Renal OSCEs
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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