Below are important aspects to cover for this coming osce exam Focused History taking station - History of chest pain - ⁠history of seizures in a child and in adults - ⁠history of hyperthyroidism/hypothyroidism -history of scrotal pain -history of jaundice - history of hematuria - History of appendicitis - History of cough, fever - History of upper GI bleeding - Thyroid mass focused Hx - Heavy menstrual bleeding history Focused physical examination - examination of the CVS - ⁠examination of the RS - ⁠examination of GIT - ⁠lower limb motor exam - ⁠upper limb motor exam -examination of thyroid Counseling stations - counseling for ectopic pregnancy - ⁠counseling for IUFD - ⁠counseling for infertility - ⁠counseling for LP - ⁠counseling for new diagnosis- DM, HTN, HIV - breaking bad news- CA protstate, squamous cell carcinoma, breast cancer - Consent for surgical procedure: Total thyroidectomy - Post laparotomy counseling-ectopic pregnancy Imaging and lab result interpretation - CT scans- neurocysticercosis, hemorrhagic and ischemic stroke - ⁠XRAYs- pneumothorax, pneumonia, effusions, TB/military picture, intestinal obstruction, ankylosing spondylitis - ⁠Infertility/amenorrhea labs, thyroid function tests - ⁠ECG- myocardial infarction, hyperkalemia, Afib, pericardial effusion - ⁠partograph Triage - common scenarios for triage in Obgy - ⁠trauma assessment - head injury assessment Procedures - ⁠MVA and MVA assembly -Neonatal resuscitation -Leopalds maneuvers - Pleural tap-demonstrate procedure on pt, landmark, indications, contraindications - Lumbar puncture-(demonstrate procedure on pt, landmark, indications, contraindications) - Paracentesis-demonstrate procedure on pt, landmark, indications, contraindications - RETAINED PLACENTA removal Images and other miscellaneous considerations - sickle cell- slide, picture of a patient or skull xray - Down syndrome picture of a patient - Macrosomia - Abortion management - CPAP in neonates: definition of CPAP, indications, mechanism of action, contraindications - Nasogastric tube in paeds with xray of NGT inserted and infant doll - Stomas - FOLEY CATHETER. This is from the last exam 1. Premature baby image Discribe what you see Complications Diagnosis Management 2. Respiratory examination 3. Triaging obs gyne - Eclampsia active seizure - PPH with borderline BP and PR - Abortion or Ectopic with minimal vaginal bleedi g and normal vitals 4. RTA - Management - GCS - Investigation 5. Macrosomic baby - Image striking feature - Risk factors for macrosomia - Single bedside test - complications - Child start to fit with low RBS how will you manage - Not responding to dextrose and how will you manage the seizure - status epilepticus mgt 6. Hx taking 30 yrs old female with long standing hx of constipation, and weight gain despite loss of appetite - Diagnosis and investigation 7. Abdominal examination 8. Non contrast CT of brain with mutiple small cacified lesions on bilateral lobes - Describe what you see - Diagnosis - Caustive organism - Cutaneous manifestation - Other imaging Modality - Management - 2 Drugs 9. Counseling station 32y/o G2P1 with IUFD decresed fetal movement of 2 days 1 week ago ANC follow was told everything was ok 10. 32/ F with amenorrhea of 8 months and hot flashes - High FSG - High LH - Low Estradiol - Normal TSH - Normal prolactin - Gravindex Negative - Interpretation of the result above - Diagnosis - 3 Differentials - 5 other signs and symptoms - Management 11. 16 yrs old male with Scrotal pain of 2 hrs - What hx would you ask - Differential diagnosis - Investigation - Management 12. Sickle cell Image - Features, Icteric sclera and Frontal bossing - Pathophysiology of the jaundice and frontal bossing - 4 Investigations - Common organism for infection - 4 Medications on follow up to give Create an osce style revision document from the above

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