These are my notes from the 5th Year OSCE in 2003. I will also be
adding the stations from the 2002 and 2004 examinations.
The 5th year stations are more focused on management and investigation of
problems (although there are a few stations with examination).
5th
Year OSCE Examinations 2003
7 minutes/station, 2 rest stations (for those of you with weak bladders)
General medicine (all from PBLs)
1. Diabetic patient: take a history of a known diabetic with increasing nocturia
2. Take the blood pressure of a patient (the examiner), explain how it is taken
and what the sounds mean
3. AF: discussion with a consultant of a man with haemodynamically unstable AF
(needed to interpret the ECG, which was not an obvious AF)
Musculoskeletal (from work in Rheumatology and Ortho clinics)
4. Examine this patients' hands (? OA)
5. Take a history and examine this patients hip (the patient had a bad back)
(NB: this station was tough with the amount of stuff you had to do in 7 minutes)
Oncology (from assessments)
6. Oncology: a discussion with the consultant of a 42 year old woman with
moderate to poor prognosis breast cancer and how you would treat her (including
surgery, chemo, radio, treatment for nausea)
Obstetrics and Gynaecology (from PBLs/CBLs)
7. Demonstrate a neonatal resuscitation to a consultant (you are the RMO called
to the delivery of a blue baby)
8. Obstetrics: you are an RMO at KEMH with 6 patients handed over to you,
prioritise which order you will see them in (as per CBL 8 on OBGYN term)
9. Discuss tubal ligation with a patient
10. Take a history from a woman with genuine stress incontinence
Paediatrics (from clinical tutes and lectures)
11. Examine a child's cardiovascular system (a murmur was present), present the
findings
12. Discuss immunisations with a mother who is worried about them, her child had
a reaction to the 2 month schedule
13. Take a history and examine the ear of a child with ear pain (the ear was
normal), explain to patient and advise treatment
General Practice (14- you will see on GP term, 15 is in every year with a
different condition, 16 came from a lecture)
14. Drivers’ license: assess the fitness to drive of a hypertensive patient
controlled on medication
15. Breaking bad news: read the pathology report and explain to your
patient that they have a carcinoma of the head of the pancreas
16. Urinary System: Take a history from a patient with dysuria and explain your
management (the patient was a 21 year old male- this station required a full
sexual history)
There were two rest stations- water, biscuits and jelly beans unfortunately no
temaz
