OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals

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history- direct them towards doing a fluid assessment. If they don’t ask for the U&E show it to them. It is important to establish early on if there are any specific topics that the patient doesn’t want to discuss. If clinicians repeatedly visit these topics it can make the patient feel uncomfortable and want to disengage from the consultation. Quinn V, Hollis J, Smith K, Rigotti N, Solberg L, Hu W et al. Effectiveness of the 5-As Tobacco Cessation Treatments in Nine HMOs. Published in 2008. [LINK]

Clinical Skills OSCE Guides | Examination - Geeky Medics

If asked about laxatives directly] I got some laxatives from the pharmacy because the food I was eating wasn't coming out. It is only for constipation. I sometimes take a couple of doses a day until I'm getting it all out.It is the most effective pharmacological therapy, increasing successful cessation by greater than 2 times Cardiovascular disease and cardiovascular risk factors (e.g. coronary artery disease, hypertension, diabetes, hyperlipidaemia) When prompted] I have butterflies in my stomach and difficulty breathing. I also experience numbness and chest discomfort, almost like an out-of-body experience, as though my own body isn’t real. It has been around a year now since I first noticed the issue.

FRCEM OSCE practice 21/9/18 FRCEM OSCE practice 21/9/18

I would ensure that the patient is physically stable. Then I’ll perform a mental state examination and take a full psychiatry history. I’ll assess the patient’s capacity if she refuses medical treatment. I will also refer the patient to liaison psychiatry team for further assessment of her depression. When asked about regular medications] However, I am currently taking 4mg of lorazepam daily for my ‘anxiety’ for two months now. Identifying common ground will also give you areas to focus on for the rest of the consultation when you come to discuss possible interventions. Tensions remaining Explore the patient’s family history for evidence of malignancy (this may suggest an increased baseline risk for the patient). Social historyBy publishing your document, the content will be optimally indexed by Google via AI and sorted into the right category for over 500 million ePaper readers on YUMPU.

OSCE Cases with Mark Schemes: A Revision - Yumpu Pdf Online OSCE Cases with Mark Schemes: A Revision - Yumpu

Prefacing all of the examinations, introduce yourself to the patient (full name), explain who you are, and why you are there/what you are about to do. Confirm the patient's name and date of birth. Tell the patient how much time the exam will take, and if required, also obtain a chaperone. Ask for consent, and once given, proceed to wash hands. All bedside examinations are performed from the right side of the patient. 2. Ending

Consider how the patient was dispensed with a 2-month supply of lorazepam (benzodiazepine). It is classed as a controlled drug and it should not be prescribed more than 30 days, unless in special circumstances. Most NHS trusts do not go beyond 14 days for prescriptions of controlled drugs. Different therapies will be effective for different patients depending on their health and other factors which influence their smoking behaviours. Decide together Emphasise that the purpose of this consultation is not to be confrontational but to explore the patient’s views on smoking and motivations to change their behaviour. The Ultimate OSCE History Guide: 100 Cases; Simple History Frameworks for OSCE Success; Detailed OSCE Mark Schemes; Includes Investigation and Treatment Sections; UniAdmissions