Scenarios

Scenario

PARAMEDICS: Doctor’s Notes

Presenting Complaint

You are presented with a doctor's notes.

Task

Please discuss the presented case with the examiner and answer the relevant questions.
Schroth, C., & Phillips, P. (2018). Mixed Cases. In 100 cases in UK paramedic practice (p. 217-218). essay, London: Routledge.

Scenario

PARAMEDICS: Self-Harm

Presenting Complaint

You are responding to an attempted suicide case in an apartment block.

Task

Please discuss the presented case with the examiner and answer the relevant questions.
Schroth, C., & Phillips, P. (2018). Mental Health. In 100 cases in UK paramedic practice (p. 37-38). essay, London: Routledge.

Scenario

PARAMEDICS: Shortness of Breath

Presenting Complaint

You are responding to a 64-year old female with a shortness of breath.

Task

Please discuss the presented case with the examiner and answer the relevant questions.
Schroth, C., & Phillips, P. (2018). Cardiovascular System. In 100 cases in UK paramedic practice (p. 9-10). essay, London: Routledge.

Scenario

PARAMEDICS: In-Flight Emergency

Presenting Complaint

You are responding to an in-flight emergency.

Task

Please discuss the presented case with the examiner and answer the relevant questions.
Schroth, C., & Phillips, P. (2018). Mental Health. In 100 cases in UK paramedic practice (p. 23-24). essay, London: Routledge.

Scenario

PARAMEDICS: Flank Pain

Presenting Complaint

You are responding to a 37-year-old male patient with flank pain.

Task

Please discuss the presented case with the examiner and answer the relevant questions.
Schroth, C., & Phillips, P. (2018). Mental Health. In 100 cases in UK paramedic practice (p. 19-20). essay, London: Routledge.

Scenario

PARAMEDICS: Labour

Presenting Complaint

You are responding to a 28-year-old female in labour.

Task

Please discuss the presented case with the examiner and answer the relevant questions.
Schroth, C., & Phillips, P. (2018). Mental Health. In 100 cases in UK paramedic practice (p. 27-28). essay, London: Routledge.

Scenario

Vomiting 4

Presenting Complaint

The patient is 10 weeks pregnant. They are attending the department because they have been suffering from intractable vomiting. They are at their wits’ end and are desperate for something to make them feel better.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Headache 5

Presenting Complaint

The patient is 37 weeks pregnant. They have been feeling generally unwell for the past few days but also has a severe headache today. They have come to find out if they are allowed to take any painkillers for their headache as they are scared of harming the baby.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Blood Loss

Presenting Complaint

The patient is attending the antenatal ward. When passing urine a few hours ago, they noticed some blood in the toilet bowl. They are incredibly anxious as they have not felt the baby move for the last hour or so.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Incontinence

Presenting Complaint

The patient is attending the clinic complaining of a dragging sensation down below.

Task

Candidate must take a focused history and formulate a management plan; discussing the necessary investigations, surgical and non-surgical options for managing the problem.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Abnormal Vaginal Discharge

Presenting Complaint

The patient is attending the department because they have been feeling very unwell for the past two days. They are shivery and complaining of abnormal discharge.

Task

Candidate must take a focused history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Abnormal Vaginal Bleeding

Presenting Complaint

The patient is attending the clinic because of abnormal vaginal bleeding.

Task

Candidate must take a focused history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Pelvic Pain

Presenting Complaint

The patient is attending the clinic because of ongoing pelvic pain.

Task

Candidate must take a focused history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Cough

Presenting Complaint

A parent is concerned about their son, Mikey, who appears to have developed a horrible cough in the last 3 days.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Seizure

Presenting Complaint

A parent has brought their 9 month old baby to the department after an episode this afternoon, where she was witnessed shaking uncontrollably. The parent is very anxious and wants to speak to a doctor immediately.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Yellow Skin

Presenting Complaint

A parent attends the department and is extremely anxious. They have noticed that their baby is starting to look yellow and are very upset.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Abdominal Pain 4

Presenting Complaint

A parent is attending the department with Luca, their two year old son, who has been complaining of severe abdominal pains.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Developmental Delay

Presenting Complaint

A parent has come to the clinic because they are concerned that their son, James, is slow at picking up new skills and wonders whether he may have a developmental problem.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Behaving Oddly 2

Presenting Complaint

The patient has been brought in by their mother, who says they have been behaving oddly at home and she is worried her child is taking drugs.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Asthma

Presenting Complaint

The patient comes in for follow-up of their asthma, which was diagnosed by spirometry 2 months ago. They were prescribed a fluticasone (steroid) inhaler, to use 1 puff twice a day, and albuterol inhaler with a spacer as needed. They were recommended to check peak flow twice a day; their maximum peak flow was 600.

Task

Candidate must explain how to measure peak flow and counsel the patient on use of an Asthma Action Plan.
Everet, Linda. “Introduction to the New Nursing OSCE APIE.” The Nursing and Midwifery Council, 19 Nov., 2020.

Scenario

Sore Throat

Presenting Complaint

The patient is a 5-year old boy brought in by his parent for evaluation of a sore throat.

Task

Candidate must obtain a history of his illness from his parent and present an assessment and plan to the patient’s parent.
Everet, Linda. “Introduction to the New Nursing OSCE APIE.” The Nursing and Midwifery Council, 19 Nov., 2020.

Scenario

Chest Pain

Presenting Complaint

The patient has come into the practice complaining of chest pain.

Task

Candidate must obtain a complete history from this patient.
Everet, Linda. “Introduction to the New Nursing OSCE APIE.” The Nursing and Midwifery Council, 19 Nov., 2020.

Scenario

Evidence Based Practice

Presenting Complaint

The patient has been admitted for an elective inguinal hernia repair tomorrow. The surgeon has explained the procedure and consented them for the operation. The surgeon mentioned that the patient would be kept warm during their operation. The patient asks you why keeping them warm is necessary and what the best way of doing this is.

Task

The examiner will share an article inside the station.What is the relevance of the findings from this research for the patient and what advice would you give them?
Everet, Linda. “Introduction to the New Nursing OSCE APIE.” The Nursing and Midwifery Council, 19 Nov., 2020.

Scenario

Professional Values

Presenting Complaint

A colleague nurse takes a 30 milligram Codeine Phosphate tablet from the drug cupboard. She puts it into her mouth and swallows it in front of you. You ask if she is okay and she tells you she needs the tablet for a headache. As far as you are aware, this is an isolated incident.

Task

Using knowledge of the NMC Code, the candidate must consider the professional, ethical and legal implications of this situation, and speak to their colleague about it.
Everet, Linda. “Introduction to the New Nursing OSCE APIE.” The Nursing and Midwifery Council, 19 Nov., 2020.

Scenario

Female Urinary Catheter

Presenting Complaint

The patient has been diagnosed with obstruction of the bowel and the doctor has requested the insertion of a urinary catheter for fluid monitoring.

Task

Candidate must describe how they would insert the urinary catheter according to current evidence based practice.
Everet, Linda. “Introduction to the New Nursing OSCE APIE.” The Nursing and Midwifery Council, 19 Nov., 2020.

Scenario

Stoma Bag Change

Presenting Complaint

The patient has undergone a right hemicolectomy and colostomy formation. They are 3 days post-surgery. The one-piece stoma bag needs to be replaced and the patient is currently not well enough to do this themselves.

Task

Candidate must describe how they would change the patient's stoma bag according to current evidence based practice.
Everet, Linda. “Introduction to the New Nursing OSCE APIE.” The Nursing and Midwifery Council, 19 Nov., 2020.

Scenario

Headaches 4

Presenting Complaint

The patient is complaining of feeling generally run down and unwell. They have been brought in by their friends as they are too weak to walk themselves.

Task

Candidate must take a focused history and formulate an emergency management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Failure To Thrive

Presenting Complaint

A parent has brought their son, Max, because they are worried that he doesn't seem to be putting on as much weight or growing as he should.

Task

Candidate must take a history from the parent and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Red Eye 3

Presenting Complaint

The patient is attending the clinic with red and itchy eyes. They appear to be distressed.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Red Eye 2

Presenting Complaint

The patient is attending the clinic with red and itchy eyes.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Visual Disturbance 2

Presenting Complaint

The patient has come into the surgery to speak about problems with their vision.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Hearing Loss

Presenting Complaint

The patient has come in as they are having trouble with their hearing recently.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Epistaxis

Presenting Complaint

The patient has come in as they have been suffering from daily nosebleeds.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Groin Lump

Presenting Complaint

The patient is attending the department complaining of a lump in their groin. They are wearing baggy trousers.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Nipple Discharge

Presenting Complaint

The patient has come in with “stuff” coming out of their right breast.

Task

Candidate must take a complete medical history in the allocated time.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Lower Urinary Tract Symptoms

Presenting Complaint

The patient has come in complaining of poor urinary stream. They have come with their spouse but would like them not to be present during the consultation as they are a little shy talking about such “vulgar” matters.

Task

Candidate must take complete medical history regarding the urinary complaints.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Testicular Lump

Presenting Complaint

The patient has come in with a lump in their left scrotum. They are embarrassed about this and would prefer to see a male doctor but will settle for a female doctor if there isn't anyone else around.

Task

Candidate must take a complete medical history regarding this new lump.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Haematuria

Presenting Complaint

The patient is attending the urology clinic complaining of haematuria.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Painful Joints 5

Presenting Complaint

The patient has come in complaining of lower back pains.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Painful Joints 4

Presenting Complaint

The patient is complaining of painful hands. They look impatient in the waiting room and really want someone to help them.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Painful Joints 3

Presenting Complaint

The patient is complaining of painful joints. They have their right wrist bandaged up and are holding it carefully, taking care that no one walks into them.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Painful Joints 2

Presenting Complaint

The patient complains of painful joints. They are limping as they walk into the clinic.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Weakness 2

Presenting Complaint

The patient has come in because they have not been “feeling themselves” for the last week or so. They have told the receptionist that they're complaining of “strange sensations” and feeling “different” somehow.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Memory Loss 2

Presenting Complaint

Mrs Lacey is an elderly lady who has come to the clinic, accompanied by her carer. Her carer is concerned that she has been getting more confused lately.

Task

Candidate must take a history from the patient's carer and formulate a differential diagnosis and management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Memory Loss

Presenting Complaint

The patient has come to the clinic because their spouse has been complaining that they have been getting a lot more forgetful.

Task

Candidate must take a history regarding the patient's symptoms and pay attention to their concerns.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Headache 3

Presenting Complaint

The patient has just been admitted to the ward with headaches.

Task

Candidate must take a focused history and suggest a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Headache 2

Presenting Complaint

The patient has come to the department with their spouse complaining of a bad headache.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Diarrhoea 2

Presenting Complaint

The patient has come to the hospital as they are experiencing diarrhoea. Their clothes rather loose on their delicate frame.

Task

Candidate must take a history and formulate a differential diagnosis and management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Diarrhoea

Presenting Complaint

The patient has come in because they are experiencing diarrhoea. They look embarrassed to be here today.

Task

Candidate must take a history and formulate a differential diagnosis and a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Abdominal Pain 3

Presenting Complaint

The patient has come to the hospital with abdominal pain. They are accompanied by their spouse who looks very concerned and tells you that the patient needs urgent help.

Task

Candidate must take a history and formulate a diagnosis and management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Abdominal Pain 2

Presenting Complaint

The patient has come in complaining of abdominal pain and really wants something sorted as they are upset that they haven't been able to eat as much as usual.

Task

Candidate must take a history and formulate an appropriate management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Rectal Bleeding 2

Presenting Complaint

The patient has come in because they have been passing blood from their back passage. They are looking rather pale.

Task

Candidate must take a focused history and formulate a diagnosis and management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Difficulty Swallowing

Presenting Complaint

The patient has a history of difficulty swallowing and has been referred by their GP.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Vomiting 3

Presenting Complaint

The patient has come to the department with their friends after a night out. The friends are laughing and prodding the patient. They jokingly say: “come on, stop pretending! We’ve brought you to the hospital now!” The patient looks very tired, annoyed, and worse for wear.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Vomiting 2

Presenting Complaint

The patient complains of feeling bloated and says they have been vomiting.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Swollen Legs

Presenting Complaint

The patient has come to the clinic because they are concerned that they're getting more “puffy” these days.

Task

Candidate must take a history regarding the patient's symptoms.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Shortness of Breath 3

Presenting Complaint

The patient has just been brought into the department by ambulance from their nursing home with difficulty breathing.

Task

Candidate must take a focused history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Shortness of Breath 2

Presenting Complaint

The patient has come into the department complaining of feeling unwell. They are short of breath and coughing up blood. They look drawn out and tired but say they need to be investigated straight away.

Task

Candidate must take a focused history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Non-Specific Symptoms

Presenting Complaint

The patient has come into the department with their daughter, complaining of feeling nauseated, dizzy and generally “not right.”

Task

Candidate must take a focused history and suggest a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Chest Pain 3

Presenting Complaint

The patient has come to the clinic complaining of chest pain. They look worried and have asked for an urgent appointment.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Weakness

Presenting Complaint

The patient has been brought into the hospital by their spouse after waking up and complaining of left-sided weakness.

Task

Candidate must take a history and formulate a differential diagnosis and an immediate management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Vomiting

Presenting Complaint

The patient has been brought in by an ambulance still wearing pyjamas after vomiting a large amount. They are unkempt, look unwell, and are very anxious.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Visual Disturbance

Presenting Complaint

The patient has attended the clinic complaining of problems with sight.

Task

The patient has attended the clinic complaining of problems with sight.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Ultrasound Scan

Presenting Complaint

The patient experienced abdominal pain two weeks ago and was sent for an ultrasound to look for gallstones. The patient would like to have a discussion about gallstone disease and preparation for the scan.

Task

Candidate must talk to the patient about the ultrasound scan and address their concerns.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Twin Pregnancy

Presenting Complaint

The patient is 15 weeks pregnant with dichorionic, dizygotic twins. She has come to the antenatal clinic because she has lots of questions regarding her pregnancy.

Task

Candidate must explain the risks and complications associated with twin pregnancies and answer any questions she may have.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Tremor

Presenting Complaint

The patient stopped drinking two days ago and presents today feeling unwell. They tell you they feel rotten and want you to help desperately.

Task

Candidate must take a complete medical history.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

The Jehovah’s Witness

Presenting Complaint

The patient is a Jehovah's Witness and is due for laparoscopic right hemicolectomy tomorrow morning. They have already discussed refusal of any blood products and signed a consent form accepting risks. The patient's spouse has come to visit and wants to speak with a doctor in private.

Task

Candidate must speak to the patient's spouse and address their concerns.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

The Foreign Patient

Presenting Complaint

The patient is visiting from Spain. They speak poor English and you cannot speak Spanish, but notice them wincing in pain and holding their arm.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Statin Therapy

Presenting Complaint

The patient has just been diagnosed with high cholesterol after having a heart attack two months ago.

Task

Candidate must explain statin therapy to the patient and address any concerns they may have.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Speech Assessment

Presenting Complaint

The patient has been brought in by their spouse to the outpatient clinic because of speech problems. These have been going on for a week now and their spouse is rather worried.

Task

Candidate must speak to the patient and assess their speech.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Shortness of Breath

Presenting Complaint

The patient has been admitted to your ward with weight loss and shortness of breath.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Red Eye

Presenting Complaint

The patient has attended the clinic with red and itchy eyes and appears rather impatient to talk to the doctor.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Rectal Bleeding

Presenting Complaint

The patient presents with a history of passing blood through their back passage. They appear shaken and alarmed.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Rash

Presenting Complaint

The patient has come to the clinic today to see the doctor regarding a nasty rash their daughter has developed all over her body.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Prescription Error

Presenting Complaint

You prescribed the patient Augmentin earlier this morning for pyelonephritis, without realising they are allergic to this medication. They did not develop a severe reaction but are now complaining of a rash and are very angry.

Task

Candidate must speak to the patient and address their concerns.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Post-Menopausal Bleeding

Presenting Complaint

The patient is attending the gynaecology clinic because of episodes of post-menopausal bleeding.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Post-Date Pregnancy

Presenting Complaint

The patient has come to the antenatal clinic because she is one week overdue.

Task

Candidate must take a history and discuss the plans for her further management, which will now include a cervical sweep and booking for induction of labour.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Painful Joints

Presenting Complaint

The patient complains of painful joints in their hands. You notice that they are wrapped up under many layers of clothing.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Negotiating Skills 2

Presenting Complaint

The patient is a final year medical student who has come to see you this afternoon. They look rather nervous and upset.

Task

Candidate must take a brief history and address the patient's concerns.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Negotiating Skills

Presenting Complaint

The patient is a lawyer working in the city and has been complaining of a sore throat for the last two days. They are very upset about the pain and want you to prescribe them antibiotics.

Task

Candidate must take a focused history and negotiate a treatment plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Miscommunication

Presenting Complaint

The patient was referred for a barium enema examination by your colleague because they were complaining of a change in bowel habit. The procedure was done yesterday and the patient has come into your surgery today and is very furious.

Task

Candidate must speak to the patient and address their concerns.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Menstrual Problems

Presenting Complaint

The patient is attending the practice with a history of heavy periods.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Headache

Presenting Complaint

The patient has come into your surgery looking tired and wearing dark sunglasses. They are holding their head in their hands and complain of a headache.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Fertility Issues

Presenting Complaint

The patient is attending the clinic because despite trying to conceive, she has not fallen pregnant. The GP recently organised a transvaginal ultrasound scan which showed that both ovaries were bulky with multiple follies on the surface of them. She has heard that polycystic ovary syndrome can make you infertile, and is quite worried.

Task

Candidate must take a focused history, explaining what polycystic ovary syndrome is, including lifestyle advice.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Fatigue

Presenting Complaint

The patient has attended the clinic today because of feeling fatigued and is complaining of weight loss.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Falls

Presenting Complaint

The patient has been admitted to your ward with bruising and complaining of being "off legs". They are elderly and look confused and bewildered at being in hospital. The patient's daughter has accompanied them.

Task

Candidate must take a history from the patient's daughter regarding the admittance to hospital.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Dizziness

Presenting Complaint

The patient has come in today to discuss their dizzy spells. They look fed up and keep holding their head in their hands.

Task

Candidate must take a history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Difficulty Sleeping 2

Presenting Complaint

The patient complains of having difficulty sleeping and appears rather withdrawn in their affect.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Difficulty Sleeping

Presenting Complaint

The patient has been brought in by their mother who reports that they are having difficulty sleeping.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Deliberate Self-Harm

Presenting Complaint

The patient has been brought into the department after calling the ambulance and reporting bleeding from their wrists. They are only very superficial cuts to the ventral aspect of both wrists. The wounds have already been cleaned and dressed - they do not require stitches.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Contraceptive Pill

Presenting Complaint

The patient wants to start the combined oral contraceptive pill (21-day pill regimen). She is rather confused what it involves and has never taken something like it before.

Task

Candidate must explain the regimen for taking Microgynon 30, and address any concerns or preconceptions about the pill.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Confidentiality

Presenting Complaint

The patient has recently had an STI screening test which was negative for any infections but is suspicious that their partner may be cheating. They know their partner is also a patient of yours and has come to visit to ask some questions.

Task

Candidate must speak to the patient and address their concerns.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Colonoscopy

Presenting Complaint

The patient has been admitted to hospital with severe epigastric pain. The consultant has performed an OGD (oesophagogastroduodenoscopy) and took biopsies from their stomach for a "CLO" test. The results of the test are positive. The biopsies were sent to pathology but results will take a week to return.

Task

Candidate must explain the results of the test, subsequent management, and any concerns the patient may have.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Collapse 2

Presenting Complaint

The patient has been brought into the department by their friends after collapsing while playing football in the park. The patient is currently alert but quite drowsy.

Task

Candidate must take a focused history and formulate a differential diagnosis and management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Collapse

Presenting Complaint

The patient has just been brought into the department by an ambulance, looking rather pale and clammy.

Task

Candidate must take a focused history and formulate a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Chest Pain 2

Presenting Complaint

The patient has come to the department, complaining of chest pain and looks out of breath. They have been brought in by their spouse who is keen for them to be seen as soon as possible.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Chest Pain 1

Presenting Complaint

The patient has come into surgery today with their mother, complaining of chest pains.

Task

Candidate must take a focused history and suggest a differential diagnosis.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

CBT

Presenting Complaint

The patient has anxiety issues and obsessivecompulsive disorder. They have been referred for CBT (Cognitive Behavioural Therapy). They are rather perplexed about what this will involve and is hoping to speak to someone about it.

Task

Candidate must address the patient's concerns and questions about the therapy.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Breast Lump

Presenting Complaint

The patient has come in today with a breast lump. They would like to be seen by a female doctor and will only speak to a male doctor if he promises not to examine her.

Task

Candidate must take a focused history and formulate a management plan.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Scenario

Breaking Bad News 2

Presenting Complaint

The patient has just been involved in a car accident where they were the driver. The car has been written off but other than a minor contusion and a fractured humerus, they are medically stable. Unfortunately, this was not the case for their partner, who was pronounced dead on arrival to hospital. The patient is unaware of the events and wishes to speak to a doctor.

Task

Candidate must explain the current events to the patient.
Shelmerdine, S.C. (2012). OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals. Tunbridge Wells: Anshan.

Testimonials

The Mock-OSCE platform is a performance booster for every stage of career and will boost confidence, increase focus, and shine a light on clinical areas that need improvement. An excellent tool for OSCE Preparation!!! And the staff very kind and friendly. The experience was well worth the money!! I feel like I have friends in Ireland.
Avis T., United States
I am a doctor with various years of postgraduate experience. I need to sit several OSCE type of exams to further develop my professional career. I had the fortune to find Mock-OSCE.com. Even though it is focused more on medical students, I found the experience very enriching. Actors were outstanding, and gave great immediate feedback. The feedback breakdown that is sent after the mock exam is awesome. I would not doubt to recommend Mock-OSCE.com to any colleague.
Alejandro F., New Zealand
It was good to be able to practise history taking in an exam style mock OSCE!
Joy A., England
It was good practice and the feedback provided was helpful.
Tatiana M., Scotland
As a family doctor from Saudi Arabia, currently pursuing a PhD, I appreciated taking the Mock-OSCE exam to train and assess my English communication skills. The test was well-organised, challenging, and efficient. Examiners gave me feedback which was structured, safe, to the point and well received.
Akram A., Saudi Arabia
Great experience and extremely helpful.
Carol C., Australia
The power of the consult for diagnosis is sometimes considered as strong as sophisticated imaging and/or assays - Mock-OSCE is a fantastic tool to sharpen skills, get more out of consults, and ultimately build stronger relationships with patients.
K.S., United States
The feedback is especially helpful as it provides useful details of improvement.
S.R., Canada
Get in Touch
Galway Technology Centre Mervue Business Park, Wellpark Road Galway, H91 WV02 +353 91 395416 info@mock-osce.com
Our Promise
Secure Payments by Stripe
Powered by
Powered by Qpercom
Copyright © 2024 Mock-OSCE.com Privacy Policy Site by CloveRock Design
Top
× How can I help you?