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OSCE Checklist

almostadoctor.co.uk/osce-checklist

And, obviously, there are diseases not listed here, that it would be useful to know about.
But, based on previous student’s experience, and our own notes, here is a big fat list of
everything you should try to learn for finals.

Cardiovascular System

Conditions OSCE Stations

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Atherosclerotic disease History Taking
Angina and ACS Breathlessness
Infective endocarditis Chest Pain
Heart failure Palpitations
DVT / PE Leg pain (claudication)
Murmurs
Mitral stenosis Examination
Mitral regurg Cardiovascular exam
Aortic stenosis Likely to be a focussed for a specific condition:
Aortic regurg MR, MS, AR, AS, Heart Failure
Aortic aneurysm DVT Exam (may be ‘Leg swelling’ station)
AF Peripheral vascular exam
VSD Varicose veins exam
Prosthetic heart valves Hydration status
Congestive cardiac failure
Aortic aneurysm Skills
Hypertension BLS
Pericarditis ALS
Peripheral vascular disease Perform an ECG
Varicose veins BP

Interpretation
ECG

Explanation
Any of the conditions on the left, INCLUDING
TREATMENTS

Hypertensive medication
Explanation of investigations / procedures – e.g.
angiography, CABG
MI – RF’s, management, secondary prevention

Respiratory System

Conditions OSCE Stations

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Lung cancerAsthma History Taking
Obstructive lung disease (e.g. Breathlessness
COPD) Haemoptysis
Restrictive lung disease (e.g. Cough
Fibrosing alveolitis)
Pleural effusion Examination
SVC obstruction Respiratory exam
TB Likely to be a focussed for a specific condition:
Pneumonia e.g. pleural effusion, pneumothorax
Acid/base balance Know the causes of clubbing
Pneumothorax Lymph nodes / neck exam

Skills
ABG
Spirometry
Peak flow
Nebuliser
Inhaler technique

Interpretation
Peak flow results
Spirometry (obstructive vs restrictive)
CXR – could be: pneumothorax, pleural effusion,
COPD, pulmonary oedema, lytic lesions

Explanation
Any of the conditions on the left, INCLUDING
TREATMENTS

Inhalers

Gastrointestinal System

Conditions OSCE Stations

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Liver / biliary tree: Explanation
Any of the conditions on the left, INCLUDING
Acute liver disease TREATMENTS
Chronic liver disease
Hepatitis Investigations / procedures: e.g. colonoscopy,
Liver transplants gastroscopy, stoma, barium swallow / enema,
Ascites gallstones
Hepatomegaly / splenomegaly /
hepatosplenomegaly Interpretation
Biliary disease (inc gallstones, Abdominal X-ray
cholecystitis, cholangitis, PSC)
Jaundice Skills
Pancreatitis Urine dipstick
Carcinoma pancreas
Examination
Upper GI Abdo exam
Know the causes of: ascites,
Carcinoma stomach hepatosplenomegaly, clubbing
GORD / Barrett’s Hepatomegaly
Haematemesis Hernias
Peptic ulcer PR exam
Hiatus hernia
Vomiting History Taking
Dysphagia
Small Intestine Dyspepsia
Nausea / vomiting
IBD Change in bowel habit / constipation / diarrhoea /
Coeliac disease rectal bleeding
Diarrhoea Weight gain / loss
IBS Jaundice
Alcohol
Large Intestine PAIN! – URQ, ULQ, LLQ, LRQ

Haemorrhoids and other anorectal


disorders
Rectal bleeding
Colon Cancer
Diverticular disease

Other

Acute abdomen (E.g. ectopic


pregnancy, appendicitis,
obstruction, peritonitis)
Change in bowel habit /
constipation / diarrhea
Hernia
Weight gain / weight loss

Renal / Urology

Conditions OSCE Stations

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Chronic renal disease Nephrotic Explanation
syndrome Any of the conditions on the left, INCLUDING
Nephritic syndrome TREATMENTS
Haematuria
Urinary Retention Dialysis
Dysuria PSA
Electrolyte disturbances
Calcium/Vit D disturbances Interpretation
RCC U + E’s (ARF, CRF)
TCC PSA
BPH / Prostate Cancer
Testicular cancer Skills
Testicular disease Examination
Disorders of micturition Testicular exam
Renal stones
History Taking
Dysuria
Frequency of micturition
Retention
Renal colic

Endocrinology

Conditions OSCE Stations

Diabetes Explanation
Hyperthyroidism/Graves’ disease Any of the conditions on the left, INCLUDING
Hypothyroidism TREATMENTS
Cushing’s Syndrome DIABETES!
Addison’s Disease
Acromegaly Interpretation
Parathyroid disease Adrenal axis blood results
Hyperthyroidism / hypothyroidism

Skills
Examination
Diabetic Foot check
Neck exam

History Taking
Tired all the time
Diabetic first presentation
Diabetic complications

Orthopaedics and Rheumatology

Conditions OSCE Stations

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Rheumatoid arthritis Explanation
Osteoarthritis Any of the conditions on the left, INCLUDING
SLE TREATMENTS
Scleroderma / CREST
Gout Interpretation
Paget’s disease of the bone X-rays
Back pain
Fractures (esp femoral neck) Skills
Osteoporosis Examination
Osteomyelitis Knee examination
Compartment syndrome Hip examination
Spine examination
Hands examination
Foot examination
Elbow Examination
GALS

History Taking
Back pain
Joint pain
Swollen joints

Neurology

Conditions OSCE Stations

Stroke Explanation
MS Any of the conditions on the left, INCLUDING
MND TREATMENTS
Parkinson’s disease
Myotonic dystrophy Examination
Myasthenia gravis Cranial Nerves
Syringomyelia Upper limb examination
Spastic paraparesis Lower limb examination
Peripheral neuropathy Sensory exam
Myopathy Examine for… – e,g. Parkinson’s, cerebellar
Pes cavus ataxia
Cerebellar Disease
Gait abnormalities History Taking
Brain tumour Fits / seizures
Headache / face pain Muscle weakness
Epilepsy / falls Headaches
VII nerve lesion Dizziness
Jugular foramen syndrome (IX – II Back pain
Nerve palsy) Leg pain
Bulbar / pseudobulbar palsy Tremor
Peripheral Nerve Lesions
Cavernous sinus syndrome

Ophthalmology

Conditions OSCE Stations

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II, IV and VI nerve lesions Explanation
Ptosis Any of the conditions on the left, INCLUDING
Hemianopias TREATMENTS
Scotoma
“Tunnel Vison” Examination
Pupillary defects Cranial nerves for eyes
Eye movement disorders Visual Acuity
Nystagmus Visual Fields
Thyroid eye disease
Strabismus History Taking
Diabetic eye changes Diplopia
Hypertensive eye changes Red Eye
Optic atrophy Loss of vision
Papilloedema
Retinitis Pigmentosa

Psychiatry

Conditions OSCE Stations

Anxiety Explanation
Depression Any of the conditions on the left, INCLUDING
Bipolar Disorder TREATMENTS
Schizophrenia
Anorexia nervosa / bulimia Examination
Substance abuse Mental State Examination
Dementia
Delirium History Taking
Depression
Anxiety
Psychosis

Haematology

Conditions OSCE Stations

Anaemia Explanation
Lymphoproliferative disease Any of the conditions on the left, INCLUDING
Myeloproliferative disease TREATMENTS
Coagulation Disorders
Blood transfusion (and products) Interpretation
Blood test results – anaemia, leukaemia,
lymphoma, myeloma

History Taking
Tiredness

Obstetrics and Gynaecology

Conditions OSCE Stations

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Contraception Explanation
Breast lumps Any of the conditions on the left, INCLUDING
Breast carcinoma TREATMENTS
Carcinoma of the cervix
Carcinoma of the uterus CONTRACEPTION
Carcinoma of the testes Investigations / procedures: colposcopy, smear,
Carcinoma of the ovary hysteroscopy, mammogram, triple assessment
Drug effects on the fetus Cytology results – including counselling
Infertility Explanation of labour
Menopause Explanation og pregnancy planning (e.g. dietary
Menstruation / disorders supplements, alcohol)
Pregnancy and delivery (normal Breastfeeding / neonatal nutrition
and abnormal) Antenatal screening
STI’s CIN / cervical screening / HPV vaccination
Incontinence Home Birth

Interpretation
CTG / partogram
Cytology results

Skills
Smear / swabs

Examination
Pregnant Abdomen
Bimanual examination
Breast exam

History Taking
Menorrhagia
Amenorrhoea
Pelvic pain
Dysparaenia
IMB
Post-coital bleeding
Post-menopausal bleeding
Vaginal discharge
Infertility
Breast lumps

Paediatrics

Conditions OSCE Stations

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Acne Explanation
Allergy Any of the conditions on the left, INCLUDING
Burns TREATMENTS
Cerebral palsy
Childhood malignancies Genetics – should be able to draw pedigree
Chromosomal disorders Breastfeeding / neonatal nutrition
Congenital malformations Immunisations (inc. MMR controversy)
CF Febrile convulsions
Respiratory tract infection (simple
URTI or Pneumonia) Interpretation
Disorders of puberty Skills
Growth disorders Examination
Vaccination Schedule Paediatric Abdominal examination
Feeding Paediatric Cardiovascular examination
Learning disorders Paediatric Respiratory examination
GI disease: Developmental analysis
Vomiting / diarrhea
Malabsorption History Taking
Jaundice Delayed development
Non-accidental injury Neonatal jaundice
SIDS Febrile convulsions
UTI / incontinence Nocturnal enuresis
Asthma / cough
Short stature
UTI
Anorexia

Miscellaneous

OSCE Stations

Skills
Venipuncture
Cannulation
Catheterisation
Setting up a drip
Administer antibiotic infusion

Examination
Lymphatic system – (e.g. splenomegaly, common sites of enlarged nodes)

Explanation
Prescribing antibiotics
Analgesia
Ethics / confidentiality, e.g.:
STI and informing partners
Disclosing info to relatives
Explaining to parent why child has to stay in hospital
HIV counselling
Pre op / post op care and management

Others
MRSA swabs / barrier nursing
Death Certification
Handover
Informing the DVLA (e.g. diabetes, epilepsy, post-MI)
Breaking bad news
Angry relatives
Managing complaints

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