OSCE Revision Checklist - almostadoctor

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Cardiovascular System
Conditions	OSCE Stations
Atherosclerotic disease Angina and ACS Infective endocarditis Heart failure DVT / PE Murmurs Mitral stenosis Mitral regurg Aortic stenosis Aortic regurg Aortic aneurysm AF VSD Prosthetic heart valves Congestive cardiac failure Aortic aneurysm Hypertension Pericarditis Peripheral vascular disease Varicose veins	*History Taking* Breathlessness Chest Pain Palpitations Leg pain (claudication) *Examination* Cardiovascular exam 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, plus* Hypertensive medication Explanation of investigations / procedures – e.g. angiography, CABG MI – RF’s, management, secondary prevention
Respiratory System
Conditions	OSCE Stations
Lung cancer Asthma Obstructive lung disease (e.g. COPD) Restrictive lung disease (e.g. Fibrosing alveolitis) Bronchiectasis Pleural effusion SVC obstruction TB Pneumonia Acid/base balance Pneumothorax	*History Taking* Breathlessness Haemoptysis Cough *Examination* Respiratory exam Likely to be a focussed for a specific condition: e.g. pleural effusion, pneumothorax Know the causes of clubbing Lymph nodes / 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
Gastrointestinal System
Conditions	OSCE Stations
Liver / biliary tree: Acute liver disease Chronic liver disease Hepatitis Liver transplants Ascites Hepatomegaly / splenomegaly / hepatosplenomegaly Biliary disease (including 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 Colon Cancer Diverticular disease Other Acute abdomen (E.g. ectopic pregnancy, appendicitis, obstruction, peritonitis) Change in bowel habit / constipation / diarrhoea 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
Chronic renal disease Nephrotic syndrome Nephritic syndrome Haematuria Urinary Retention Dysuria Electrolyte disturbances Calcium / Vit D disturbances RCC TCC BPH / Prostate Cancer Testicular cancer Testicular disease Disorders of micturition Renal stones	*Explanation* *Any of the conditions on the left, INCLUDING TREATMENTS* Dialysis PSA *Interpretation* U + E’s (ARF, CRF) PSA *Skills* *Examination* Testicular exam *History Taking* Dysuria Frequency of micturition Urinary retention Renal colic
Endocrinology
Conditions	OSCE Stations
Diabetes Hyperthyroidism / Graves’ disease Hypothyroidism Cushing’s Syndrome Addison’s Disease Acromegaly Parathyroid disease	*Explanation* *Any of the conditions on the left, INCLUDING TREATMENTS* DIABETES! *Interpretation* Adrenal axis blood results Hyperthyroidism / hypothyroidism *Skills* *Examination* Diabetic Foot check Neck exam *History Taking* Tired all the time Diabetic first presentation Diabetic complications
Orthopaedics and Rheumatology
Conditions	OSCE Stations
Rheumatoid arthritis Osteoarthritis SLE Scleroderma / CREST Gout Paget’s disease of the bone Back pain Shoulder Pain Neck Pain Fractures (esp femoral neck) Osteoporosis Osteomyelitis Compartment syndrome	*Explanation* *Any of the conditions on the left, INCLUDING TREATMENTS* *Interpretation* X-rays *Skills* *Examination* Knee examination Hip examination Spine examination Hands examination Foot examination Elbow Examination GALS *History Taking* Back pain Joint pain Swollen joints
Neurology
Conditions	OSCE Stations
Stroke Multiple Sclerosis MND Parkinson’s disease Myotonic dystrophy Myasthenia gravis Syringomyelia Spastic paraparesis Peripheral neuropathy Myopathy Pes cavus Cerebellar Disease Gait abnormalities Brain tumour Headache / face pain Epilepsy / falls VII nerve lesion Jugular foramen syndrome (IX – II Nerve palsy) Bulbar / pseudobulbar palsy Peripheral Nerve Lesions Cavernous sinus syndrome	*Explanation* *Any of the conditions on the left, INCLUDING TREATMENTS* *Examination* Cranial Nerves Upper limb examination Lower limb examination Sensory exam Examine for… – e.g. Parkinson’s, cerebellar ataxia *History Taking* Fits / seizures Muscle weakness Headaches Dizziness Back pain Leg pain Tremor
Ophthalmology
Conditions	OSCE Stations
II, IV and VI nerve lesions Ptosis Hemianopias Scotoma “Tunnel Vision” Pupillary defects Eye movement disorders Nystagmus Thyroid eye disease Strabismus Diabetic eye changes Hypertensive eye changes Optic atrophy Papilloedema Retinitis Pigmentosa	*Explanation* *Any of the conditions on the left, INCLUDING TREATMENTS* *Examination* Cranial nerves for eyes Visual Acuity Visual Fields *History Taking* Diplopia Red Eye Loss of vision
Psychiatry
Conditions	OSCE Stations
Anxiety Depression Bipolar Disorder Schizophrenia Anorexia nervosa / bulimia Substance abuse Dementia Delirium	*Explanation* *Any of the conditions on the left, INCLUDING TREATMENTS* *Examination* Mental State Examination *History Taking* Depression Anxiety Psychosis
Haematology
Conditions	OSCE Stations
Anaemia Lymphoproliferative disease Myeloproliferative disease Coagulation Disorders Blood transfusion (and products)	*Explanation* *Any of the conditions on the left, INCLUDING TREATMENTS* *Interpretation* Blood test results – anaemia, leukaemia, lymphoma, myeloma *History Taking* Tiredness
Obstetrics and Gynaecology
Conditions	OSCE Stations
Contraception Breast lumps Breast carcinoma Carcinoma of the cervix Carcinoma of the uterus Carcinoma of the testes Carcinoma of the ovary Drug effects on the fetus Infertility Menopause Menstruation and disorders of menstruation Pregnancy and delivery (normal and abnormal) STI’s 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 of 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 Abdomen Bimanual examination Breast exam *History Taking* Menorrhagia Amenorrhoea Pelvic pain Dyspareunia Intermenstrual bleeding Post-coital bleeding Post-menopausal bleeding Vaginal discharge Infertility Breast lumps
Paediatrics
Conditions	OSCE Stations
Acne Allergy Burns Cerebral palsy Childhood malignancies Chromosomal disorders Congenital malformations CF Respiratory tract infection (simple URTI or Pneumonia) Disorders of puberty Growth disorders Vaccination Schedule Feeding Learning disorders GI disease: Vomiting / diarrhoea Malabsorption Jaundice Non-accidental injury SIDS 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* Paediatric Abdominal examination Paediatric Cardiovascular examination Paediatric Respiratory examination 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.: STI and informing partners Disclosing info to relatives Explaining to parent why child has to stay in hospital 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*

Cardiovascular System

Respiratory System

Gastrointestinal System

Renal / Urology

Endocrinology

Orthopaedics and Rheumatology

Neurology

Ophthalmology

Psychiatry

Haematology

Obstetrics and Gynaecology

Paediatrics

Miscellaneous