OSCE
Revision
OSCE format
„ 18-20
stations
„ 4-5 minutes each
„ Approx 80 minutes
„ Standardised questions
„ Fixed marking
Questions
„ Data
interpretation
„ Slides/prints
„ X-rays/images
„ Practical procedure
„ Role play/history taking
„ Clinical examination
Timing is critical . . .
Snails are not permitted
Question 1
Question 1
1. List the abnormalities shown on this print. (3)
2. What is the diagnosis? (2)
3. Name 3 causes for this condition. (3)
Total marks: 10
Question 2
Question 2
This photograph was taken 1 day after birth.
1. What is the clinical diagnosis? (1)
2. Name two causative organisms. (2)
3. What immediate steps in management are
indicated? (3)
4. Name two complications of this condition. (2)
Total marks: 8
Question 3
Data question – no print
provided.
Question 3
A two year old boy walked unaided at 14 months. He
made steady progress for 8 months but, over the past
3 months, had refused to weight bear on the lower
limbs.
Investigations:
Ca2+ 2.05mmol/l (N 2.2-2.75mmol/l)
PO4 3- 0.95mmol/l (N 1.16-1.01mmol/l)
Albumin 35g/l (N 35-50g/l)
Alkaline phosphatase 1550u/l (N 100-850u/l)
Question 3
1.
2.
3.
4.
What biochemical abnormalities are shown? (3)
What is the diagnosis. (2)
What would an X-ray of the knees show? (3)
Name two complications of this condition. (2)
Total marks: 10
Question 4
Question 4
1.
2.
3.
4.
Report this X-ray. (2)
What is the underlying pathological process? (1)
How would you manage this case? (3)
Name two possible diagnoses. (2)
Total marks: 8
Question 5
This is a rest period
Total marks : 0
Question 6
Clinical station: you will be
asked to examine a patient
Total marks: 30
Question 7
Question 7
Examine the diagram provided:
1. What abnormalities are shown on the diagram? (2)
2. What is the physiological effect of these lesions? (2)
3. Name four symptoms associated with the
predominant lesion. (4)
4. List two associated conditions. (2)
Total marks: 10
Question 8
Question 8
1.
2.
3.
4.
What is shown on the photograph? (2)
What is the cause of these lesions? (2)
What is their natural history. (2)
What group of patients may be particularly at risk of
developing these lesions? (2)
Total marks: 8
Question 9
Question 9
1. Report this X-ray? (2)
2. What is the diagnosis? (2)
3. What may be the underlying / precipitating cause in
this case? (2)
4. Outline the management of this case? (4)
Total marks: 10
Question 10
This is a practical station:
You will be given a sample of urine to test and
comment/discuss the findings with an
examiner
Total marks: 20
The OSCE . . .
. . . it’s all over !