Main description:

MCEM Part C: 110 OSCE Stations offers a complete and practical skills guide for trainees preparing for the MCEM OSCE exam. Presented in a clear layout, chapters are mapped to the exam circuit to provide structured revision in all the syllabus topics. Featuring a wealth of practice stations, this book provides the essential clinical knowledge and practical skills necessary to succeed in the MCEM Part C OSCE exam.

• 110 practice stations, reflecting the breadth of skills and topics tested in the actual exam


• Provides concise summaries of all the stations examined, including history taking, communication skills and procedures


• Addresses every aspect of the exam, including the circuit, content and marking


• Highly illustrated to improve understanding of key concepts

Contents:

CONTENTS

• Preface


• MCEM Part C OSCE exam – Curriculum summary


• How to use the book


• Principles for OSCE success


• Preparation/training/practice – How to prepare for the exam


• Practicalities – What to expect on the day


• Additional resources for the exam

Chapter 1: History taking, including acute presentations

• Introduction


• Abdominal pain, renal colic


• Abdominal swelling, change in bowel habit, PR bleed


• ALTE


• Back pain


• Blackout, collapse, syncope, seizure


• Chest pain


• Diabetes, hypoglycaemia


• Dizzines, falls


• Dysphagia, sore throat


• Febrile convulsion


• Fever, GU


• Haematuria


• GI bleed


• Headache


• Jaundice


• Needlestick


• Limping child


• Palpitations


• Rash


• Sexual history, HIV, PID, PV bleed


• Shortness of breath, haemoptysis, cough


• Snake bite


• Weakness (non-stroke), TIA, CVA


• Weight loss

Chapter 2: Communication skills

• Introduction


• Angry parent, patient: missed fracture, diagnosis, not prescribing antibiotics, no x-ray for pulled elbow


• Breaking bad news: death, CVA, head injury, stopping ventilation


• Capacity


• CDU ward round


• Confidentiality: police


• Consent: blood transfusion, Gillick


• Difficult referral


• Driving post seizure


• Major incident preparation


• NAI


• Prioritising patients, CDU ward round


• Teaching

Chapter 3: Systems examinations

• Introduction


• Cardiovascular


• Eye examination, slit lamp, red eye


• Gastroenterology


• Neurology: upper limbs


• Neurology: lower limbs


• Neurology: cranial nerves


• Respiratory


• Thyroid examination, status

Chapter 4: Joint examinations  

• Introduction


• Ankle


• Back


• Elbow


• Hand


• Hip


• Knee


• Neck


• Shoulder

Chapter 5: Psychiatry

• Introduction


• Depression


• DSH, suicide risk: SAD PERSONS, poisoning: toxidromes


• Mania


• Mental state examination, mini mental state examination


• Psychosis


• Substance misuse, aggressive, disturbed behaviour

Chapter 6: Procedures/Teach a colleague

• Introduction


• ABG, arterial cannulation


• Airway assessment, protection


• Ascitic tap, drain


• Central venous cannulation


• Chest drain


• Clearing a c-spine


• Connection to a ventilator


• DC cardioversion


• FAST, aorta, vascular access scan


• Handwashing


• Intraosseous needle insertion


• Knee aspiration


• Lumbar puncture


• Nasal packing


• Nerve block: femoral


• Opthalmoscopy


• Otoscopy


• Peak flow, inhaler, spacer, nebuliser technique


• Performing an ECG


• Phlebotomy, cannulation, blood cultures


• Plastering


• Pleural tap and aspiration, pneumothorax


• Rapid sequence intubation


• Surgical airway


• Teach while managing an acute situation: airway, anaphylaxis


• Thomas splint, Donway splint


• Urinary Catheter


• Vaginal examination, speculum examination


• Wound management, suturing

Chapter 7: Resuscitation, including major presentations

ALS introduction

• Anaphylaxis


• BLS


• Delivering a baby normal, abnormal circumstances


• Pacing


• PEA/asystole


• Periarrest/cardioversion


• Post-resuscitation care


• Pre-ecplampsia


• Pregnancy, OD, hypothermia, drowning


• VF/VT

ATLS introduction

•  Burns


•  Cardiac tamponade, thoracotomy


•  Haemothorax, pneumothorax


•  Head injury: airway problem, neuroprotection


•  Pregnancy  


•  Shock, bleeding from abdomen or pelvis


•  Trauma: airway problem

Chapter 8: Closing comments

• Final preparation


• Managing an OSCE station you didn’t expect