OSCE Checklist

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Cardiovascular System

Conditions OSCE Stations

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
Aortic regurg condition: MR, MS, AR, AS, 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, INCLUDING
TREATMENTS, plus

Hypertensive medication
Explanation of investigations / procedures –
e.g. angiography, CABG
MI – RF’s, management, secondary
prevention

Respiratory System

1/10
Conditions OSCE Stations

Lung cancer History Taking

Asthma Breathlessness
Obstructive lung disease (e.g. Haemoptysis
COPD) Cough
Restrictive lung disease (e.g.
Fibrosing alveolitis) Examination
Bronchiectasis Respiratory exam
Pleural effusion Likely to be a focussed for a specific
SVC obstruction condition: e.g. pleural effusion,
TB pneumothorax
Pneumonia Know the causes of clubbing
Acid/base balance Lymph nodes / neck exam
Pneumothorax
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

2/10
Liver / biliary tree: Explanation
Any of the conditions on the left, INCLUDING
Acute liver disease TREATMENTS
Chronic liver disease
Hepatitis Investigations / procedures: e.g.
Liver transplants colonoscopy, gastroscopy, stoma, barium
Ascites swallow / enema, gallstones
Hepatomegaly / splenomegaly /
hepatosplenomegaly Interpretation
Biliary disease Abdominal X-ray
(including gallstones,
cholecystitis, cholangitis, PSC) Skills
Jaundice Urine dipstick
Pancreatitis
Carcinoma pancreas Examination
Abdo exam
Upper GI Know the causes of: ascites,
hepatosplenomegaly, clubbing
Carcinoma stomach Hepatomegaly
GORD / Barrett’s Hernias
Haematemesis PR exam
Peptic ulcer
Hiatus hernia History Taking
Vomiting Dysphagia
Dyspepsia
Small Intestine Nausea / vomiting
Change in bowel habit / constipation /
IBD diarrhoea / rectal bleeding
Coeliac disease Weight gain / loss
Diarrhoea Jaundice
IBS Alcohol
PAIN! – URQ, ULQ, LLQ, LRQ
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

3/10
Renal / Urology

Conditions OSCE Stations

Chronic renal disease Explanation

Nephrotic syndrome 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, 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
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

4/10
Orthopaedics and Rheumatology

Conditions OSCE Stations

Rheumatoid arthritis Explanation

Osteoarthritis Any of the conditions on the left, INCLUDING
SLE TREATMENTS
Scleroderma / CREST
Gout Interpretation
Paget’s disease of the bone X-rays
Back pain
Shoulder Pain Skills
Neck Pain Examination
Fractures (esp femoral neck) Knee examination
Osteoporosis Hip examination
Osteomyelitis Spine examination
Compartment syndrome Hands examination
Foot examination
Elbow Examination
GALS

History Taking
Back pain
Joint pain
Swollen joints

Neurology

Conditions OSCE Stations

5/10
 Stroke Explanation
Multiple Sclerosis Any of the conditions on the left, 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.g. 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 Back pain
– II Nerve palsy) Leg pain
Bulbar / pseudobulbar palsy Tremor
Peripheral Nerve Lesions
Cavernous sinus syndrome

Ophthalmology

Conditions OSCE Stations

II, IV and VI nerve lesions Explanation

Ptosis Any of the conditions on the left, INCLUDING
Hemianopias TREATMENTS
Scotoma
“Tunnel Vision” 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

6/10
 Anxiety Explanation
Depression 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

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

7/10
 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

8/10
 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
Miscellaneous
OSCE Stations
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
9/10
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

10/10