Prepare
yourself for these common Surgical 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 has been
included within each body system. Here are others:
 Common
Surgical 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.).
-
Please enter the room and
suture a small laceration of the forearm in the next 5/10/15
minutes. (Suturing). (Not in USMLE).
-
Jackie Scot is a 44 year
old woman who comes to the emergency because of right upper quadrant
pain and vomiting. In the next 5/10/15 minutes take a focused history
and perform a focused physical examination. (Bowel obstruction).
-
Tom Robertson is a 31
year old man who has just arrived to the emergency because he fell at
work from a platform and hit his left side on a step. In the next
5/10/15 minutes manage (Internal bleeding / Splenic injury /
Pelvic fracture).
-
Tom Robertson is a 31
year old man who has just arrived to the emergency because he fell at
work from a platform and hit his head on a step. In the next 5/10/15
minutes manage (Head/ C-Spine injury).
-
John Aukland is a 19 year
old man who came to emergency because of a laceration over his wrist. In
the next 5/10/15 minutes perform a focused physical examination. (Hand
exam).
-
Sandy Smith is a 48 year
old woman who came to the clinic a week before her hysterectomy surgery
as requested for pre-operative assessment. In the next 5/10/15 minutes
take a focused history and perform a focused physical examination. (Pre-op).
-
Sandy Smith is a 48 year
old woman who had a hysterectomy done three days ago. The word nurse
reported that she is confused and hallucinating. In the next 5/10/15
minutes take a focused history. (Post-op confusion).
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?.....
How to mange?.....
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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