Prepare yourself for
these common psychiatric 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:
-
Depression, episode, chronic, dysthemia, and post partum..
-
Manic
episode.
-
Hypomania.
-
Delusional disorder.
-
Personality disorder/ Antisocial personality disorder/ Borderline
disorder.
-
Psychosis, acute and chronic.
-
Panic
disorder.
-
Anxiety.
-
Social
phobia.
-
Dementia
(Forgetfulness).
-
Delirium
(Confused).
-
Suicide.
-
Anorexia
nervosa.
-
Fatigue.
-
Somatization disorder.
-
Mini-mental exam/ Complete mental exam.
-
Spousal
abuse.
-
Child
abuse.
-
Alcohol
abuse/ withdrawal/ Alcohol cessation planning.
-
Drug
abuse (Pain killers and street drugs), Cocaine Intoxication.
 Common
psychiatry 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.).
-
James brown, a 45 year
old man, came to your office because his wife insisted to see you.
Please talk to him in the next 5/10/15 minutes. (Alcohol abuse).
-
James brown, a 45 year
old man, came to your office asking for help to stop drinking. Please
talk to him in the next 5/10/15 minutes. (Alcohol cessation
planning).
-
The nurse in the surgical
ward reported that Janet Johnson is 50 year old woman who had a
hystrectomy three days ago is hallucinating. Please talk to her and
perform a mini-mental exam in the next 5/10/15 minutes. (Delirium
/ Mini-mental exam).
-
Ann Downy, a 38 years old
woman, came to the emergency because of a wound in her scalp. Your
colleague had sutured the wound. Please talk to her in the next 5/10/15
minutes before discharging her. (Spousal abuse).
-
Sarah Livingstone is a 23
year old lady and a mother of a 7 months girl who came to emergency
because of a swelling in he left thigh. X-ray showed fractured femur.
Your colleague managed the fracture adequately. Please talk to her in
the next 5/10/15 minutes. (Spousal abuse).
-
Marie Girotti, a 17 year
old female, has attempted suicide by an overdose of Aspirin. She was
treated in the emergency and feels well now. In the next 5/10/15 minutes
talk to her and assess her suicide risk for admission or discharge. (Suicide).
-
Elizabeth Brown, an 81
year old woman, came to your office complaining of feeling low. Talk to
her in the next 5/10/15 minutes. (Depression).
-
Donna McNally, an 76 year
old woman, came to your office complaining of too many medications. Her
husband passed away 6 months ago. Talk to her in the next 5/10/15
minutes. (Depression).
-
Mary Lawrence, a 23 year
old female, came to your office complaining of fatigue and poor work
performance. Talk to her in the next 5/10/15 minutes. (Depression).
-
Joanne Sunfield brought
her 65 years old mother, Sandra, to your office because she is
complaining from radiation leak in her house. Talk to the mother in the
next 5/10/15 minutes. (Psychosis).
-
Anthony James, a 47
year old lawyer has been brought by his wife to your office. She states
he is very anxious, has been sleeping only few hours a night, has told
the family he wants to sell he family house and move to the capital to
be a minister in the next government. Please talk to him in the next
5/10/15 minutes. (He paces the floor and talkative). (Mania).
-
Nick McPherson, a 23 year
old male has been brought by the police after a complaint from his wife
that he is planning to kill their two children. He states he is the son
of God. Please talk to him in the next ten minutes. (He paces the floor
and talkative). (Psychosis).
-
Ron Lillicrap, a 72 year
old man came to your office because his wife asked you to see him as she
believes he is not himself. Please talk to him in the next 5/10/15
minutes. (Depression).
-
Helen St. Pierre is a 26
year old woman who came to the walk-in clinic because of unexpected
attacks of heart racing. That made her very anxious and she wants to
know exactly what is going on with her heart. You are the physician on
duty today. Please talk to her in the next 5/10/15 minutes. (Panic).
-
Michael Foster came to
your office to talk about his father, Frank Foster, who is 78 year old.
He think he has got forgetfulness. Please talk to him in the next
5/10/15 minutes concerning his father and your possible plan. (Dementia).
-
Frank Foster, a 78 year
old man came to your office because his son, Michael, asked you to see
him because he think his father has got forgetfulness. Please talk to
him in the next 5/10/15 minutes. (Dementia).
-
Karen Plater is 33 year
old woman who came to the walking-in clinic complaining of left upper
quadrant abdominal pain for years that no doctor is able to help her.
You are the physician on duty today. Please talk to her in the next
5/10/15 minutes. (Somatization).
-
Denise Demers is a 24
years old college student who has sent to you by the college because she
puts on gloves all the time and dose not touch any thing there. Please
talk to her in the next 5/10/15 minutes. (Obsessive).
-
Sara Reavley is 20 years
old woman who is from out of the city came to your office complaining of
severe headache. Please talk to him in the next 5/10/15 minutes. (Drug
seeker).
-
Sandy Becker, a 21 years
old woman, has been brought to your office by her parents because she is
threatening to kill her boyfriend if he leaves her. Please talk to her
in the next 5/10/15 minutes. (Personality disorder).
-
Rose Fallen is 56 year
old woman who came to your office complaining of feeling tired. Please
talk to her in the next ten minutes. (Fatigue).
-
Louisa Miller is 20 year
old college student who has been brought to the emergency by her friends
because of sudden right arm paralysis. Please take a focused history in
the next 5/10/15 minutes. (Conversion).
-
Suzy Nicholson is 17
years old female who has been brought to the emergency by her parents
because of generalized muscular weakness. Routine investigations showed
she her serum potassium is 2.9 mEq/L. Your colleagues have treated her
adequately and she is stable now. Please talk to her in the next 5/10/15
minutes before discharge. (Anorexia nervosa).
-
Stephanie Anderson is a
31 year old woman who had delivered a baby boy, Jim, last month comes to
your office feeling tired and hopeless about the recent changes in her
life. Please talk to her in the next 5/10/15 minutes. (Postpartum
depression).
-
Diana Boudreau came to
your office and wants to talk to you. Please talk to her in the next
5/10/15 minutes. (She found drugs in her sons room). (Drug abuse).
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!
|
