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Primary OSCE 85

Created: 16/1/2020
1. Data interpretation
A patient has had a duodenal obstruction for 3 days and presents for laparotomy. He has chronic weight loss, and his urea and electrolyte results are suggestive of electrolyte imbalance and dehydration. You are asked a series of questions.

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

3. Scans
You are asked to interpret an ECG showing atrial flutter and a “reverse tick” ST segment depression - what is this indicative of?

4. Equipment
You are asked to identify instruments measuring humidity and asked a series of questions.

5. Skills
Demonstrate the safe use of a defibrillator for ventricular fibrillation. The monitor then shows cardiac asystole - describe your therapy and management.

6. History taking
Take a preoperative history from a patient presenting for a mastectomy. The patient has had malignant hyperthermia in the past.

7. History taking
Take a preoperative history from a patient presenting for rhinoplasty. The patient has undergone splenectomy following a road traffic accident in the past and has a difficult airway due to previous mouth surgery.

8. History taking
Take a preoperative history from a patient presenting for inguinal hernia repair. The patient has ischaemic heart disease and had a heart attack 6 months previously, with no follow up.

9. Communication
You have a conversation with haematology technician asking for blood and fresh frozen plasma. The technician is uncooperative.

10. Anatomy
You are given a skull and asked to identify the cribriform plate and optic canal.
- What is the length of the optic nerve in the intraorbital portion?
- Where does the fibres of the optic nerve terminate?
- Where is the lateral geniculate body?

11. Skills
Describe how you would perform a peribulbar block the complications.

12. Simulator manikin
Demonstrate a failed intubation and cricoid puncture on simulator manikin.

13. Anatomy
Describe the anatomy of the heart, and answer a series of questions.

14. Examination
Advanced Trauma Life Support: demonstrate a CNS examination in a patient.

15. Machine check
Carry out a machine check for a circle system. The expiratory valve is stuck and there is a leak in the soda lime canister.
- Can the circle system be used without soda lime?

16. Equipment
Carry out a blood bag check pre-transfusion; there is no patient label on the bag.

17. Equipment
Carry out an arterial line check.
- What is the risk of using 5% dextrose?

18. Data interpretation
You are shown a flow volume loop curve and asked to analyse it.

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