ICSM Muslim Medics Mock OSCE May 2010

CANDIDATE NAME STATION NUMBER CANDIDATE NUMBER

Cardiovascular Complaint and ECGExaminer information: Please assess the student according to the following criteria

1 WASHES HANDS (1 mark)2 Appropriate Introduction- own name, greeting, role, patient’s name, age and what they are going

to do (all required to score) (1 mark)3 Obtains consent (1 mark)4 Establishes nature of leg pain (1mark)5 Asks about previous episodes (1mark)6 Establishes that the pain is intermittent and is relieved by sitting (both required to score)7 Asks about associated cardiovascular symptoms: no dizziness/syncope/sweating/nausea and

vomiting. (1/2 mark each, total 2 marks) 8 Establishes the pain does not radiate (1 mark)9 Asks about associated symptoms (mild chest pain and breathless walking uphill) (1 mark each)10 Asks about recent travel, contraceptive pill, and pregnancy (2 to score )

Asks about previous history of DVT/PE11 Establishes cardiovascular risk factors : Diabetes, High Cholesterol12 Asks about past medical history (1mark)13 Asks about regular medication and allergies ( both required to score)14 Asks about family history (1mark)15 Adequate social history (1mark) (2 marks if asked after history of presenting complaint)16 Adequate smoking and alcohol history (1 mark)17 Elicits patient’s ideas, concerns and expectations and responds sensitively (1 mark)18 Open to closed questioning19 Presents findings in a clear manner (1 mark)20 EXAMINER: Ask student to give a differential diagnosis = Intermittent claudication must be in

differential to scoreINFORM THE STUDENT WHEN THERE ARE 5 MINUTES LEFT

21 Student approaches ECG in a structured manner22 Reports name, DOB of patient and time and date of ECG (1 mark)23 Calibration and paper speed (both required to score)24 Rate, rhythm, Axis (1 mark each)25 P waves26 PR interval27 QRS complex28 ST segment29 T waves30 Presents ECG in a systematic and fluent manner31 EXAMINER What is the differential diagnosis? ….32 EXAMINER: What are the three main methods for treatment of AF? =Rate control, rhythm

control, anti-coagulant therapy (1 mark each )

TOTAL MARKS AVAILABLE : 40 TOTAL SCORE:

Examiner’s Signature: ………………………………………………………………………..

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