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OSCE Checklist

almostadoctor.co.uk/osce-checklist

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.

Cardiovascular System

Conditions OSCE Stations

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MS. Heart Failure Aortic aneurysm DVT Exam (may be ‘Leg swelling’ station) AF Peripheral vascular exam VSD Varicose veins exam Prosthetic heart valves Hydration status Congestive cardiac failure Aortic aneurysm Skills Hypertension BLS Pericarditis ALS Peripheral vascular disease Perform an ECG Varicose veins BP Interpretation ECG Explanation Any of the conditions on the left. AR. secondary prevention Respiratory System Conditions OSCE Stations 2/9 . AS. angiography. Atherosclerotic disease History Taking Angina and ACS Breathlessness Infective endocarditis Chest Pain Heart failure Palpitations DVT / PE Leg pain (claudication) Murmurs Mitral stenosis Examination Mitral regurg Cardiovascular exam Aortic stenosis Likely to be a focussed for a specific condition: Aortic regurg MR. CABG MI – RF’s. INCLUDING TREATMENTS Hypertensive medication Explanation of investigations / procedures – e. management.g.

pleural effusion. lytic lesions Explanation Any of the conditions on the left. COPD. pleural effusion. INCLUDING TREATMENTS Inhalers Gastrointestinal System Conditions OSCE Stations 3/9 .g. pulmonary oedema. Cough Fibrosing alveolitis) Pleural effusion Examination SVC obstruction Respiratory exam TB Likely to be a focussed for a specific condition: Pneumonia e. pneumothorax Acid/base balance Know the causes of clubbing Pneumothorax Lymph nodes / neck exam Skills ABG Spirometry Peak flow Nebuliser Inhaler technique Interpretation Peak flow results Spirometry (obstructive vs restrictive) CXR – could be: pneumothorax.g. Lung cancerAsthma History Taking Obstructive lung disease (e. Breathlessness COPD) Haemoptysis Restrictive lung disease (e.g.

Carcinoma stomach hepatosplenomegaly.Liver / biliary tree: Explanation Any of the conditions on the left. Abdominal X-ray cholecystitis. colonoscopy. appendicitis. INCLUDING Acute liver disease TREATMENTS Chronic liver disease Hepatitis Investigations / procedures: e. PSC) Jaundice Skills Pancreatitis Urine dipstick Carcinoma pancreas Examination Upper GI Abdo exam Know the causes of: ascites.g. stoma. cholangitis. ULQ. LLQ. ectopic pregnancy. Liver transplants gastroscopy. LRQ Haemorrhoids and other anorectal disorders Rectal bleeding Colon Cancer Diverticular disease Other Acute abdomen (E. barium swallow / enema. obstruction. peritonitis) Change in bowel habit / constipation / diarrhea Hernia Weight gain / weight loss Renal / Urology Conditions OSCE Stations 4/9 . Ascites gallstones Hepatomegaly / splenomegaly / hepatosplenomegaly Interpretation Biliary disease (inc gallstones. clubbing GORD / Barrett’s Hepatomegaly Haematemesis Hernias Peptic ulcer PR exam Hiatus hernia Vomiting History Taking Dysphagia Small Intestine Dyspepsia Nausea / vomiting IBD Change in bowel habit / constipation / diarrhoea / Coeliac disease rectal bleeding Diarrhoea Weight gain / loss IBS Jaundice Alcohol Large Intestine PAIN! – URQ.g.

Chronic renal disease Nephrotic Explanation syndrome Any of the conditions on the left. CRF) TCC PSA BPH / Prostate Cancer Testicular cancer Skills Testicular disease Examination Disorders of micturition Testicular exam Renal stones History Taking Dysuria Frequency of micturition Retention Renal colic Endocrinology Conditions OSCE Stations Diabetes Explanation Hyperthyroidism/Graves’ disease Any of the conditions on the left. INCLUDING Nephritic syndrome TREATMENTS Haematuria Urinary Retention Dialysis Dysuria PSA Electrolyte disturbances Calcium/Vit D disturbances Interpretation RCC U + E’s (ARF. INCLUDING Hypothyroidism TREATMENTS Cushing’s Syndrome DIABETES! Addison’s Disease Acromegaly Interpretation Parathyroid disease 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 5/9 .

g. Rheumatoid arthritis Explanation Osteoarthritis Any of the conditions on the left. Parkinson’s. cerebellar Pes cavus ataxia Cerebellar Disease Gait abnormalities History Taking Brain tumour Fits / seizures Headache / face pain Muscle weakness Epilepsy / falls Headaches VII nerve lesion Dizziness Jugular foramen syndrome (IX – II Back pain Nerve palsy) Leg pain Bulbar / pseudobulbar palsy Tremor Peripheral Nerve Lesions Cavernous sinus syndrome Ophthalmology Conditions OSCE Stations 6/9 . INCLUDING MND TREATMENTS Parkinson’s disease Myotonic dystrophy Examination Myasthenia gravis Cranial Nerves Syringomyelia Upper limb examination Spastic paraparesis Lower limb examination Peripheral neuropathy Sensory exam Myopathy Examine for… – e. INCLUDING SLE TREATMENTS Scleroderma / CREST Gout Interpretation Paget’s disease of the bone X-rays Back pain Fractures (esp femoral neck) Skills Osteoporosis Examination Osteomyelitis Knee examination Compartment syndrome Hip examination Spine examination Hands examination Foot examination Elbow Examination GALS History Taking Back pain Joint pain Swollen joints Neurology Conditions OSCE Stations Stroke Explanation MS Any of the conditions on the left.

INCLUDING Bipolar Disorder TREATMENTS Schizophrenia Anorexia nervosa / bulimia Examination Substance abuse Mental State Examination Dementia Delirium History Taking Depression Anxiety Psychosis Haematology Conditions OSCE Stations Anaemia Explanation Lymphoproliferative disease Any of the conditions on the left. leukaemia. INCLUDING Hemianopias TREATMENTS Scotoma “Tunnel Vison” Examination Pupillary defects Cranial nerves for eyes Eye movement disorders Visual Acuity Nystagmus Visual Fields Thyroid eye disease Strabismus History Taking Diabetic eye changes Diplopia Hypertensive eye changes Red Eye Optic atrophy Loss of vision Papilloedema Retinitis Pigmentosa Psychiatry Conditions OSCE Stations Anxiety Explanation Depression Any of the conditions on the left. INCLUDING Myeloproliferative disease TREATMENTS Coagulation Disorders Blood transfusion (and products) Interpretation Blood test results – anaemia. myeloma History Taking Tiredness Obstetrics and Gynaecology Conditions OSCE Stations 7/9 . IV and VI nerve lesions Explanation Ptosis Any of the conditions on the left. II. lymphoma.

dietary Menstruation / disorders supplements. mammogram. alcohol) Pregnancy and delivery (normal Breastfeeding / neonatal nutrition and abnormal) Antenatal screening STI’s CIN / cervical screening / HPV vaccination Incontinence Home Birth Interpretation CTG / partogram Cytology results Skills Smear / swabs Examination Pregnant Abdomen 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 8/9 . INCLUDING Breast carcinoma TREATMENTS Carcinoma of the cervix Carcinoma of the uterus CONTRACEPTION Carcinoma of the testes Investigations / procedures: colposcopy. smear. Contraception Explanation Breast lumps Any of the conditions on the left.g. Carcinoma of the ovary hysteroscopy. triple assessment Drug effects on the fetus Cytology results – including counselling Infertility Explanation of labour Menopause Explanation og pregnancy planning (e.

g. epilepsy. common sites of enlarged nodes) Explanation Prescribing antibiotics Analgesia Ethics / confidentiality. Acne Explanation Allergy Any of the conditions on the left.g. post-MI) Breaking bad news Angry relatives Managing complaints 9/9 . splenomegaly.g. e. INCLUDING Burns TREATMENTS Cerebral palsy Childhood malignancies Genetics – should be able to draw pedigree Chromosomal disorders Breastfeeding / neonatal nutrition Congenital malformations Immunisations (inc. MMR controversy) CF Febrile convulsions Respiratory tract infection (simple URTI or Pneumonia) Interpretation Disorders of puberty Skills Growth disorders Examination Vaccination Schedule Paediatric Abdominal examination Feeding Paediatric Cardiovascular examination Learning disorders Paediatric Respiratory examination GI disease: Developmental analysis Vomiting / diarrhea Malabsorption History Taking Jaundice Delayed development Non-accidental injury Neonatal jaundice SIDS Febrile convulsions UTI / incontinence 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.: 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. diabetes.