2021 OSCE Stations

63 y/o patient with abdominal pain and vomiting

 Asked to take relevant history
 Interpret coronal plane abdominal CT at 6 minutes
 Provide management
 Dx: SBO secondary to hernia

Patient comes in with increasing shortness of breath

 Take a relevant Hx
 Dx: infective exacerbation of COPD (emphysema)
 Interpret arterial blood gas: mixed acidosis

3 y/o boy comes in with mother after 2-day hx of limping

 Take a relevant Hx
 At 6 minutes ask for relevant physical exam findings
 Provide differential diagnosis: transient synovitis of hip, SUFE, Perthes disease,
septic arthritis, NAI

24 y/o female who is 6 weeks pregnant comes in with vaginal bleeding

 Take a relevant history (5 minutes): planned pregnancy, first pregnancy, bleeding
since morning, passed clots, no signs of haemodynamic instability or sepsis
 Given physical exam findings, provide differential diagnosis
 At 7 minutes, given investigation findings and asked about management: Dx of molar
pregnancy, rhesus negative patient

65 y/o patient with diabetes and hypertension. Asked to do lower limb examination
where neurological examination was normal
 Dx: PVD
 Only blood pressure and temperature were given. Told to take what vitals you thought
were relevant
 Not expected to do any neurological findings
 Interpret ABI: 0.65

22 y/o patient is brought in by friend after she posts a tiktok video of self-harm. Take an
assessment of the patient and handover to the registrar (Long station)
 Recently broke up with boyfriend
 Self-harm
 No longer suicidal
 Hx of BPD

34 y/o patient present with vertigo on a background of tinnitus and recent viral
infection. Complete a physical exam
 Patient described SNHL
 At 7 minutes stopped and asked for differential diagnosis and primary diagnosis

53-year-old female who wanted to start HRT

  Take a relevant history (4 minutes)
 Provide HRT counselling (5 minutes)

Video station with no sound. Child with respiratory distress

 Asked to interpret physical exams seen in video
 Asked for investigations
 Asked to interpret CXR (was normal)
 Asked for diagnosis. Was simple diagnosis of bronchiolitis