Neurology OSCEs
Prepare yourself for these common neurology 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:
-
Head injury: ER management.
-
Cervical spine trauma.
-
Bacterial meningitis.
-
Unsteadiness/ Dizziness/ Ataxia.
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Loss of consciousness/ Comatose management.
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Tremor/ Parkinsonism.
-
Stroke/ TIA.
-
Subarachnoid hemorrhage.
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Headache: all types and settings.
-
Temporal arteritis.
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Seizure: attack at ER setting/ Follow up consult.
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Memory impairment.
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B 12 neuropathy.
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Chronic back pain.
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Carpal tunnel syndrome.
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Sciatica/ leg pain.
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Gait disturbances.
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Weakness.
-
Numbness.
-
Pituitary adenoma.
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Complete neurological examination.
-
Limb neurological examination.
-
Cranial nerves examination.
-
Coordination examination.
-
Glasgow coma scale.
 Common
cardiovascular 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.).
-
Larry Warren is a 32 year old man who presents to the you in the walk-in
clinic complaining of headache. Please take focused history and address
his concerns in the next 5/10/15 minutes. (Headache).
-
Jerry La point is a 53 year old gentleman who comes to the
emergency complaining of sudden severe headache. Please take focused
history and perform a focused physical examination in the next 10/15 minutes. (Headache).
-
Michael Jones is a 55 year old bus driver who was brought
to the emergency by family members because he had a 'spell'. Please take a
focused history in the next 5/10/15 minutes. (Seizure).
-
Albert Russel is 55 year old man who comes to your office
for the first time to have a check up examination. Please perform a
complete cranial nerves examination in the 5/10/15 ten minutes. (Cranial nerves
examination).
-
Steve Barreto is 67 year old man who came to your office
because he has been having frequent falls which made him very concerned.
Please talk to him and address his concerns in the next 5/10/15 minutes. (Fall / Unsteadiness/ Dizziness/ Ataxia.).
-
Frank Sullivan is a 57 year old man who came to the
emergency by an ambulance because of weakness of his right arm and leg.
Please take a focused history and perform a focused neurological exam in
the next 10/15 minutes. (Stroke).
-
Javid Ehsani is 58 years old man who had some transient
attacks of left eye blindness and was rushed to the emergency by his
family. Please take focused history and address his concerns in the next
5/10/15 minutes. (Temporal arteritis).
-
David Harrison is a 66 year old businessman who
comes to your office because of unsteady walking pattern. Please take
focused history and perform a focused neurological exam in the next
5/10/15 minutes. (Unsteadiness/ Dizziness/ Ataxia.).
-
A middle aged man was brought by the police to the
emergency after being found unconscious. Please manage the case in the
next 5/10/15 minutes. (Loss of consciousness/ Comatose management.).
-
John Smith is 80 years old man presents to the emergency
having sudden onset of speaking difficulty earlier today. It has now
resolved. Please take focused history and perform a focused neurological
exam in the next 5/10/15 minutes. (TIA).
-
Tony Longfield is 16 years old male who is a know case of epilepsy
on medication came to your office referred from the driver licence
authority. Please talk to him in the next ten minutes. (Epilepsy).
-
Maria Lanzonzo is 60 year old woman came to your office
complaining of tremor. Please take a focused history and perform a focused
neurological exam in the next 5/10/15 minutes. (Tremor/ Parkinsonism).
-
George Haung is 26 year old man who was brought to the
emergency by his partner. She said that he had the 'flu' for the last two
days and has complained of headache and fever. Please take a focused
history and perform a focused neurological exam in the next 5/10/15 minutes. (Meningitis).
-
Leanne Price is 32 year old who came to your office
because of right hand tingling and numbness. Please take a focused history
and perform a focused neurological exam in the next 5/10/15 minutes. (Carpel
Tunnel).
-
Anthony Smitherman is 44 year old man who came to your
office because of fatigue and problems with walking with staggering.
Please take a focused history and perform a focused neurological exam in
the next 5/10/15 minutes. (B12 Neuropathy).
-
Eric Brown, a 28 year old male, was brought to the
emergency unconscious after falling from a platform at work this morning.
Please perform a complete neurological exam in the next 5/10/15 minutes. (Head
injury/ Cervical spine: ER management.).
-
Bob Jackson, a 46 year old construction man, came to your
office because of sudden back pain for two days. Please take a
focused history and perform a focused neurological exam in the next 10/15 minutes. (Back pain).
-
Leo alfanso is 47 year old man who had leg pain for years
getting worse recently. Please take a focused history and perform a
focused neurological exam in the next 5/10/15 minutes. (Sciatica).
-
John Riddle is 26 year old male who had a minor car
accident a week ago. He came to your office because he noticed that he
don't see on the sides. Please take a focused history and perform a
focused neurological exam in the next 10/15 minutes. (Pituitary).
-
Sue Haung is 30 year old woman who had a car accident
three days ago. She came to your office because of neck pain. Please take
a focused history and perform a focused neurological exam in the next
10/15 minutes. (Whip splash C-spine injury).
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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