Mock OSCE Questions and Answers 2023 Complete(KCL)

Mock OSCE Questions and Answers 2023 Complete(KCL) You are an FY1 in A&E. Please elicit a full history relevant to this patient's complaints. - History (Medical) - ad lib You are an FY1 in A&E. Please elicit a full history relevant to this patient's complaints. - History (Surgical) - ad lib You are an FY1 in general medicine. Mr Charles has presented with chest pain. Please take a brief history of his symptoms and establish a differential diagnosis. - History (Chest pain) DDx - ACS - GORD - PE - Pneumothorax - Thoracic aortic dissection - Chosto-chondiritis - Pneunomia + pleurisy - Pericardiitis You are an FY1 in A&E, Mr Brians has presented with difficulty in breathing. Please take a brief history of his symptoms and establish a differential diagnosis. - History (SOB +/- wheeze) - ad lib DDx - PE - Pneumothorax - Anaphylaxis - FB inhalation - Exacerbation of asthma - Exacerbation of COPD / COPD - Pericarditis - Pulmonary hypertension (LVF / pulmonary fibrosis) - Pulmonary oedema Mr Gordon is a 60 year old gentleman who presents with a history of cough Please take a history from Mr Gordon and present your findings. - History (Cough) - ad lib DDx - Asthma - GORD - ACE inhibitors - Pulmonary fibrosis - Lung cancer - Pulmonary tuberculosis - Chronic bronchitis - Viral / Bacterial bronchitis - Pneumonia - PE - Bronchiectasis - Wegener's granulomatosis Mr Brown is a 63 year old gentleman who presents with leg pain / leg swelling. Please take a history from Mr Brown and present your findings. - History (Leg pain / Leg swelling) - ad lib DDx - Peripheral artery disease / critical artery ischaemia - Chronic venous insufficiency - DVT - CCF - Pulmonary hypertension - Lymphoedema Mrs Fletcher is a 60 year old lady who is suffering from back pain. Please take history from this patient. - History (Back pain) - ad lib DDx - Disc prolapse - Facet joint osteoarthritis - Spinal metastases (KPBLT) - Pyogenic spinal infection - Spinal TB You are an FY1 in general surgery. Mr Morden has presented with abdominal pain. Please take a brief history of his symptoms and establish a differential diagnosis. - History (Abdo pain) - ad lib Upper - Biliary colic - Acute cholecystitis - Acute pancreatitis - Acute cholangitis - GORD - Peptic ulcer (GU/DU) Central - Small bowel obstruction - Mesenteric artery occlusion - DKA - AAA dissection - Crohn's Lateral - Appendicitis (R) - Pyelonephritis (loin-groin) - Renal / Ureteric calculus) - Salpingitis - Ruptured ovarian cyst - Ovarian torsion Lower - Cystitis - Pelvic inflammatory disease - Endometriosis - Ectopic pregnancy - Large bowel obstruction - Infective colitis - Ulcerative colitis Mrs Smith is a 25 year old patient complaining of vomiting. Please take a history from Mrs Smith and present your findings. - History (Vomiting) - ad lib DDx - GORD - Pharyngeal pouch - Achalasia - Oesophageal stricture - Oesophageal carcinoma - Gastric tumour - SI tumour - Achalasia - Large bowel obstruction - Hepatic carcinoma - Mesenteric artery occlusion - Renal calculi - Ectopic pregnancy - Miscarriage - Drug OD - DKA - Hypercalaemia - Ruptured ovarian cyst - Ovarian torsion - Gasteroenteritis - Mesenteric adenitis - Acute cholecystitis - Acute pancreatitis - Acute appendicitis - UTI +/- pyelonephritis - Salpingitis - Malaria / Hep A / Hep B - Toxic shock syndrome Mrs Sanderson is a 60 year old lady who has been experiencing melena / haematemesis. Please take a history from Mrs Sanderson and present your findings. - History (GI bleed) - ad lib DDx Upper - Oesophageal varices - Mallory-Weiss tear - Oesophageal carcinoma - Bleeding GU - Gastric erosion - Gastric carcinoma - Bleeding DU - GORD Lower - Bleeding haemorrhoids - Anal fissure - Diverticulitis - Colo-rectal carcinoma - Crhon's disease - Intususseption Mr Malcolm is a 70 year old gentleman who has been finding it increasingly difficult to swallow. Please take a history from Mr Malcolm and present your findings. - History (Dysphagia) - ad lib DDx - Oesophageal stricture - Oesophageal carcinoma - Pharyngeal carcinoma - Globus - Xerostomia - Pharyngeal pouch - Pseudobulbar palsy - Bulbar palsy - Scleroderma - Myesthenia gravis - Motor neurone disease - Achalasia Mrs Little is a 55 year old lady who has noticed skin itching recently. She has also noticed her skin become more yellow. Please take a history from Mrs Little and present your findings. - History (Skin itching & yellowing) - ad lib DDx - Haemolytic anaemia (Sickle cell crisis) - Malaria - Paracetamol OD - Hep A / B / C - Alcoholic hepatitis - Right heart failure - Common bile duct stones - Pancreatic cancer - Sclerosing cholangitis - Primary biliary cirrhosis - Alcoholic hepatitis - Pregnancy Mr King is a 75 year old gentleman who has been recently noticed a change in bowel habit. Please take a history from Mr King and present your findings. - History (Change in bowel habit) - ad lib