Cardiovascular System

o o o o o o o o o o o Conditions Atherosclerotic disease Angina and ACS Myocardial infarction Infective endocarditis Heart failure DVT / PE Murmurs Mitral stenosis Mitral regurg Aortic stenosis Aortic regurg Aortic aneurysm AF VSD Prosthetic heart valves Congestive cardiac failure Aortic aneurysm Hypertension Pericardial disease Peripheral vascular disease Varicose veins OSCE Stations History Taking Breathlessness Chest Pain Palpitations Leg pain (claudication) Examination Cardiac exam Likely to be a focussed for a specific condition: MR, MS, AR, AS, Heart Failure DVT Exam (may be Leg swelling station) Peripheral vascular exam Varicose veins exam Hydration status Skills BLS ALS Perform an ECG BP Interpretation ECG Explanation Any of the conditions on the left, INCLUDING TREATMENTS Hypertensive medication Explanation of investigations / procedures e.g. angiography, CABG MI RFs, management, secondary prevention

Respiratory System
o o o o o o o o o o Conditions Lung cancer Asthma Obstructive lung disease (e.g. COPD) Restrictive lung disease (e.g. Fibrosing alveolitis) Pleural effusion SVC obstruction TB Infection / Pneumonia Acid/base balance Pneumothorax OSCE Stations History Taking Breathlessness Haemoptysis Cough Examination Respiratory exam Likely to be a focussed for a specific condition: e.g. pleural effusion, pneumothorax Know the causes of clubbing Lymph nodes of neck exam Skills ABG

Spirometry Peak flow Nebuliser Inhaler technique Interpretation Peak flow results Spirometry (obstructive vs restrictive) CXR could be: pneumothorax, pleural effusion, COPD, pulmonary oedema, lytic lesions Explanation Any of the conditions on the left, INCLUDING TREATMENTS Inhalers

GI System
Conditions Liver / biliary tree: Acute liver disease Chronic liver disease Hepatitis Liver transplants Ascites Hepatomegaly / splenomegaly / hepatosplenomegaly Biliary disease (inc gallstones, cholecystitis, cholangitis, PSC) Jaundice Pancreatitis Carcinoma pancreas Upper GI Carcinoma stomach GORD / Barretts Haematemesis Peptic ulcer Hiatus hernia Vomiting Small Intestine IBD Coeliac disease Diarrhoea IBS Large Intestine OSCE Stations Explanation Any of the conditions on the left, INCLUDING TREATMENTS Investigations / procedures: e.g. colonoscopy, gastroscopy, stoma, barium swallow / enema, gallstones Interpretation Abdominal X-ray Skills Urine dipstick Examination Abdo exam Know the causes of: ascites, hepatosplenomegaly, clubbing Hepatomegaly Hernias PR exam History Taking Dysphagia Dyspepsia Nausea / vomiting Change in bowel habit / constipation / diarrhoea / rectal bleeding Weight gain / loss Jaundice Alcohol PAIN! URQ, ULQ, LLQ, LRQ

Haemorrhoids and other anorectal disorders Rectal bleeding Carcinoma colon/rectum Diverticular disease Other Acute abdomen (E.g. ectopic pregnancy, appendicitis, obstruction, peritonitis) Change in bowel habit / constipation / diarrhea Hernia Weight gain / weight loss

Renal / Urology
o o o o o o o o o o o o o o o Conditions Chronic renal disease Nephrotic syndrome Nephritic syndrome Haematuria Urinary Retention Dysuria Electrolyte disturbances Calcium/Vit D disturbances RCC TCC Proastatic disease Testicular cancer Testicular disease Disorders of micturition Renal stones OSCE Stations Explanation Any of the conditions on the left, INCLUDING TREATMENTS Dialysis Prostate / PSA Interpretation U + Es (ARF, CRF) PSA Skills Examination Testicular exam History Taking Dysuria Frequency of micturition Retention Renal colic

Endocrinology
o o o o o o o Conditions Diabetes Hyperthyroidism/Graves disease Hypothyroidism Cushings syndrome / Cushings disease Addisons disease Acromegaly Parathyroid disease OSCE Stations Explanation Any of the conditions on the left, INCLUDING TREATMENTS DIABETES! Interpretation Adrenal axis blood results Hyper/hypothyroidism Skills Examination Diabetic Foot check Neck / thyroid exam History Taking

Tiredness Diabetic first presentation Diabetic complications

Orthopaedics and Rheumatology

o o o o o o o o o o o o Conditions Rheumatoid arthritis Osteoarthritis SLE Scleroderma/CREST Gout Pagets disease Back pain Fractures (esp femoral neck) Osteoporosis Osteomyelitis Compartment syndrome Pagets disease of the bone OSCE Stations Explanation Any of the conditions on the left, INCLUDING TREATMENTS Interpretation X-rays Skills Examination Knee Hip Spine Hands Ankle and elvow GALS History Taking Back pain Joint pain Swollen joints

Neurology
o o o o o o o o o o o o o o o o o o Conditions Stroke MS MND Parkinsons disease Myotonic dystrophy Myasthenia gravis Syringomyelia Spastic paraparesis Peripheral neuropathy Myopathy Pes cavus Cerebellar Disease Gait abnormalities Brain tumour Headache / face pain Epilepsy / falls VII nerve lesion Jugular foramen syndrome (IX II Nerve palsy) OSCE Stations Explanation Any of the conditions on the left, INCLUDING TREATMENTS Interpretation Skills Examination Cranial Nerves Upper limb Lower limb Sensory exam Examine for - e,g. Parkinsons, cerebellar ataxia History Taking Fits / seizures Muscle weakness Headaches Dizziness Back pain Leg pain

o Bulbar / pseudobulbar palsy o Peripheral Nerve Lesions o Cavernous sinus syndrome Conditions II, IV and VI nerve lesions Ptosis Hemianopias Scotoma Tunnel Vison Pupillary defects Eye movement disorders Nystagmus Thyroid eye disease Strabismus Diabetic eye changes Hypertensive eye changes Optic atrophy Papilloedema Retinitis Pigmentosa Conditions Anxiety Depression Bipolar Disorder Schizophrenia Anorexia nervosa / bulimia Substance abuse Dementia Delirium Conditions Anaemia Lymphoproliferative disease Myeloproliferative disease Coagulation Disorders Blood transfusion (and products)

Tremor

Ophthalmology
o o o o o o o o o o o o o o o OSCE Stations Explanation Any of the conditions on the left, INCLUDING TREATMENTS Interpretation Skills Examination Cranial nerves for eyes History Taking Diplopia

Psychiatry
o o o o o o o o OSCE Stations Explanation Any of the conditions on the left, INCLUDING TREATMENTS Interpretation Skills Examination History Taking

Haematology
o o o o o OSCE Stations Explanation Any of the conditions on the left, INCLUDING TREATMENTS Interpretation Blood test results anaemia, leukaemia, lymphoma, myeloma Skills Examination History Taking Tiredness

Obstetrics and Gynaecology

Conditions Contraception Breast lumps Breast carcinoma Carcinoma of the cervix Carcinoma of the uterus Carcinoma of the ovary / testes Drug effects on the fetus Infertility Menopause Menstruation / disorders Pregnancy and delivery (normal and abnormal) o STIs o Incontinence o o o o o o o o o o

OSCE Stations Explanation Any of the conditions on the left, INCLUDING TREATMENTS CONTRACEPTION Investigations / procedures: colposcopy, smear, hysteroscopy, mammogram, triple assessment Cytology results including counselling Explanation of labour Explanation og pregnancy planning (e.g. dietary supplements, alcohol) Breastfeeding / neonatal nutrition Antenatal screening CIN / cervical screening / HPV vaccination Home Birth Interpretation CTG / partogram Cytology results Skills Smear / swabs Examination Pregnant Abdo Bimanual examination Breast exam History Taking Menorrhagia Amenorrhoea Pelvic pain Dysparaenia IMB Post-coital bleeding Post-menopausal bleeding Vaginal discharge Infertility Breast lumps

Paediatrics
o o o o o Conditions Acne Allergy Burns Cerebral palsy Childhood malignancies OSCE Stations Explanation Any of the conditions on the left, INCLUDING TREATMENTS Genetics should be able to draw pedigree Breastfeeding / neonatal nutrition

o o o o o o o o o o o o o o o o

Chromosomal disorders Congenital malformations CF RTI Disorders of puberty Growth disorders Immunizations Feeding Learning disorders GI disease: Vomiting / diarrhea Malabsorption Jaundice Non-accidental injury SIDS UTI / incontinence

Immunisations (inc. MMR controversy) Febrile convulsions Interpretation Skills Examination Abdominal Cardiovascular Neruological Developmental analysis History Taking Delayed development Neonatal jaundice Febrile convulsions Nocturnal enuresis Asthma / cough Short stature UTI Anorexia

Miscellaneous
OSCE Stations Skills Venipuncture Cannulation Catheterisation Setting up a drip Administer antibiotic infusion Examination Lymphatic system (e.g. splenomegaly, common sites of enlarged nodes) Explanation Prescribing antibiotics Analgesia Ethics / confidentiality, e.g.: STI and informing partners Disclosing info to relatives Explaining to parent why child has to stay in hospital HIV counselling Pre op / post op care and management Others MRSA swabs / barrier nursing

o o o o

Death Certification Handover Informing the DVLA (e.g. diabetes, epilepsy, post-MI) Breaking bad news Angry relatives Managing complaints