The Objective Structured Clinical Examination Review 2018

This review book comprehensively covers most aspects of the Objective Structured Clinical Examination (OSCE). Each chapter provides a meticulous overview of a topic featured in the OSCE, including general surgery, pediatrics, psychiatry, obstetrics and gynecology, gastroenterology, geriatrics, hematology, and ethics. Common scenarios for each topic are featured in every chapter, accompanied by instructions and tips on how to take a patient's history, diagnose a patient, discuss treatment options, and address patient concerns under each scenario. Possible areas of difficulty, common candidate mistakes made, and important differential diagnosis are outlined in each chapter. The text is also supplemented with check-lists, photographs, and tables for enhanced readability and ease of use. 

Written by experts in their respective fields, The Objective Structured Clinical Examination Review is a valuable resource for medical students and residents preparing for the OSCE.

Table of contents : 

Disclaimer......Page 6

Reviewers......Page 8

Contents......Page 10

Contributors......Page 11

What to Expect in OSCE?......Page 12

Day of Examination......Page 13

How to Begin Your OSCE Station?......Page 14

How to Conduct a Good Interview?......Page 16

Details of History Taking......Page 17

Tips for a Good Physical Examination......Page 20

Document Writing......Page 21

How to Fail the OSCE?......Page 22

References......Page 23

Detailed History: Nervous System......Page 24

Physical Examination: Upper Limbs......Page 27

Physical Examination: Lower Limbs......Page 35

Physical Examination: Cerebellar Syndromes......Page 42

Physical Examination: Cranial Nerves......Page 46

History and Physical Examination: Stroke/Transient Ischemic Attack......Page 53

Physical Examination: Unilateral Facial Weakness: Bell’s Palsy......Page 56

History: Headache: Migraine......Page 59

History and Physical Examination: Meningitis......Page 61

History and Counseling: Seizures......Page 64

History and Examination: Dizziness: Benign Paroxysmal Positional Vertigo......Page 67

Management: Unresponsive Patient......Page 70

History and Physical Examination: Parkinson’s Disease......Page 72

History: Frequent Falls......Page 74

Checklist: Alcohol Intoxication Physical Examination......Page 76

References......Page 77

Detailed History: Psychiatry......Page 78

Psychiatric Symptoms Screening......Page 81

History and Counseling: Depression......Page 84

Checklist: Depression......Page 87

History: Mania......Page 88

History and Counseling: Bipolar Disorder......Page 89

History and Counseling: Anxiety......Page 92

History and Counseling: Obsessive Compulsive Disorder......Page 93

History and Counseling: Panic Disorder......Page 95

History and Counseling: Generalized Anxiety Disorder......Page 97

History and Counseling: Post-traumatic Stress Disorder......Page 98

History and Counseling: Conversion Disorder......Page 100

History and Counseling: Somatization Disorder......Page 101

History and Counseling: Psychosis/Schizophrenia......Page 103

History and Counseling: Eating Disorder......Page 105

Drug Seeker......Page 108

History and Counseling: Suicide......Page 110

History: Dementia......Page 111

History and Counseling: Delirium......Page 113

The Mental Status Examination (MSE)......Page 115

The Mini-mental Status Examination (MMSE) (Folstein)......Page 117

Further Reading......Page 119

Physical Examination: The Cardiovascular System......Page 121

History and Management: Acute Chest Pain......Page 128

History and Physical Examination: Palpitation......Page 130

History and Physical Examination: Heart Failure......Page 133

History and Physical Examination: Hypertension – A Routine Checkup......Page 136

Checklist Physical Examination: Volume Status Examination......Page 139

Further Reading......Page 140

Physical Examination: Respiratory System......Page 141

Checklist: Respiratory System Examination......Page 147

History and Physical Examination Sore Throat (Common Cold)......Page 148

History and Physical Examination Sore Throat (Glandular Fever)......Page 150

History and Physical Examination: Sore Throat (Influenza)......Page 152

History and Physical Examination: Shortness of Breath......Page 156

History: Pneumonia......Page 158

History: Atypical Pneumonia......Page 161

Physical Examination: Human Immunodeficiency Virus and Pneumonia......Page 164

History: Cough for 4 Weeks......Page 167

History: Hemoptysis......Page 169

History: Asthma......Page 171

History: Chronic Obstructive Pulmonary Disease......Page 176

Physical Examination: Pneumothorax......Page 178

Physical Examination: Hemothorax......Page 180

History: Lung Nodule......Page 181

History: Lung Cancer......Page 184

References......Page 186

Detailed History: The Gastrointestinal System......Page 187

Physical Examination: The Gastrointestinal System......Page 190

History: Dysphagia......Page 197

History and Management: Upper Gastrointestinal Bleeding......Page 199

History and Counseling: Epigastric Pain......Page 201

History and Management: Lower Gastrointestinal Bleeding......Page 203

History and Counseling: Constipation......Page 205

History and Counseling: Diarrhea......Page 207

History: Jaundice......Page 209

Checklist: Physical Examination for Cirrhosis/Chronic Liver Disease......Page 211

History: Increased Abdominal Girth......Page 212

References......Page 213

Case Discussion: Death Before Arrival......Page 214

Case Discussion: Brain Death and Organ Donation......Page 215

Case Discussion: Decision to Forgo Treatment......Page 216

Case Discussion Phone Call: Confidentiality......Page 217

Case Discussion: Relative as Decision-Maker......Page 218

Case Discussion Telephone Call: Pharmacist Refusal to Fill Prescription......Page 219

Case Discussion: Pre-Human Immunodeficiency Virus Test Visit......Page 220

Case Discussion: Delivering Bad News (HIV Test Positive Results Visit)......Page 222

Management and Counseling: Medical Error – Wrong Blood Transfused......Page 223

Counseling: Marijuana Found in Son’s Bag......Page 224

Further Reading......Page 226

Common Genitourinary System Symptoms for the Objective Structured Clinical Examination......Page 227

Detailed History: Genitourinary System......Page 228

Physical Examination: Female Genitourinary System Examination......Page 232

Physical Examination: Male Genitourinary Examination......Page 235

History and Counseling: Urinary Hesitancy (Benign Prostatic Hyperplasia)......Page 237

History and Counseling: Hematuria......Page 240

History and Counseling: Erectile Dysfunction......Page 243

History and Counseling: Burning Micturition/Urinary Tract Infection (UTI)......Page 246

History and Physical Examination: Increase Frequency of Urination......Page 248

History and Physical Examination: Uterovaginal Prolapse and Urinary Incontinence......Page 250

Further Readings......Page 252

History and Physical Examination: Preoperative Visit......Page 253

History and Physical Examination: Postoperative Fever......Page 256

History and Physical Examination: Pain Right Lower Quadrant of the Abdomen – Acute Appendicitis......Page 258

History and Physical Examination: Pain Right Upper Abdomen – Acute Cholecystitis......Page 261

History and Counseling: Pain Left Lower Quadrant – Acute Diverticulitis......Page 263

Management: Epigastric Pain (Perforated Peptic Ulcer/Pancreatitis)......Page 265

Management: Severe Abdominal Pain (Mesenteric Infarction)......Page 267

Management: Bowel Obstruction......Page 269

History and Examination: Breast Lump......Page 271

Checklist Assessment: Trauma Patient......Page 274

Further Readings......Page 277

Musculoskeletal History Details......Page 278

Musculoskeletal Physical Examination......Page 281

Checklist: Musculoskeletal Physical Examination......Page 284

History and Physical Examination: Cervical Spine......Page 285

History and Physical Examination: Lumbar Spine......Page 288

Checklist: Lumbar Spine Examination......Page 293

History and Physical Examination Checklist: Ankylosing Spondylitis......Page 295

History and Physical Examination: Shoulder......Page 297

History and Physical Examination: Elbow......Page 306

History and Physical Examination: Wrist and Hand......Page 310

History and Physical Examination: Hip......Page 315

History and Physical Examination: Knee......Page 319

History and Physical Examination: Ankle......Page 323

Quick Assessment: Ankle Sprain......Page 327

References......Page 329

Detailed History: Obstetrics and Gynecology......Page 330

Physical Examination: Female Genital Tract Examination......Page 334

History and Counseling: Primary Amenorrhea......Page 335

History and Counseling: Secondary Amenorrhea......Page 338

History and Counseling: Vaginal Discharge......Page 341

Checklist: Oral Contraceptive Pill (OCP) Counseling......Page 344

Checklist: Hormone Replacement Therapy (HRT) Counseling......Page 345

Checklist: Breastfeeding Counseling......Page 346

Checklist: Antenatal Counseling......Page 348

History and Counseling: First Trimester Vaginal Bleeding......Page 351

History and Counseling: Third Trimester Vaginal Bleeding......Page 353

History and Counseling: Dysfunctional Uterine Bleeding......Page 357

History and Counseling: Bleeding After Menopause......Page 359

References......Page 361

Detailed History: Pediatrics......Page 362

History and Counseling: Fever......Page 365

History and Counseling: Febrile Convulsion......Page 367

History and Counseling: Respiratory Tract Infection......Page 368

History and Counseling: Ear Pain......Page 369

History and Counseling: Rash......Page 371

History and Counseling: Anaphylaxis and EpiPen Counseling......Page 373

History and Counseling: Vomiting......Page 374

History and Counseling: Diarrhea......Page 377

History and Counseling: Anemia......Page 378

History and Counseling: Short Stature......Page 380

History and Counseling: Jaundice......Page 382

History and Management: Failure to Thrive......Page 384

History and Counseling: Vaccination......Page 386

History and Counseling: Enuresis......Page 389

Phone Call: History and Counseling, Child Swallowed A Cleaning Agent......Page 394

History and Management: Child Abuse......Page 395

History and Management: Limping Child......Page 398

References......Page 399

History and Physical Examination: Hypothyroidism......Page 401

History and Physical Examination: Hyperthyroidism......Page 403

History and Physical Examination: Diabetic Patient First Visit......Page 407

History: Diabetic Follow-Up Visit......Page 409

History and Counseling: Child with Diabetes......Page 410

Physical Examination: Diabetic Foot......Page 412

History and Management: Diabetic Ketoacidosis (DKA)......Page 413

References......Page 415

Diabetic Detoacidosis......Page 416

History and Counseling: Warfarin......Page 417

History and Counseling: Anemia......Page 420

History and Counseling: Needle Stick Injury......Page 422

History and Physical Examination: Easy Bruising......Page 424

History and Management: Acetaminophen Intoxication......Page 428

References......Page 432

TCA Poisoning......Page 433

Detailed History: The Skin......Page 434

History and Counseling: Changing Mole......Page 438

History and Counseling: Face Lesion......Page 440

History and Counseling: Eczema Flare-Up......Page 443

References......Page 445

Further Reading......Page 446

History and Counseling: Falls......Page 447

History and Counseling: Dizziness......Page 450

History and Counseling: Elder Abuse......Page 453

History and Counseling: Syncope......Page 457

Further Reading......Page 459

Index......Page 460

The Objective Structured Clinical Examination Review