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Primary OSCE 41

Created: 9/4/2008
1. Data interpretation
A diabetic patient on an insulin infusion is hypoglycaemic and unresponsive postoperatively. How would you manage this?

2. History taking
A 25-year-old with leukaemia is about to have a Hickman line inserted under general anaesthesia.

3. Anatomy
Describe the anatomy of the orbit and explain how you would perform a periorbital block.

4. Statistics
You are shown a negative skewed distribution ad asked 10 true/false questions.

5. Skills
Demonstrate how you perform a right internal jugular vein cannulation.

6. Equipment
Check an epidural kit.

7. Hazards 
Discuss the risks of ulnar nerve palsies from positioning. How would you examine for this clinically?
- How would you check for radial nerve palsies?
- How would you check for circumflex nerve palsies?

8. Communication
Explain the reasons for a cancelled surgery to an angry patient.

9. Equipment
Discuss the relative merits of a disposable Macintosh blade versus a fibreoptic laryngoscope.

10. Simulator manikin
Demonstrate how you would treat rising intracerebral pressure.

11. Equipment
You are asked to identify a cutaneous temperature probe. Draw thermistor and resistor graphs.

12. Anatomy
Discuss the anatomy of the neck.

13. History taking
A patient presents for right hemicolectomy with a history of ischaemic heart disease and shortness of breath on exertion.

14. X-ray
You are asked to interpret a pulmonary angiogram.

15. Examination
You are asked to carry out a cardiovascular examination.

16. Resuscitation
You are asked to resuscitate a patient with supraventricular tachycardia.

17. Monitoring
You are asked to carry out an end-tidal gas analysis.

18. Hazards
 - Discuss the process for checking a unit of blood.
 - What are the hazards of transfusion?

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