University of Manchester - Finals OSCE Revision Checklist

This is a revision checklist I made whilst preparing for my finals OSCE in 2018. Knowing what I do now about education theory, this is essentially a sort of 'reverse timetable' which can be a useful revision tool. Having separate columns which indicate if I have covered a topic more than once ensures that you are partaking in some kind of 'spaced repetition' process.

It means that you create a checklist of all topics based on thoroughly double-checking the curriculum; I did this based on what has come up in previous years. If any students would like a modifiable version of this, email me at [email protected]

1. HLB – OSCE CHECKLIST – CARDIOLOGY & HAEMATOLOGY
Revised PracticedConfident Task
History – Tiredness
History – Shortness of breath (COPD, PE, CAP, GORD)
History – Chest pain
History – Palpitations
History – Intermittent claudication (& impotence)
History – Lower limb oedema
History – Unilateral leg swelling
History – Cough (incl. haemoptysis)
History – Weight loss
History – Night sweats
Examination – Cardiovascular (CABG/sternotomy, valve replacement, PPM)
Examination – Respiratory (P.E., pneumothorax, pleural effusion,
pneumonia, thoracotomy)
Examination – DVT-focused, PE
Examination – Peripheral vascular (arterial)
Examination – Peripheral vascular (venous, DVT)
Examination – JVP
Examination – Lymph nodes
Skills – BLS/ALS
Explanation – Use of inhaler
Interpretation – CXR
Interpretation – ECG
Interpretation – Spirometry
Interpretation – FBC, Troponins
Interpretation – ABG
Interpretation – X-rays, Tests, for Myeloma
Explanation – Statins, Beta-blocker, Post–M.I. medications, PCI
Explanation – Warfarin, NOAC
Explanation – Iron tablets, iron-deficiency anaemia
Explanation – AAA repair
Explanation – Antibiotic therapy & completion of course
Explanation – Asthma, COPD, emphysema
Explanation – Angina, Hypertension, Heart failure, Atrial fibrillation
Explanation – Bone marrow biopsy
Explanation – Non-Hodgkin’s Lymphoma, Lymphoma, Leukaemia, AML,
Chemotherapy for metastatic disease, Myeloma
Prescribing – AHF, M.I., Secondary prevention, Antihypertensives
Prescribing – Wheeze, Antibiotics for HAP/CAP
More scenarios:
http://www.osce-aid.co.uk/communicationscenarios.php
http://osce-stations.blogspot.co.uk
Cardiology & Haematology Cases
1.Anaemia
2.Coagulopathy
3.Lymphadenopathy
4.Hypertension
5.Acute coronary syndrome
6.Heart failure
Respiratory Cases
1.Asthma
2.COPD
3.Pneumonia
4.Lung carcinoma
!1

2. NME – OSCE CHECKLIST – RENAL/UROLOGY
Revised PracticedConfident Task
History – Dysuria, renal colic
History – Change in urinary habits
History – Haematuria
Examination – Testicular
Examination – Hydration status
Examination – Fistula/CRF/Tenchkoff Catheter
Explanation – Renal stones
Explanation – Enlarged prostate
Explanation – Finasteride/tamsulosin
Explanation – Renal infection (Upper/Lower UTIs)
Cases
1.Sepsis
2.Renal failure
3.Obstructive uropathy
4.Bladder pathology
5.Urinary tract infections
!2

3. NME – OSCE CHECKLIST – ENDOCRINOLOGY
Revised PracticedConfident Task
History – Tiredness (Thyroid disorder, Diabetes)
History – Weight gain/loss
Examination – Cushing’s
Examination – Acromegaly
Examination – Neck (thyroid, thyroidectomy)
Explanation – Thyroxine
Explanation – Metformin
Explanation – Corticosteroid therapy
Explanation – Hyperthyroidism
Explanation – Hypothyroidism
Explanation – Type I Diabetes mellitus
Explanation – Type II Diabetes mellitus
Interpretation – HbA1c, Glucose
Interpretation – Synacthen, adrenal tests, TFTs
Cases
1.Diabetes
2.Thyroid disorders
3.Adrenal disorders
!3

4. NME – OSCE CHECKLIST – GASTROENTEROLOGY/GENERAL SURGERY
Revised PracticedConfident Task
History – Change in bowel habit, incl. PR bleed (IBS, IBD, Bowel cancer)
History – Nausea & vomiting (Haematemesis)
History – Dysphagia (Benign stricture)
History – Swollen abdomen
History – Diarrhoea
History – Weight loss
Interpretation – LFTs
Interpretation/Explanation – Barium meal
Examination – Abdomen (hepatosplenomegaly)
Examination – Stoma (incl. urostomy)
Examination – Tenckhoff catheter
Examination – Rectal
Examination – Hernia
Interpretation – AXR
Explanation – CXR
Explanation – Endoscopy (OGD & colonoscopy)
Explanation – Gallstones
Explanation – H. pylori-induced dyspepsia
Explanation – Peptic ulcer disease
Explanation – Hepatitis
Explanation – B12, folate deficiency
Explanation – Inflammatory bowel disease (UC, Crohn’s)
Explanation – Diverticulosis/diverticulitis
Explanation – Coeliac disease
Explanation – Irritable bowel syndrome
Explanation – Barrett’s Oesophagus and surveillance
Cases
1.Hepatobiliary disease
2.Peptic ulcer and oesophageal disease
3.Diseases of lower GI tract
4.Irritable Bowel Syndrome
5.Inflammatory bowel Disease
!4

5. M&M – OSCE CHECKLIST – NEUROLOGY/NEUROSURGERY, OPTHALMOLOGY, ENT,
Revised PracticedConfident Task
History – Headache – Migraine, 1° (tension, cluster, trigeminal
neuralgia),intracranial (meningitis, GCA, SAH, ICP), extracranial (glaucoma, sinusitis),
other (IVT, intracranial haemorrhage, infection)
History – Falls
History – Back pain - mechanical, cauda equina syndrome, neurogenic
claudication (spinal stenosis), prolapse, infection, metastasis
History – Parkinson’s disease – tremor
History – Multiple sclerosis
History – Meningitis
History – Hand pain
History – TIA
History – Fits
History – Loss of consciousness (syncope)
History – Funny turns/vertigo (peripheral, central)
History – Weakness - stroke, cord compression
History – dysphagia
History – Expressive dysphasia
History – Visual loss/disturbance – stroke, oculomotor palsy, M.S., cerebellar
syndrome, senile macular degeneration, hypertensive retinopathy, diabetic retinopathy,
glaucoma, CRA occlusion, CVO occlusion, papilloedema
History – Confusion (delirium)
Explanation – Multiple sclerosis, Stroke/TIA, Epilepsy, GCA (breaking bad
news), Migraine, Parkinson’s
Explanation – Epilepsy (incl. driving)
Explanation – Antiepileptic agents (incl. safety in pregnancy)
Explanation – Medications and management post-TIA/stroke
Examination – Cranial nerves
Examination – Visual system, Fundoscopy
Explanation – Cataracts, glaucoma
Examination – Otoscope, hearing, balance
Explanation – Tonsillectomy, Otitis media
History – Sore throat
Explanation – Sore throat, glandular fever
Examination – Parkinsonism
Examination - Neurofibromatosis
Examination – Hands
Examination – Lower limbs
Examination – Peripheral neuropathy – Diabetic foot
Examination – Upper limbs
Examination – Cerebellar
Examination – Extraventricular drain, ventriculoperitoneal shunt
Prescribing – Antiepileptic agents (levitiracetam)
Explanation/Prescribing – Levodopa
Interpretation – CSF
More scenarios:
http://www.osce-aid.co.uk/communicationscenarios.php
http://osce-stations.blogspot.co.uk
Neurological examinations
•Peripheral neuropathy
•Hemiplegia/paraplegia
•Myotonic dystrophy
•Proximal myopathy
•Motor neuron disease
•Cerebellar syndrome
•Cervical myelopathy
•Median/ulnar/radial nerve palsy
•Parkinson’s
•Charcot-Marie Tooth
•Oculomotor palsy
•Horner’s
Neurology Cases
1.Epilepsy
2.Headache
3.CNS disorders (Parkinson’s, Stroke, MND)
4.Acute limb weakness
Ophthalmology cases
1.Gradual loss of vision
2.Red eye
3.Ophthalmoplegia
4.Emergencies
ENT cases
1.Dysphagia
2.Otorrhoea
3.Hearing loss
4.Facial palsy
5.Otalgia
6.Epistaxis
7.Rhinosinusitis and septal deviaiton
8.Hoarseness
9.Neck lumps
Geriatrics
1.Delirium
2.Falls
3.Frailty
4.Incontinence
!5

6. M&M – OSCE CHECKLIST – ORTHOPAEDICS & RHEUMATOLOGY
Revised PracticedConfident Task
History – Back pain - mechanical, cauda equina syndrome, neurogenic
claudication (spinal stenosis), prolapse, infection, metastasis
History / Prescribing – # NOF
History – Falls
History – Polyarthritis / joint pain, orthopaedic (OA, septic), rheumatological
(RA, gout, spondyloarthropathy, SLE, enteropathic), traumatic, pseudogout,
connective tissue disease, adhesive capsulitis, transient synovitis, post-infective, viral
History – Hand pain
History – Polymyalgia rheumatica
Explanation –  Temporal arteritis
Explanation –  Methotrexate – rheumatoid arthritis
Explanation – Consent for surgery – arthroplasty (hip surgery)
Explanation/Interpretation – X-ray (hips, knees, hands)
Explanation – Osteoarthritis, osteoporosis, rheumatoid arthritis, ankylosing
spondylitis, gout
Examination – Shoulder
Examination – Spine
Examination – Cervical spine (neck pain)
Examination – Hip
Examination – Knee
Examination – Hands (osteoarthritis, rheumatoid arthritis)
Examination – Ankle and foot
Examination – Elbow
Examination – Skin (scleroderma)
Examination – Paget’s disease
Prescribing – Analgesia (# fingers)
Prescribing – Steroids
Explanation/Prescribing – Bisphosphonates
Orthopaedic & rheumatology cases
1.Acute fractures and osteoporosis
2.Back pain
3.Arthritis
4.Connective tissue disease
!6

7. NEUROVASCULAR ASSESSMENT – AIDE-MEMOIR
ROOT DERMATOME MYOTOME REFLEX
C5 Over deltoid -
axillary nerve
Shoulder
abduction
Biceps, supinator
C6 Radial forearm/
thumb (dorsal/
palmar) - lateral
cutaneous nerve of
forearm
Elbow flexion Biceps, triceps,
supinator -
brachioradialis, C7,
radial nerve
C7 Middle finger
(dorsal/palmar) -
median nerve
Elbow extension -
triceps, C7, radial nerve
Triceps
C8 Little finger
(palmar/dorsal),
ulnar forearm - ulnar
nerve
Finger flexion Nil
T1 Medial antecubital
fossa - medial
cutaneous nerve of
forearm
Finger abduction -
interossei, median and
ulnar nerves
Nil
L2 Medial upper thigh Hip flexion –
iliopsoas, L1/L2,
lumbosacral plexus
Nil
L3 Medial lower thighKnee extension -
quadriceps, L3/L4,
femoral nerve
Knee
L4 Medial calf Ankle dorsiflexion -
tibialis anterior, L4/L5,
deep fibular nerve
Knee
L5 1st dorsal
webspace, lateral
calf, dorsum of foot
Great toe
dorsiflexion -
extensor hallucis longus,
L5, deep fibular nerve
Nil
S1 Lateral sole,
posterolateral calf
Plantarflexion -
gastrocnemius, S1,
posterior fibular nerve
Ankle
OTHER

LOWER LIMB:
Peripheral motor nerves
•Hip extension - gluteus maximus, L5/S1, inferior gluteal nerve
•Knee flexion - hamstrings, L5/S1, sciatic nerve
OTHER

UPPER LIMB:
Peripheral sensory nerves
•1st dorsal webspace - radial nerve

Peripheral motor nerves
•Median nerve - LOAF
!1

8. M&M – OSCE CHECKLIST – PSYCHIATRY
Revised PracticedConfident Task
History – Psychosis – schizophrenia, delusional disorders, bipolar disorder,
psychotic depression, delirium, dementia, drug-induced, puerperal, epilepsy, SOL
History – Deliberate self-harm – Overdose
History – Depression, psychotic depression, post-natal, adjustment disorder
History – Bipolar disorder, mania
History – Alcohol use
History – Illicit drug use
History – Anxiety – panic attack, generalised, phobic (agoraphobia, social,
specific), PTSD, somatisation, hypochondriacal
History – Eating disorders – bulimia, anorexia nervosa, weight history
History – Delirium, dementia, amnesia – collateral – MCI, amnestic syndromes,
pseudodementia, paraphrenia
Explanation – Dementia (breaking bad news)
Explanation – SSRIs, treatment for depression
Explanation – Lithium
Explanation – Olanzapine (atypical antipsychotics), Schizophrenia
History / Explanation – Diazepam
Explanation – Refusal of consent (capacity assessment)
Explanation – Ethics
Explanation – Schizophrenia
Examination – Cognitive assessment
Prescribing – SSRI
Psychiatry cases
1.Dementia
2.Affective disorders
3.Schizophrenia
4.Substance misuse
!2

9. F&C – OSCE CHECKLIST – PAEDIATRICS
Revised PracticedConfident Task
Case 1
History/Explanation – Acute cough/wheeze/coryza
History/Explanation/Interpretation – LRTI (pneumonia, bronchiolitis,
croup, foreign body, VIW)
History/Explanation – Chronic cough (asthma, CF)
History/Explanation – Allergy (food)
History/Explanation – Eczema
Explanation – Use of inhalers and PEFR
History/Explanation – Cystic fibrosis
History/Explanation – Coeliac disease
History/Explanation – Failure to thrive
History/Explanation – GORD
History/Explanation – Weight loss
Examination/Interpretation – Growth chart
Case 2
History/Explanation – Non-accidental injury
History/Explanation – Constipation and soiling
Explanation – SUDI
History/Explanation/Interpretation – Paediatric haematology (anaemia
incl. iron-deficiency, AML, ALL, CML)
History/Explanation – Fever
History/Explanation – Bruising
History/Explanation – Rash
History/Explanation – Enuresis
Case 3
History/Explanation – Meningitis
Explanation/Interpretation – Lumbar puncture & CSF results
Explanation – Immunisations, MMR
History/Explanation – Vomiting
History/Explanation – Headache
History/Explanation – Otitis media
History – Fits, faints and funny turns; convulsions
Explanation – Epilepsy
Explanation – Febrile convulsion
Explanation – Septic screen
History/Explanation – UTI
Case 4
History – Developmental history (e.g. delayed walking, sitting; motor
development; social/behavioural)
Explanation – Cerebral palsy, developmental delay, autism spectrum
disorder (incl. Asperger’s), ADHD, Down Syndrome
History/Explanation – Hip pain
Examination – Upper & lower limb neurological
Case 5
History/Explanation – Behavioural and conduct disorders, deliberate self-
harm, child psychiatry, psychosis
History/Explanation – Precocious puberty
History/Explanation – Delayed puberty
History/Explanation – Acne
History/Explanation – Acute abdominal pain (appendicitis, testicular
torsion)
History/Explanation – Testicular pain/swelling (undescended testis,
inguinal hernia, hydrocoele)
History/Explanation – Diarrhoea (IBD, coeliac disease, gastroenteritis)
History/Explanation – Type 1 Diabetes Mellitus
Case 6
Explanation – Screening tests – bloodspot, audiology, 72-hour and 6-week
check
History/Explanation – Jaundice, neonatal jaundice (physiological,
pathological)
Explanation – Pyloric stenosis, Hirschprung's disease, IBD, gastroenteritis,
cow’s milk intolerance
Explanation – Congenital hypothyroidism
Explanation – Heart murmur (e.g. AVSD)
History/explanation – Heart failure
Explanation – Kawasaki’s disease
Explanation – Complications of prematurity
Practical
Examination – Cardiovascular (innocent murmur)
Examination – Abdominal
Examination – Respiratory
Examination – Testicular
Examination – Knee
Examination – Cranial nerve
Examination – Neuro UL/LL (check Gower's)
Examination – pGALS (3 screening questions)
History/Explanation – Sickle cell disease
History/Explanation – Weight gain
Examination/Explanation – Paediatric/Neonatal BLS
History/Explanation – Newborn exam
More scenarios:
http://www.osce-aid.co.uk/communicationscenarios.php
http://osce-stations.blogspot.co.uk
!3

10. F&C – OSCE CHECKLIST – OBSTETRICS
Revised PracticedConfident Task
Case 1
History – Obstetric history
Explanation – Antenatal care and screening (folate infectious disease, DS,
scans, breastfeeding, checks)
Explanation – Antenatal screening tests (infectious diseases, anomaly, and
specific testing), and pre-natal genetic diagnosis
Explanation – Folic acid supplementation and spina bifida
Explanation – Infectious disease in pregnancy screening (rashes during
pregnancy)
Explanation – Group B Streptococcus
Explanation – Physiological changes during pregnancy
Explanation – Candidiasis in pregnancy
Viva – Mechanisms of labour
History/Explanation – Postpartum contraception
History – Postpartum depression
Explanation – Counselling for place of delivery (home, midwife-led, CDU)
Explanation – Induction of labour (prolonged pregnancy)
Explanation – Operative vaginal delivery
Explanation – Analgesia during labour
Explanation – VBAC
Explanation – C-section
Explanation – Breech presentation at term (CS, ECV)
Case 2
Explanation – Smoking cessation during pregnancy
Explanation – Diabetes pre-conceptual counselling
Explanation – Gestational diabetes
History/Explanation – Pre-eclampsia
Explanation – Epilepsy pre-conceptual counselling
Explanation – Obesity pre-conceptual counselling
Explanation – Fetal growth restriction
Explanation – Hypothyroidism pre-conceptual counselling
Explanation – Thromboprophylaxis
Case 3
Explanation – Placenta praevia, accreta, or percreta
History – PV bleeding during early/late pregnancy
Practical
Examination – Antenatal
Interpretation/Explanation – Partogram, CTG
!4

11. F&C – OSCE CHECKLIST – GYNAECOLOGY
Revised PracticedConfident Task
Case 1
History – Amenorrhoea
History – Menorrhagia
History – Intermenstrual bleeding
History – Postmenopausal bleeding
History/Explanation – Menopause, Hormone replacement therapy
History – Postcoital bleeding
Explanation – IUCD (Mirena, copper coil)
Explanation – Contraceptive methods (family planning); female sterilisation
Explanation – Combined oral contraceptive, Progesterone-only pill
counselling, implant
Explanation – Diagnostic laparoscopy
Explanation – Fibroids
Explanation – Endometriosis
Explanation – PCOS
Case 2
History/Explanation – Abdominal pain/PV bleeding during pregnancy
Explanation – Hyperemesis gravidarum
Explanation – Termination of pregnancy
Explanation – Cervical screening, Colposcopy, LLETZ
Explanation – HPV vaccine
Case 3
History – Pelvic pain
History – PV discharge
History/Explanation – Subfertility
Explanation – Vasectomy
Other History/Explanation – Incontinence, prolapse (urogynaecology)
Practical
Examination – Cervical smear
Examination – Pelvic examination and swabs (HVS, ECS)
!5

12. F&C – OSCE CHECKLIST – MISCELLANEOUS
Revised PracticedConfident Task
Breast
Examination – Breast examination
History – Breast symptoms; breast pain, lump, discharge (triple assessment)
History – Back pain(?Breast metastasis, ovarian cancer)
Explanation – Breast cancer screening
Genetics
History/Interpretation/Explanation – Genetics counselling (BRCA, Down
Syndrome, Duchenne muscular dystrophy, CF, autosomal recessive
disorders, MCADD, Turner’s, Klinefelter’s, Haemophilia, Fragile X,
Huntington’s, Hypercholesterolaemia, PKD)
Prescribing
Prescribing – Trimethoprim (UTI), movicol (constipation), acne, eczema,
otitis media, inhalers, meningitis, neonatal sepsis, cellulitis, gaviscon
(GORD), fluids (gastroenteritis)
Dermatology
History – Acne, eczema, psoriasis
Examination – Skin (actinic keratosis, seborrhoeic keratosis, BCC,
melanoma, SCC)
Explanation – Acne, eczema, psoriasis
Infectious
diseases
History – Infection/travel history
History – Sexual history
Explanation – Consenting for HIV test
Explanation – HIV diagnosis/implications
Ethics
History/Explanation – Consent ethics in a child (e.g. COCP for teenage girl)
History/Explanation – Consent ethics for TOP
Explanation – Viagra on the NHS
!6

13. HLB – OSCE CHECKLIST – SKILLS
Revised PracticedConfident Task
Procedure – Venepuncture
Procedure – Cannula
Procedure – Blood culture
Procedure – Measurement of vital signs
Procedure – Collection and test of MSU
Procedure – 12-lead ECG
Procedure – Pulmonary function tests
Procedure – Subcutaneous/intramuscular/intradermal injection
Procedure – Intravenous injection
Procedure – Intravenous infusion
Procedure – Insert a urethral catheter (male)
Procedure – Insert a urethral catheter (female)
Procedure – Take nose, throat, skin and wound swabs
Procedure – Suture and dress a wound
Procedure – Measure capillary blood glucose
Prescribing – Insert a urethral catheter (female)
!7

14. FINALS–SPECIFIC/MISCELLANEOUS – OSCE CHECKLIST
Revised PracticedConfident Task
Discharge planning
Acute station (Chest pain, SOB, Abdominal pain, Headache, Sepsis)
Ethics – Capacity assessment, concerns about colleagues, disclosure about
BBV, confidentiality (STIs)
DVLA Requirements – Post-CVA/CVD, Epilepsy, T1DM without
hypoglycaemic awareness
Data interpretation
Prescribing – Analgesia, Anti-emetics, Antibiotics, Morphine, Fluids
Examination – Marfan Syndrome
Death certification
Key Station Types
1.History
2.Acute
3.Ethics
4.Examination
5.Skills
6.Prescribing
7.Explanation/Counselling
8.Data Interpretation
9.Handover
10.Discharge planning
No more unique ‘Spotter’ stations
!8