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USMLE Step 2 CS   MCCQE II   PLAB 2    ECFMG   Medical Student

 

 
     
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Clinical Skills Assessment Medical OSCE Exam (OSCE home)

Musculoskeletal OSCEs

 

Musculoskeletal OSCEs

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.


Muscluoskeletal OSCE ExamCommon 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.).

 

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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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