Prepare yourself for
these common renal 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:
-
Urinary
tract infection/ Dysuria/ Frequency.
-
Urethral/ penile discharge in males.
-
Hematuria/ red urine/ blood in urine.
-
Renal
failure, acute and chronic.
-
Protienurea.
-
Hyperkalemia/ Hypokalemia
-
Hypernatremia/ Hyponatremia.
-
Impotence/ Erectile dysfunction.
-
Incontinence.
-
Benign
prostatic hypertrophy.
-
Prostatic cancer.
-
Scrotal
pain.
-
Scrotal
swelling/ mass.
-
Hernias.
-
Abnormal
serum hydrogen ion concentration.
 Common
renal 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.).
-
Jasmine Corel is a 22
year old woman who comes to the emergency complaining of burning
sensation with urination. In the next 10/15 minutes take a focused
history and perform a focused physical examination. (UTI).
-
Jack William is a 70 year
old man who comes to the emergency complaining of difficulty making his
urine. In the next 10/15 minutes take a focused history and perform a
focused physical examination. (UTI/ Prostate).
-
Mick Humper is a 48 year
old man who comes to the emergency complaining of the worst pain he has
ever had and at the hospital he noticed is urine is red.. In the next
10/15 minutes take a focused history and perform a focused physical
examination. (Renal colic/ stone).
-
Sam Longwill is a 69 year
old man who comes to your office because he saw blood in his urine. In
the next ten minutes take a focused history and perform a focused
physical examination. (Hematuria).
-
Marie Brono is a 56 year
old woman who comes to your office complaining of urine leaking.
In the next 5/10/15 minutes talk to her. (Incontinence).
-
Andre Heatherford is a 19
year old male who comes to the walk-in clinic complaining of penile
discharge. In the next 5/10/15 minutes talk to him. (Urethral/
penile discharge).
-
Anthony martin is a 43
year old man who presents to your office having a problem getting and
maintaining erection. In the next 5/10/15 minutes talk to him. (Erectile
dysfunction).
-
Eric Smith is a 82 year
old man he comes to emergency complaining of problems with emptying his
bladder. In the next 5/10/15 minutes talk to him. (Prostate).
-
Amy Davidson is a 61 year
old woman who is a patient of your colleague Dr. Wong. She comes to your
office complaining of being unwell. Dr Wong sent for some investigations
and she is here for the results. Her hemoglobin is 100, creatinine 1000,
and BUN 22.4. In the next 5/10/15 minutes talk to her. (Renal
failure).
-
David Robert is a 64 year
old man who is a patient of your colleague Dr. Wong. He comes to your
office complaining of being unwell. Dr Wong sent for some investigations
and he is here for the results. His blood pressure is165/ 100, and
creatinine 700. In the next 5/10/15 minutes talk to her. (HTN/
Renal failure).
-
Andre Heatherford is a 19
year old male who comes to the walk-in clinic complaining of scrotal
painful swelling. In the next 5/10/15 minutes take a focused history . (Scrotum).
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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