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You are in Home >> Exams >> Primary FRCA >> OSCE and SOE

Primary OSCE 79

Created: 1/5/2015

1. History taking
Take a history from a 60-year-old woman with breast cancer presenting for a mastectomy. She has undergone chemotherapy. She has a family history of malignant hyperthermia.

2. Anaesthetic machine check
Carry out a Boyle’s machine check (there is no blanking plug, empty vaporizer and the O2 analyser is not calibrated).

3. Data interpretation
You are shown a capnography trace and asked to identify the various points.

4. Data interpretation
You are shown an ECG (showing ventricular tachycardia) and asked to interpret it.

5. Statistics
You are shown some graphs and asked about linear regression, errors and p values.

6. Chest X-ray
You are shown a chest X-ray showing pulmonary hypertension and congestive cardiac failure.

8. Anatomy
You are shown a diagram of a cross-section through C6 and asked to label it.

9. Examination
Carry out a cardiovascular examination (radial pulse, neck and praecordium only).

10. Communication skills
Talk to a 35-year-old woman presenting for total abdominal hysterectomy. Talk about postoperative analgesia.

11. Simulator manikin
How would you treat fast atrial fibrillation?

12. History taking
Take a history from a 55-year-old asthmatic male presenting for treatment of varicose veins.

13. Simulator manikin
Demonstrate the technique for insertion of a femoral central venous catheter.

14. Equipment
Discuss the use of the pulse oximeter.

15. Equipment
Discuss the methods of O2 measurement.
– You are shown drawings of a fuel cell, Clarke electrode and paramagnetic analyser and asked to identify them. Label the Clarke electrode.

16. Nerve injury
A patient with nerve damage is on the operating table – upper limb only.
- What happens when the circumflex nerve is damaged?
- How do you test for ulnar nerve damage?

17. Nerve blocks
Describe how to perform a caudal block in a 5-year-old child.

18. Anatomy
Describe the anatomy of the orbit.
– How do you perform a peribulbar block?
- Describe the features of the needle used.

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