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

Primary OSCE 6

Created: 8/9/2005

1. Glasgow Coma Score (GCS)
Determine the GCS on an actor with possible head injury. How would you manage him?

2. Anatomy
- What structures go through the orbit holes in skull?
- How long is the optic nerve?
- Where does the optic nerve stop and start?
- How would you perform a peribulbar block?

3. Data interpretation
You are asked to interpret an ECG showing atrial flutter, and answer some questions about management.

4. Equipment
- What are the safety features of lasers?
- How do they work?
- Describe the characteristics of different types of laser
- Which types of endotracheal tubes are appropriate to use?

5. Equipment
Demonstrate the correct use of a defibrillator on a dummy.

6. Anatomy
You are shown some pictures of cross sections of the spine with areas marked.
- What tracts are these?
- Discuss the blood supply to the spinal cord
- What happens if the spinal artery is blocked?
- Discuss the pain and temperature pathways

7. History taking
Take a history from a 65-year-old man presenting for carotid end arterectomy. He is on aspirin for previous cerebrovascular accidents but is otherwise fit.

8. Circle system check
Carry out a circle system check (faults might include a sticking expiratory valve and soda lime only half full). Answer some questions on circle systems and soda lime.

9. Equipment
Describe the uses of a monauricular stethoscope. Discuss how it is used for the diagnosis and management of gas embolism.

10. Data interpretation
You are asked to interpret the chest X-ray of a child who has aspirated a peanut.

11. Statistics
Discuss the concepts of correlation and regression.

12. Resuscitation
A 5-year-old child has collapsed. Basic life support has been given for 2 minutes, after which the trace shows that there is no output. Give five reversible causes for this and describe how you would treat each of these causes.

13. History taking
Take a history from a 50-year-old man presenting for nasal septum surgery. He has sleep apnoea, severe reflux and also a ‘smokers' cough’ .

14. Equipment
You are shown a photograph of a Bourdon gauge on an N2O cylinder and asked questions on pressure, critical temperature and the physical properties of nitrous oxide.

15. Communication
A 50-year-old woman who is presenting for a gynaecological procedure has a mask phobia. Explain what will be involved, reassure her an explore alternative methods.

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