Macleod's Clinical OSCEs, 1e by Paul A. O'Neill BSc(Hons) MBChB FRCP (Lon) MD FAcadMed

By Paul A. O'Neill BSc(Hons) MBChB FRCP (Lon) MD FAcadMed FHEA, Alexandra Evans MBChB MRCGP DRCOG DFRSH, Tim Pattison BSc MBChB MRCP MSc PGCert (Med Ed), Meriel Tolhurst-Cleaver MA (Cantab) MB BChir MRCPCH, Serena Tolhurst-Cleaver MBChB MRC

This new ebook for scientific scholars comprises over 60 of the main more often than not encountered OSCE stations in drugs and surgical procedure. The OSCEs are prepared in keeping with form of ability; for instance history-taking, ethics and verbal exchange, actual exam. this is often an available e-book for college students stressed who're revising for a scientific OSCE. It offers uncomplicated recommendation, pointers on coaching, and should be simply understood. It presents pattern OSCE station questions and simulated sufferer scripts (with solutions) for perform at home.

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Sample text

Is there anything they are particularly worried about and what do they want from the consultation? If you elicit any concerns, be sure to respond to them. Explain to the patient the likely diagnosis is cardiac chest pain or angina. Ask them if they know what angina means. Give a simple explanation: ‘lack of blood flow to the heart due to fatty deposits in the arteries’. Check that the patient understands what you mean. How to minimise risk factors—for example, losing weight, stopping smoking, better control of hypertension (if present).

Concerns: You are worried the doctor will say it is epilepsy because of your job. Expectations: You want the doctor to say everything is fine and let you go home. 1). The history here is consistent with a vasovagal syncope. There is brief jerking, but this can occur in syncope and does not point to a seizure. The appropriate investigations would be a 12-lead ECG and lying and standing blood pressure. If these are normal, the diagnosis of vasovagal syncope should be explained and she should be reassured.

Mrs Jean Smith (70 years old) has made an appointment due to back pain. Task: Please take a history from Mrs Smith and explain the likely diagnosis to her. You do NOT need to discuss investigations or a management plan with the patient or the examiner. APPROACH TO THE STATION It is important to take note of the tasks that the candidate information specifically says you do NOT have to do; it wastes time and you will potentially miss out on marks. Some examiners may stop you if you go outside the remit, but others will not!

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