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Primary OSCE 42

Created: 9/4/2008
1. Data interpretation
You are shown an anaesthetic chart showing systolic blood pressure, mean arterial pressure, diastolic blood pressure, pulse and intracerebral pressure. Describe the significance of the raised intracerebral pressure.

2. Skills
You are asked to demonstrate a subarachnoid block for transurethral resection of the prostate.

3. Equipment
Describe the various types, lengths and hazards of chest drains.

4. Anatomy
Describe the anatomy of the larynx.

5. History taking
A 45-year-old asthmatic, hypertensive patient presents for arthroscopy.

6. ECG
You are asked to interpret an ECG showing Wolff-Parkinson-White syndrome.

7. Examination
Assess and manage an actor with polytrauma, presenting to Accident and Emergency with left haemothorax.

8. Anatomy
Describe the route of the trigeminal nerve in the skull.

9. X-ray
You are asked to interpret an X-ray from a patient with acute respiratory distress syndrome.

10. Equipment
Explain the working principles of DINAMAP, and discuss its uses, cuff sizes and dangers.

11. Resuscitation
Perform basic life support in an 8-year-old child. How would you treat asystole?

12. Equipment
Explain the working principles of temperature probes.

13. History taking
You are asked to take a history from a patient with family history of malignant hyperthermia.

14. Communication
Reassure a patient who is afraid of awareness and postoperative nausea and vomiting.

15. Equipment check
Check a Bains circuit.

16. Equipment check
Check an arterial line set-up.

17. Simulator mannikin
Demonstrate how you would treat hypovolaemic shock.

18. Nerve injuries
Describe the various types of nerve injuries that can occur in the operating theatre, and the clinical findings you would expect.

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