Station 2

Ayan is a 13 years old girl who has a sprained (twisted) ankle. As you are
examining her she asks if you can prescribe the contraceptive pills for her.

On examination she has swollen ankle but nil else of note. She looks slightly older
than 13 years.

TASK:

Carry out a consultation with Ayan about her request

Duration is 8 minutes
OSCE Station 2

Actor instructions:

You are a 13 years old girl living with her family your parents are divorced with

father having left the family 5 years ago. You live with you mother and mother’s

partner for 2 years.

You also have a brother aged 11 years and sister aged 5 years. Your boyfriend is

friend of your mother’s partner. You don’t want your mother to know about this

relationship. As you feels your mother will be jealous. Your boyfriend has asked

you to keep the relationship as a secret so that it will be more special.

Station 2

OSCE STATION ANSWER SHEET

Marking Criteria Achieved Not

achieved
1 Introduction and purpose (2/3, student states their name, year,
and rephrases the reason for the parent’s visit)
2 Good communication with active listening (2/3, ix of verbal and
non-verbal, open and close ended questions, rephrase and
repeat responses)
3 Clarifies client’s main concerns
4 Explain her problem and disclose the confidentiality since the
child is at risk
5 Mention risk of having sexual abuse
6 Explain the girl the action that you are taking and the reason for
it
7 Discuss eth the other possible diagnosis
8 Discuss the clients with consequences of the abuse
9 Give awareness program related about child abuse
10 Ends interview with plan for follow up action

Global rating

Poor Borderline/ Satisfactory Good Excellent

Unsatisfactory
Station 6

You are a doctor in the out-patient clinic and you see a 27 year old man who has

epilepsy.

He has a history of complex partial seizures he has simple auditory hallucinations

during aura. Prior to being on antipsychotic medications, after the seizures he

would typically have a day when he felt well, and then would become unwell with

auditory hallucinations persecutory delusions, low mood and irritability. This

would last for a few days. In the past he has also reported seeing fleeting images

of people laughing at him. 3 years ago haloperidol was added to his antiepileptic

medication phenytoin. His medication has kept him reasonably well but he is

troubled with extra pyramidal side effects and has come to see you about him.

TASK:

Write down clearly what you want to know in order to make decisions about his

medication?

Write down what options you have with regard to his medication?
Station 6

OSCE STATION ANSWER SHEET

Global rating

Poor Borderline/ Satisfactory Good Excellent

Unsatisfactory
Station 7

A 75 years old woman had been diagnosed with dementia 10 years ago. She was a
banker.

Her memory is getting worse in the last month. Her daughter asks you to assess
her.

Perform a full mini mental state examination

Station 7

Actor instructions:

You are a 75 years old woman from Borama with a known history of dementia for
10 years. You speak fluent English.

You don’t know where you are , who you are , you remember your name 4
minutes later. You don’t know time. You don’t know when asked where you are
in. you don’t know this day, this month, this year , this season, the town you are
in, the floor you are in , and the country you are in. You are asked to remember
for 3 things. You remember 1 out of 3 . You can’t repeat the others.

You are asked to subtract 7 from 100 for 5 times. You don’t know any of these.
You are asked to read the word world from backwards. You can’t do that.

You can’t recall 3 objects asked previously. You name 2 objects that you are asked
to name.

The candidate asks to repeat No ifs and buts and you say after it. Candidate shows
you a paper saying close your eyes but youdon’t follow this command. You are
offered to write down a sentence but you cant do so .

You are asked to copy a picture but you can’t do that.

Station 7

OSCE STATION ANSWER SHEET

Marking criteria Achieved Not achieved

1 Introduction
2 test of orientation
3 Test of memory
4 Test of concentration
5 Communication skills
6 Empathy and how deals with confused
person – should say where they are and what
is happening
7 Speaks to daughter in sensitive way
8 Gives accurate assessment of cognitive state
9 Gives prognosis when daughter asks in
sensitive way
10 Test of memory (probably worth 2 scores)

Global rating

Poor Borderline/ Satisfactory Good Excellent

Unsatisfactory
Station 8

You are a 6th year student doing a placement at the GP. Jessica is a 35-year-old female
who has come in with concerns about her excessive alcohol consumption.

Task

In a total of eight (8) minutes:

Take an appropriate history within the first 6 minutes

 OSCE Checklist: Alcohol History Taking
Opening the consultation
1 Wash your hands and don PPE if appropriate

2 Introduce yourself to the patient including your name and role

3 Con rm the patient's name and date of birth

4 Explain the purpose of the consultation and gain consent

Screening tools
5 Use an appropriate screening tool (e.g. AUDIT-C or CAGE)

Alcohol intake
6 Ask the patient when they rst noticed an increase in their alcohol intake and try to identify
any factors that played a role in this
7 Assess the patient's current drinking pattern

8 Quantify the patient's alcohol intake

9 Ask about the patient's drinking behaviours

10 Ask if the patient has previously attempted to stop drinking

Impact of alcohol
11 Screen for biological signs of dependence

12 Screen for psychological signs of dependence

13 Ask if alcohol has impacted the patient's relationships with others

14 Ask if alcohol has impacted the patient's job

15 Ask if the patient currently drives a vehicle

16 Ask what the patient's diet looks like on an average day and if they feel alcohol is negatively
a ecting it
17 Ask if the patient has ever had involvement of the police for alcohol-related issues

Psychological assessment
18 Perform a brief assessment of the patient's current mood to identify signs of depression or
other psychological issues
19 Screen for thoughts of self-harm or suicide

20 Screen for thoughts of harming others

Past medical history

21 Ask if the patient has any medical conditions. If the patient does have a medical condition,
you should gather more details to assess how well controlled the disease is and
what treatment(s) the patient is receiving.
22 Ask if the patient has previously undergone any surgery or procedures (e.g. banding of
oesophageal varices)
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 23 Ask if the patient has any allergies and if so, clarify what kind of reaction they had to the
substance

Drug history
24 Ask if the patient is currently taking any prescribed medications or over-the-
counter remedies

Social history
25 Explore the patient’s general social context

26 Take a smoking history

27 Ask about recreational drug use

28 Ask about problematic gambling

Closing the consultation

29 Thank the patient for their time

30 O er lea ets about alcohol dependence and the negative health impact of alcohol

31 O er referral to an alcohol rehabilitation service if appropriate

32 Dispose of PPE appropriately and wash your hands

Key communication skills

33 Active listening

34 Summarising

35 Signposting

Read the full guide at Download our

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