By Kate Tatham
The target based scientific exam, or OSCE, is a well-known and sometimes daunting event for scientific scholars. eventually, a e-book has been written which supplies the basic details had to deal with OSCE stations safely, and should assist you to move your scientific and surgical finals.
Over 150 topics are coated on the excellent point of element for revision for finals; utilizing bullet-pointed checklists and a quick and succinct writing type, the authors conceal an important issues to recollect in regards to the key stipulations you are more likely to come upon in the course of OSCEs in 2-4 transparent pages in keeping with situation. Complete OSCE abilities for scientific and Surgical Finals covers the full undergraduate syllabus for scientific finals lower than the subsequent headings:
- background - exam - tactics - Emergency - Interpretations - communique abilities - Obstetrics & Gynaecology - Paediatrics - Genitourinary drugs
Read Online or Download Complete OSCE Skills for Medical and Surgical Finals PDF
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Additional info for Complete OSCE Skills for Medical and Surgical Finals
13 SUICIDE RISK ASSESSMENT A full psychiatric history should be obtained. g. g. g. e. Mini-Mental State Examination (MMSE – see p. 98) Insight – are they aware: ⅙ Why this started? ⅙ That they are unwell? ⅙ What the causes might be? ⅙ What treatment they might need and what the prognosis is? g. g. 2 INTERPRETING COMMON MURMURS ● Aortic stenosis – ejection systolic, best heard at upper right sternal edge in expiration, radiating to the neck with slow rising pulse ● Aortic regurgitation – early diastolic murmur, collapsing pulse, nail bed pulsation and visible carotids (Corrigan’s sign), heard best at lower left sternal edge, leaning forward ● Mitral regurgitation – pansystolic murmur heard loudest over apex, in left lateral position in expiration, radiating into axilla ● Mitral stenosis – diastolic, best heard over apex with bell of stethoscope AUSCULTATION ● ● Listen and time heart sounds with carotid pulse Listen to the four regions in turn (see Fig.
3 Auscultatory areas of the lung: anterior and posterior Tests ● Full set of blood tests ● Peak expiratory ﬂow rate (PEFR) ± formal spirometry ● Oxygen saturations ● Arterial blood gas ● Sputum microscopy and culture ● Chest X-ray (± high-resolution computed tomography (CT) scan) ● Temperature CHRONIC OBSTRUCTIVE PULMONARY DISEASE This common disease invariably arises in later life usually as a result of chronic cigarette smoking. 45 46 Examination Complications include exacerbations requiring hospitalization, recurrent pneumonia, pneumothoraces, bronchial carcinoma, pulmonary hypertension and heart failure.
They include mitral stenosis, mitral regurgitation or mixed valve disease. Rheumatic heart disease is the most common cause of mitral stenosis, but is now rare in the developed world. e. g. g. g. e. g. g. post myocardial infarction Cardiovascular system Investigations ● ECG ● Chest X-ray – cardiomegaly ● Echocardiogram (transthoracic) ● Cardiac catheterization Treatment ● Treatment of heart failure ● Anticoagulation for AF ● Valve repair or replacement if any of: ⅙ Severe symptoms ⅙ Left ventricular failure ⅙ Left ventricular dilatation MIXED MITRAL VALVE DISEASE ● ● Patients may present with mixed symptoms and signs of stenosis and regurgitant murmurs It is not uncommon for them to have mixed mitral valve disease and the signs should be presented as such, with an attempt to specify the predominant lesion, and why BACTERIAL/INFECTIVE ENDOCARDITIS Bacterial endocarditis is an infection of the endothelial lining of the heart.