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Primary OSCE 87

Created: 16/12/2020
1. Examination/skills
Desmonstrate the landmark technique for internal jugular vein central venous line insertion.

2. Clinical measurement
Discuss temperature measurement.

3. History taking
Take a history from an anxious patient.

4. Anatomy
Describe the anatomy of the coronary artery, nerve and arterial supply to the nodes, and the route of the vagus nerve.

5. Equipment
You are shown some paediatric laryngoscope blades (including disposable Macintosh, Robertshaw) and are asked to describe them.

6. Examination/skills
You are asked to perform an airway examination, Wilson scoring, and to interpret a cervical spine X-ray.

7. Anatomy
Describe the anatomy of the larynx and the cranial nerves.

8. Resuscitation
Demonstrate resuscitation from ventricular tachycardia.

9. Clinical measurement
You are asked about central line waveforms.

10. History taking
Take a history from a woman presenting for a hysterectomy. She is anaemic, and had pre-eclampsia 10 years ago, with an intensive care unit stay, intravenous antihypertensive agents and a blood transfusion.

11. Examination
You are asked to assess neurological status after a head injury.

12. Communication
Explain to a patient with a lower respiratory tract infection presenting for knee arthroscopy why you are cancelling the operation.

13. Equipment
Discussion of blood giving set/intravenous giving set/epidural/heat and moisture exchange filter – paediatric and adult

14. Scans
You are shown an ECG rhythm strip showing ventricular tachycardia (VT). Describe the management of VT.

15. Scans
You are asked to interpret the chest X-ray of a two-year-old child who has aspirated a foreign body. The X-ray shows white-out of the lung.

16. Scans
You are asked to interpret a lateral chest X-ray showing hiatus hernia.

17. Resuscitation
Describe the resuscitation of a patient with ST depression.

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