination in the
next 10/15 minutes. (Joint pain).
-
Please enter the room and
perform a wound suturing in the next 5/10/15 minutes.
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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