3rd Year MOCSE

Qu. 1

a. What’s the rate?

b. What’s the rhythm?

c. Is the axis normal?

d. What 4 things in the history or examination would lead you to act upon this immediately?

Qu. 2

a. What’s the rate?

b. What’s the rhythm?

c. What is the most obvious abnormality and what is this caused by?

d. If the condition worsened what 3 other ECG abnormalities might you see?

Qu. 3

This ECG shows a type of Second Degree Heart Block

a. Is this Type 1 or Type 2?

b. Is this more or less serious than the other Type of Second Degree Heart Block? Give a reason

Qu. 4

a. Name 3 abnormalities on this film.

b. List 6 signs that this patient might have.

c. What could have caused this?

Qu. 5

a. What is the most obvious abnormality?

b. List some possible diagnoses apart from lung cancer

c. If this was bronchial carcinoma, list 20 possible signs that the patient may have due to this.

Qu. 6a. How would you instruct a patient to take an MSU sample?

b. List the important steps in performing a urine dipstick, mention any other important points?

c. The patient had 3+ protein. List 3 causes.

d. What further tests could you do?

e. If glucose was detected, name a cause other than diabetes mellitus.

f. Name two blood tests you could do to confirm a diagnosis of diabetes.

g. Name five causes of haematuria.

h. Name five further tests for haematuria.

Qu. 7

A patient is referred to you with a history of chest pain

a. List 15 symptoms (other than pain) that you may want to ask about in the history of presenting complaint

b. List 6 risk factors for IHD you would like to ask about.

Qu. 8

• List 10 possible mistakes you could make when taking a patients blood pressure in an OSCE station

Qu. 9

You are asked to examine a patient’s neck

a. List 4 instructions that you may need to give the patient during the inspection part of your examination.

Qu. 9 cont.

b. Which triangle is the lump in?

c. List 8 characteristics of the lump you would like to be able to describe to the examiner

d. Give a possible diagnosis.

Qu. 10

• You have to break the bad news to one of your patients that they have diabetes.

a. List 10 general principles of good practice when breaking bad news

b. List 5 aspects of living with diabetes that you may want to explain to the patient.

Qu. 11

• You have a patient with a headache

a. List 10 causes of a headache

b. List 10 things that would be important to elicit in the history