Mock OSCE

ehem..finally one stress out of the way..i think i had a few screw ups though, thanx to the panic..but it's only formative..

1 minute reading time
6 minutes to do stuff
1 minute to change station and read next scenario

Station 1
Patient's name: Doug Jeffries
Age: 40
Occupation: Chef
The doctor is away and will be back soon. He asks you to take the presenting complaint and medical history of the patient.
[Mistakes: did not finish the interview (bell rings when asking smoking and past medication history), had a feeling that something is wrong with this patient and realises that: pain in the chest + no mood to talk + father died of heart attack; means that this patient may have angina -> forgot to ask about possible stressful events that may be going on in patient's life)]

[bell rings]

Station 2
You went out for a while and when you came back in, Doug has collapsed unconscious. (aka hint to do CPR)
[nailed this one perfectly, though in my haste i put on the wrong sized gloves (examiner was wondering how in the world am i going to fit S size gloves on my hands)]

[bell rings]

Station 3
Sophie is a 25 year old student who recently went back to smoking 25 cigarettes a day. She has also taken up drinking. She has been complaining about how stressful it has been for her since exams are drawing near and would like to seek you advice on why her recurrent URTI is getting worse.
1. Interview Sophie and find out more about her condition.
2. What pattern of alcohol abuse is she experiencing?
3. What do you understand by the Prochaska-Diclemente model of behavioural modification? What are the stages involved?
4. Which stage of the model do you think Sophie is at now? How would you apply this model to persuade Sophie to change her behaviour?
5. How would you help Sophie to set goals in changing her behaviour using the Specific Attainable Measurable Enjoyable (SAME) and the Behaviour Attitude Skill Knowledge (BASK) models?
[1 and 2 are ok..3 i hope the examiner understands what I am saying..4 i ended up talking crap..no time for 5, time's up]

[bell rings]

Station 4 (Wound Dressing)
Mark came in holding a blood-soaked towel. He had a deep laceration on his right arm after crashing through the glass door of the pub. He is feeling a little drowsy.
1. Wear gloves
2. Show how to open sterile dressing pack (this one gone case, forgotten already)
3. On the table there is Chlorhexidine 0.1%, potassium iodide, 0.9% saline, which one will you use in this scenario.
4. Show how to clean wound.
5. Show how do you dispose of the waste after the entire procedure? [wrapped up the dressing pack n gloves and chucked them into the yellow bin. Examiner asked: is there anything else to throw away? Horrified to realise that the blood-soaked towel is still there]
6. If patient has a deep laceration with dirt, is there anything else you might want to do after the dressing? (guessed 'give tetanus injection', doctor looked impressed - "Good")
7. If patient feels drowsy and might faint, what would you do? (lay him down on the floor)

[bell rings]