OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals

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Explain the different options available with the patient to decide which they feel would be most effective. The key to OSCE preparation is practice! Our OSCE stations make that easy by providing everything you need, including student, patient and examiner instructions and the answers to commonly asked viva questions. Student instructions Minor placenta praevia is when the leading edge of the palcenta is in the lower segment but not covering the internal cervical os Remove all tobacco products as well as recommending counselling programs and pharmacological therapies as indicated (see below). We’ve produced a brief video showing you how you can create your own OSCE stations and then organise them into circuits to share with others. 🙂

FRCEM OSCE practice 21/9/18 FRCEM OSCE practice 21/9/18

My mother doesn't know what a healthy diet is. It is important not to eat often and so I always tell my mum that I feel full. I refuse to open up about my diet, only stating that I eat very healthily. Now that I have explained some of the risks, I would really like to help you quit smoking so that we can make these risks as low as possible. Do you have any reservations about me giving you some advice?” Once you have explored possible options, take the opportunity for some shared decision-making with your patient. Commit to at least one option.You mentioned you were concerned that your father had a stroke which may have been related to smoking. Unfortunately, smoking is associated with an increased risk of stroke amongst other conditions such as heart disease and lung cancer.” When prompted about what I want to do if I’m being sent home] I wanna go home. I don’t need to be in the hospital… I just want to lie in my bed and be away from people. You can then use our ‘Group Study Mode’ to assign roles (e.g. student, examiner, patient) for each station easily using a PIN. Based on all of the information you have now collected about the patient, you are now in a good position to give the patient tailored smoking cessation advice. Does the patient experience any withdrawal symptoms? (e.g. craving, irritability, dizziness, low mood, fatigue, insomnia)

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Remove all tobacco products as well as recommending counselling programs and pharmacological therapies as indicated (see below).Myers K, McRobbie H, West O, Hajek P. National Institute for Health and Clinical Excellence. Review 3: Barriers & facilitators for smoking cessation interventions in acute & maternity services. Published in 2012. [LINK] I can't be ill, I'm doing so well in school". I am aiming for A* in my A-level exams and I am doing very well. However, time restraints may lead to ineffective counselling sessions. This article focuses on how to counsel patients who are considering stopping smoking using the 5A’s approach: ask, assess, advise, assist and arrange , which is currently recommended by NICE. 4 Studies have shown that implementing all of the 5A’s is associated with a higher quit rate compared to consultations that only involve general, non-targeted advice to quit smoking. 5

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This part of the consultation is all about understanding the patient’s thoughts and feelings about smoking. This will give you a good understanding about what motivates the patient, and will therefore give you common ground to work from.

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Explore psychosocial aspects of the patient’s health including stressors at home and work – do these factors affect their smoking habit? Advise the patient to commence the medication for 1-2 weeks before the quit date and complete a 12-week course Each OSCE station comes with relevant questions covering key learning points such as further investigations, differential diagnosis, management and complications. Ideal for students of all stages Smoking cessation counselling is frequently delivered in a general practice setting as primary care physicians have the unique opportunity to harness long-term patient-doctor relationships. 3