OSCE MODEL ANSWERS

1. INTRODUCTION : Introduce self and greet patient

Ask for permission to examine.
Assure confidentiality
2. SOCIODEMOGRAPHIC : Name, Age, Sex, Education, Occupation, Income (Self/Household),Marital
Status( Single/ Married/Divorced/Separated/Widowed
3. RELEVANT HISTORY : Substance Abuse, Sleep, Appetite and Suicide
4. Past and family history : similar illness , sub abuse, suicide
5. APPEARANCE : Built, Hygiene, Grooming, Disheveled
6. BEHAVIOUR : Psychomotor Activity Increased/ decreased, Eye contact
Restless, Fidgety, Aggressive, Excited
7. ATTITUDE : Cooperative/Uncooperative, Hostile, Suspicious, Guarded
8. MOOD : Enquire on How he feels : Sad, Low, /Anxious,/
Irritable/ Happy, top of the World
: DURATION?
: Assoc. Symptoms – Helplessness/Hopelessness/
Worthlessness/ SUICIDAL THOUGHTS OR ATTEMPTS

9. AFFECT : Observe : Range , Reactivity, Appropriateness

10. SPEECH : Rate(Rapid, Pressured,) Slow
: Volume and Tone (Increased/ Decreased)
: Prosody
: Flight of Ideas/ Loosening of association/ Tangentiality/
Echolalia/ Perseveration/Thought Blocking/Neologism
11. PERCEPTUAL ABNORMALITY: Hearing Voices or seeing images when alone in waking
State. Male or Female. 1 or more voices.
Second person or Third person
Command/Running commentary/Criticism
CONTENT?
Visual: Describe images. Tactile, Olfactory, Gustatory??

10. THOUGHT DISTURBANCES : Thought Insertions/ Withdrawal/Broadcasting

DELUSIONS: Elicit content : Persecutory/Paranoid

Grandiose/Nihilistic/Bizzare

Abstract thinking

11. ORIENTATION : Time/Place/Person

12. MEMORY : Remote: Important dates

: Recent: Events in last 24 to 48 hrs

: Immediate: Digit span- 5to 6 forward and backward

13.ATTENTION : Digit Span as above

 14.CONCENTRATION :Serials of 7subtraction from 100. (3 from 40 in

Uneducated)

15.GEN KNOWLEDGE AND

INTELLIGENCE :Common fund of information and simple calculations

16.JUDGEMENT : Social : Overall attitude to Examiner and concern for

His Future

Test: Response to scenario/ situation

17.INSIGHT :1 to 6

18. PRESENTATION AND DIAGNOSIS :

20. MANAGEMENT : Treatment setting (In-patient or Out –patient)

: Complete Physical exam and routine Investigations Incl Urine Drug screen
+CT/MRI ,

(BIOPSYCHOSOCIAL MODEL)

PHARMA:

Maintain Hydration, Nutrition, Vital functions

Psychological: Psychotherapy, Psy- education, CBT

Social: Social skill training, Vocational training/Rehab

21. FOLLOW UP