Syllabus Guide

This is an attempt to make a syllabus and list of OSCE stations for finals. OSCE stations vary between Universities, and there are new and different stations every year, so we can’t provide a definitive list of everything (…but we can try!)

And, obviously, there are diseases not listed here, that it would be useful to know about.
But, based on previous student’s experience, and our own notes, here is a big fat list of everything you should try to learn for finals.
  • -          This list is created in relation to the course at The University of Manchester, and is updated regularly with new topics. If you think something is missing please let me know, and we will add it to the list.
 
Where almostadoctor.com notes exists for a topic / OSCE station, a link is provided (coming soon…)

 

Cardiovascular System
Conditions
OSCE Stations
o   Atherosclerotic disease
o   Angina and ACS
o   Myocardial infarction
o   Infective endocarditis
o   Heart failure
o   DVT / PE
o   Murmurs
o   Mitral stenosis
o   Mitral regurg
o   Aortic stenosis
o   Aortic regurg
·         Aortic aneurysm
·         AF
·         VSD
·         Prosthetic heart valves
·         Congestive cardiac failure
·         Aortic aneurysm
·         Hypertension
·         Pericardial disease
·         Peripheral vascular disease
·         Varicose veins
History Taking
·         Breathlessness
·         Chest Pain
·         Palpitations
·         Leg pain (claudication)
Examination
·         Cardiac exam
o   Likely to be a focussed for a specific condition: MR, MS, AR, AS, Heart Failure
·         DVT Exam (may be ‘Leg swelling’ station)
·         Peripheral vascular exam
·         Varicose veins exam
·         Hydration status
Skills
·         BLS
·         ALS
·         Perform an ECG
·         BP
Interpretation
·         ECG
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS
·         Hypertensive medication
·         Explanation of investigations / procedures – e.g. angiography, CABG
·         MI – RF’s, management, secondary prevention
Respiratory System
Conditions
OSCE Stations
o   Lung cancer
o   Asthma
o   Obstructive lung disease (e.g. COPD)
o   Restrictive lung disease (e.g. Fibrosing alveolitis)
o   Pleural effusion
o   SVC obstruction
o   TB
o   Infection / Pneumonia
o   Acid/base balance
o   Pneumothorax
History Taking
·         Breathlessness
·         Haemoptysis
·         Cough
Examination
·         Respiratory exam
o   Likely to be a focussed for a specific condition: e.g. pleural effusion, pneumothorax
o   Know the causes of clubbing
·         Lymph nodes of neck exam
Skills
·         ABG
·         Spirometry
·         Peak flow
·         Nebuliser
·         Inhaler technique
Interpretation
·         Peak flow results
·         Spirometry (obstructive vs restrictive)
·         CXR – could be: pneumothorax, pleural effusion, COPD, pulmonary oedema, lytic lesions
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS
·         Inhalers
GI System
Conditions
OSCE Stations
Liver / biliary tree:
·         Acute liver disease
·         Chronic liver disease
·         Hepatitis
·         Liver transplants
·         Ascites
·         Hepatomegaly / splenomegaly / hepatosplenomegaly
·         Biliary disease (inc gallstones, cholecystitis, cholangitis, PSC)
·         Jaundice
·         Pancreatitis
·         Carcinoma pancreas
 
Upper GI
·         Carcinoma stomach
·         GORD / Barrett’s
·         Haematemesis
·         Peptic ulcer
·         Hiatus hernia
·         Vomiting
 
Small Intestine
·         IBD
·         Coeliac disease
·         Diarrhoea
·         IBS
 
Large Intestine
·         Haemorrhoids and other anorectal disorders
·         Rectal bleeding
·         Carcinoma colon/rectum
·         Diverticular disease
 
Other
·         Acute abdomen (E.g. ectopic pregnancy, appendicitis, obstruction, peritonitis)
·         Change in bowel habit / constipation / diarrhea
·         Hernia
·         Weight gain / weight loss
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS  
·         Investigations / procedures: e.g. colonoscopy, gastroscopy, stoma, barium swallow / enema, gallstones
Interpretation
·         Abdominal X-ray
Skills
·         Urine dipstick
Examination
·         Abdo exam
·         Know the causes of: ascites, hepatosplenomegaly, clubbing
·         Hepatomegaly
·         Hernias
·         PR exam
History Taking
·         Dysphagia
·         Dyspepsia
·         Nausea / vomiting
·         Change in bowel habit / constipation / diarrhoea / rectal bleeding
·         Weight gain / loss
·         Jaundice
·         Alcohol
·         PAIN! – URQ, ULQ, LLQ, LRQ
 
Renal / Urology
Conditions
OSCE Stations
o   Chronic renal disease
o   Nephrotic syndrome
o   Nephritic syndrome
o   Haematuria
o   Urinary Retention
o   Dysuria
o   Electrolyte disturbances
o   Calcium/Vit D disturbances
o   RCC
o   TCC
o   Proastatic disease
o   Testicular cancer
o   Testicular disease
o   Disorders of micturition
o   Renal stones
 
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS  
·         Dialysis
·         Prostate / PSA
Interpretation
·         U + E’s (ARF, CRF)
·         PSA
Skills
Examination
·         Testicular exam
History Taking
·         Dysuria
·         Frequency of micturition
·         Retention
·         Renal colic
 
Endocrinology
Conditions
OSCE Stations
o   Diabetes
o   Hyperthyroidism/Graves’ disease
o   Hypothyroidism
o   Cushing’s syndrome / Cushing’s disease
o   Addison’s disease
o   Acromegaly
o   Parathyroid disease
 
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS  
o   DIABETES!
Interpretation
·         Adrenal axis blood results
·         Hyper/hypothyroidism
Skills
Examination
·         Diabetic Foot check
·         Neck / thyroid exam
History Taking
·         Tiredness
·         Diabetic first presentation
·         Diabetic complications
Orthopaedics and Rheumatology
Conditions
OSCE Stations
o   Rheumatoid arthritis
o   Osteoarthritis
o   SLE
o   Scleroderma/CREST
o   Gout
o   Paget’s disease
o   Back pain
o   Fractures (esp femoral neck)
o   Osteoporosis
o   Osteomyelitis
o   Compartment syndrome
o   Paget’s disease of the bone
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS  
Interpretation
·         X-rays
Skills
Examination
·         Knee
·         Hip
·         Spine
·         Hands
·         Ankle and elvow
·         GALS
History Taking
·         Back pain
·         Joint pain
·         Swollen joints
 
Neurology
Conditions
OSCE Stations
o   Stroke
o   MS
o   MND
o   Parkinson’s disease
o   Myotonic dystrophy
o   Myasthenia gravis
o   Syringomyelia
o   Spastic paraparesis
o   Peripheral neuropathy
o   Myopathy
o   Pes cavus
o   Cerebellar Disease
o   Gait abnormalities
o   Brain tumour
o   Headache / face pain
o   Epilepsy / falls
o   VII nerve lesion
o   Jugular foramen syndrome (IX – II Nerve palsy)
o   Bulbar / pseudobulbar palsy
o   Peripheral Nerve Lesions
o   Cavernous sinus syndrome
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS  
Interpretation
Skills
Examination
·         Cranial Nerves
·         Upper limb
·         Lower limb
·         Sensory exam
·         Examine for… - e,g. Parkinsons, cerebellar ataxia
History Taking
·         Fits / seizures
·         Muscle weakness
·         Headaches
·         Dizziness
·         Back pain
·         Leg pain
·         Tremor
 
Ophthalmology
Conditions
OSCE Stations
o   II, IV and VI nerve lesions
o   Ptosis
o   Hemianopias
o   Scotoma
o   “Tunnel Vison”
o   Pupillary defects
o   Eye movement disorders
o   Nystagmus
o   Thyroid eye disease
o   Strabismus
o   Diabetic eye changes
o   Hypertensive eye changes
o   Optic atrophy
o   Papilloedema
o   Retinitis Pigmentosa
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS  
Interpretation
Skills
Examination
·         Cranial nerves for eyes
History Taking
·         Diplopia
Psychiatry
Conditions
OSCE Stations
o   Anxiety
o   Depression
o   Bipolar Disorder
o   Schizophrenia
o   Anorexia nervosa / bulimia
o   Substance abuse
o   Dementia
o   Delirium
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS  
Interpretation
Skills
Examination
History Taking
Haematology
Conditions
OSCE Stations
o   Anaemia
o   Lymphoproliferative disease
o   Myeloproliferative disease
o   Coagulation Disorders
o   Blood transfusion (and products)
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS  
Interpretation
·         Blood test results – anaemia, leukaemia, lymphoma, myeloma
Skills
Examination
History Taking
·         Tiredness
Obstetrics and Gynaecology
Conditions
OSCE Stations
o   Contraception
o   Breast lumps
o   Breast carcinoma
o   Carcinoma of the cervix
o   Carcinoma of the uterus
o   Carcinoma of the ovary / testes
o   Drug effects on the fetus
o   Infertility
o   Menopause
o   Menstruation / disorders
Pregnancy and delivery (normal and abnormal)
o   STI’s
o   Incontinence
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS  
·         CONTRACEPTION
·         Investigations / procedures: colposcopy, smear, hysteroscopy, mammogram, triple assessment
·         Cytology results – including counselling
·         Explanation of labour
·         Explanation og pregnancy planning (e.g. dietary supplements, alcohol)
·         Breastfeeding / neonatal nutrition
·         Antenatal screening
·         CIN / cervical screening / HPV vaccination
·         Home Birth
 
Interpretation
·         CTG / partogram
·         Cytology results
Skills
·         Smear / swabs
Examination
·         Pregnant Abdo
·         Bimanual examination
·         Breast exam
History Taking
·         Menorrhagia
·         Amenorrhoea
·         Pelvic pain
·         Dysparaenia
·         IMB
·         Post-coital bleeding
·         Post-menopausal bleeding
·         Vaginal discharge
·         Infertility
·         Breast lumps
Paediatrics
Conditions
OSCE Stations
o   Acne
o   Allergy
o   Burns
o   Cerebral palsy
o   Childhood malignancies
o   Chromosomal disorders
o   Congenital malformations
o   CF
o   RTI
o   Disorders of puberty
o   Growth disorders
o   Immunizations
o   Feeding
o   Learning disorders
o   GI disease:
o   Vomiting / diarrhea
o   Malabsorption
o   Jaundice
o   Non-accidental injury
o   SIDS
o   UTI / incontinence
Explanation
·         Any of the conditions on the left, INCLUDING TREATMENTS  
·         Genetics – should be able to draw pedigree
·         Breastfeeding / neonatal nutrition
·         Immunisations (inc. MMR controversy)
·         Febrile convulsions
Interpretation
Skills
Examination
·         Abdominal
·         Cardiovascular
·         Neruological
·         Developmental analysis
History Taking
·         Delayed development
·         Neonatal jaundice
·         Febrile convulsions
·         Nocturnal enuresis
·         Asthma / cough
·         Short stature
·         UTI
·         Anorexia
 
 
Miscellaneous
OSCE Stations
Skills
·         Venipuncture
·         Cannulation
·         Catheterisation
·         Setting up a drip
·         Administer antibiotic infusion
 
Examination
·         Lymphatic system – (e.g. splenomegaly, common sites of enlarged nodes)
 
Explanation
·         Prescribing antibiotics
·         Analgesia
·         Ethics / confidentiality, e.g.:
o   STI and informing partners
o   Disclosing info to relatives
o   Explaining to parent why child has to stay in hospital
o   HIV counselling        
·         Pre op / post op care and management
 
Others
·         MRSA swabs / barrier nursing
·         Death Certification
·         Handover
·         Informing the DVLA (e.g. diabetes, epilepsy, post-MI)
·         Breaking bad news
·         Angry relatives
·         Managing complaints
 
 

 

2 July 2010 - 7:38am