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Emergency OSCE Scenarios Guide

The document contains 10 case scenarios presented as OSCE stations for medical students. Each case provides brief clinical information about a patient and 2-3 questions related to diagnosis, clinical features, investigations or management. The cases cover a range of medical emergencies including cardiac arrhythmias, overdose, trauma, sepsis and respiratory conditions.

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krgdurai
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387 views10 pages

Emergency OSCE Scenarios Guide

The document contains 10 case scenarios presented as OSCE stations for medical students. Each case provides brief clinical information about a patient and 2-3 questions related to diagnosis, clinical features, investigations or management. The cases cover a range of medical emergencies including cardiac arrhythmias, overdose, trauma, sepsis and respiratory conditions.

Uploaded by

krgdurai
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd

OSCE 1

75 year old obese smoker on arrival to ER has a heart rate of 32bpm, BP 90/40, drowsy
able to talk. He has been very tired last 2 days and had a fall following feeling dizzy.

[Link] the rhythm giving reasons?(2)


[Link] are the likely causes for this rhythm? (1)
[Link] is the treatment for this condition?(1)
OSCE 2
24 year old lady presented with history of consuming 50 tablets of 50mg amytriptyline 1hr
ago

1. Describe her ECG? (2)


2. What are the clinical features in this case? (1)
3. What are the main line of treatment in this condition? (1)
OSCE 3
Describe the CT scan? (1)
What is the diagnosis?(1)
What is the ED management for this
condition?(2)
OSCE 4
Describe the CXR?(1)
What is the likely diagnosis?(1)
What is the treatment in ED(2)?
OSCE 5
An 72 year old man is brought to your
emergency department following a
high speed MVA. He has signs of
multiple left rib fractures.
•Two hours after arriving in the
emergency department he becomes
more breathless and distressed. His
Respiratory rate is 24bpm, HR –
76bpm, BP – 100/60mm of Hg. His ABG
shows….

What is the ABG diagnosis? (2)


What is the clinical correlation based on ABG
in this situation? (2)
pH - 7.318
OSCE 6 pCO2 - 23.5
22year old diabetic presents to ER pO2 - 74.2
with features of Urosepsis. His ABG
show….. HCO3 - 11.7
BE - 12.8

Explain the metabolic disorder


Na - 142
Calculate the anion gap?
K -4.3
Cl - 100
OSCE 7

What is this sign? (0.5)


What are the likely injuries
in this situation? (3)
What is the investigation
of choice here? (0.5)
OSCE 8

What is the diagnosis? (1)


What are the general principles of
management in this case? (3)
OSCE 9
A 52 year old male patient with a history
of a road traffic accident presents to the
emergency [Link] complains of
short of [Link] signs reveal-HR-
122beats/min,BP-70 systolic by
palpation,RR-28cycles/min,Spo2-92%.

[Link] the ultrasound finding?(2


marks)

[Link] how you would manage this


patient in the ED?(2 marks)
OSCE 10
20 year old male presents with
shortness of breath and pleuritic
chest pain.

Describe the finding? (1)


What is the diagnosis?(1)
How will you manage this condition?
(2)

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