Friday, December 7, 2012

F&C OSCE Nov 2012 (part 1 of 2)


Instead of talking about my personal life, I'll write out the questions I got for my latest Family & Children (F&C) module OSCE.
With this, any juniors or medical students can refer to this post. I've had a hard time looking for past years!

In Univ of Manchester, we get 1 minute to prepare outside the station after reading the question and 8 minutes to complete the station. 2 minutes before the station ends, there will be an announcement.

Day 1 (Paediatrics)

1. You are a medical student in Community placement. This is a mother whose 10 y.o son has been complaining of headaches for the past 6 months. His son is not with her. Take appropriate history from her and present your differential diagnoses and investigations you would like to do to the examiner.

      - Son headache for 6 months, worse past 2 weeks.
      - Start to vomit
      - No photophobia but complains eyes hurt (should ask about vision)
      - Son becoming more clumsy (either unsteady on his feet or cant see properly, need to differentiate these)
      - Headache worse early morning
      - The mother was quite cross, and anxious about her son
      - Mother was afraid it's brain tumour

2. You are a medical student in Community placement. This is a 10 y.o boy complaining of abdominal pain. Perform an abdominal examination and give your differential diagnoses to the examiner. Do not take extensive history from this patient.

       - Normal abdo exam. Causes of acute abdo pain in children.

3. You are a medical student in Community placement. This is a mother who came in to get her son's blood test result. Her son complained of tiredness and have been found to eat soil. Explain to her the results and address any concerns she might have.

      - Result given was FBC. All normal except for MCV, Hb and ferritin. Diagnosis: Iron deficiency anaemia.
      - Mother was worried it is leukaemia because she read from magazine.
      - Mother wants to know why son eats soil. It has been reported as a manifestation of IDA in children (weird eh?)
      - Mother wants to know what treatment. Tablet / diet modification / dietitian referral.

4. You are a medical student in Neonatal placement. This is a young lady who have just had a premature labour. Explain to her the complication of premature labour and address any concerns she might have.

      - Gave birth yesterday. Spontaneous labour, no history of trauma
      - Be sympathetic (haha)
      - Worried because doctor and nurse took the baby away right after delivery
      - Wants to know what is happening to baby
      - Wants to see the baby. Yes, nurse can arrange.
      - Explain lung isn't mature yet. Need special equipments to help baby to breath.
      - Mum asked whether can breastfeed baby. Ans is can and if baby is on ventilator then can give expressed milk.
      - Mum asked if baby will get cerebral palsy (shocked me. For a while I thought we were supposed to explain cerebral palsy, not lung prematurity. But then mum directed me towards other stuff)

5. You are medical student in Community placement. This is a boy who had murmur few months ago (cant remember exactly). He came for a follow up. Examine him and look specifically if the murmur is still present.

      - Normal cardiology exam.
      - Boy very shy lah. Didn't want to take off his clothes.

6. You are a medical student in Community placement. The parents of a school girl are worried about her growth. Measure her height, weight and head circumference and calculate her mid-parental height using the formula (they'll give the formula). Plot these information on the given chart. She is unaccompanied by her parents. Do not take extensive history from this patient.

      - This is one crazy station. The measuring was easy but I've never seen the chart. Didn't know where to plot her mid parental height. They didn't use the WHO chart so....

7. You are a medical student in Community placement. A father came because his son has been very breathless and feverish. Take focussed history and prescribe paracetamol for his son.

      - Not really sure what this station wants us to do.
      - Father talked a lot so I didn't have much time to prescribe the PCM.
      - Essentially son is having acute asthmatic attack secondary to chest infection. Father didn't think it's an asthmatic attack because son is coughing out phlegm. Usually son has asthmatic attack wout the phlegm

8. You are a medical student in Paediatrics placement. This is a parent whose son has
just been diagnosed with diabetes type 1. Explain to him the diagnosis and the management plan and address any concerns he might have.

      - Boy is 10 y.o
      - History of tiredness, weight loss and vomitting
      - Wants to know if boy can continue football
      - His own brother (boy's uncle) has DM type 1 as well. Some of my friends said his brother died of DM, but he didn't tell me that. Maybe I didn't ask but he didn't look distressed or worried. So diff patient might tell diff thing.
      - Father wants to know if son cannot go into any specific career due to the DM. I said I'm not really sure but you cant be a pilot if you have diabetes. And father said boy wanted to be a pilot. Explain about hypoglycemia and the danger.

I'm tired now.
I'll write about Day 2 (Obs and Gynae) tomorrow insyaAllah.

Diclaimer: The sentences used are not the exact sentences in the exam. I can't rmember the sentences exactly (who can under such tension?!). And anyway, patients will usually direct you towards the diagnosis. If you did not ask him/her, he/she might ask you.

All the best!

-Because life is a test-


1 comment:

  1. haha IDA = eating soil. i'v never heard of this b4 but...but it's funny as the joke of the day after few tense stations.