Psychiatry OSCEs
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.
-
Delusional disorder.
-
Personality disorder.
-
Psychosis, acute and chronic.
-
Panic disorder.
-
Anxiety.
-
Dementia (Forgetfulness).
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Delirium (Confused).
-
Suicide.
-
Anorexia nervosa.
-
Fatigue.
-
Somatization disorder.
-
Mini-mental exam/ Complete mental exam.
-
Spousal abuse.
-
Child abuse.
-
Alcohol abuse/ Alcohol
cessation planning.
-
Drug abuse (Pain killers and street drugs).
 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!
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