OSCE Scenarios ONE You are a 72 year old lady. This early you were trusting your freshly laundered curtains, when you suddenly felt vertiginous and you retain pin behind that, until your companion was holding your call. You own no proposal how you ended up on the foundation. You own had a few vertiginous spells No SOB or chest suffering. You own the odd “missing core beat” not too tiresome. Otherwise you are fit and courteous. You were not incontinent during the invasion. TWO You are a 42 year old negotiative trombone player. You are rehearsing for a trip abroad. Definite gloom you seemed OK regular a bit worn-out and haply had a bit of a fervor.
This early you woke up following a while cutting left sided chest suffering pressing by subterranean living and coughing. You are very timorous owing your sister had a pulmonary embolism behind the extraction of her baby. Tcexpose is no sputum or haemoptysis. You had neglect asthma as a slip. You ownn’t got considerable of a cough, but feel SOB and timorous to breathe subterraneanly. Your public heartiness is cheerful-natured-natured and you’ve had no solemn ailmentes in the elapsed. THREE You are a 35 year old man who came to A&E following a while suffering when departure urine and annoyance for 3-4 days. You imagine that tcexpose was a inconsiderable order in your urine uninterruptedly.
You are gay and not habit unendangered sex. (DO NOT VOLUNTEER THIS INFORMATION UNLESS YOU ARE ASKED. ) You are not in-particular twainered environing HIV. Generally your lie is rather cavalier and own had separate sexual partners in the elapsed. FOUR You are the helpmate of an 82 year old man and you brought him into A&E owing you are timorous and worried environing him. For the definite 3-4 days he’s been increasingly chaotic and today he inaugurated to get verbally discordant. He has nincessantly had psychiatric heights. This is most unequally his usual chiefstrong. He feels a bit hot to you and his urine has been a bit smelly.
He has meek, fare controlled diabetes and “some prostate height” otherwise he has been remarkably heartinessy. FIVE You are the senior of a 3 year old spinster. Your helpmate and you divided 2 years ago and she is the ocean carer for the slip. You own her total other weekend. You are rather unestablished environing the slip’s heartiness, oceanly owing she does not speed following a while you. DO NOT VOLUNTEER THE FOLLOWING INFORMATION: You own been sexually abusing the spinster for some space and palpably don’t omission your ex-helpmate to discover out, or anyone else for that subject. Therefore, you omission this height neat out now.
SIX You are a 72 year old heterosexual man. For the definite few weeks you own noticed increasing awkwardness following a while departure urine, ultimate dry and a constraining impression in your inferior abdomen,. Your public heartiness is fairly cheerful-natured-natured but of-late you own lost some ponderosity and you’ve befit powerless. SEVEN You are the dame of a 3 year old boy. This behindnoon he subvert off the slide in the park (environing 2m proud). He was nauseated uninterruptedly environing 5 minutes behind the property, he was NKOD but has complained of dissipation incessantly gone. He is wakeful and had triton to eat environing half an hour ago which stayed down.
You are worried environing the effects of the wear and own no proposal what to behold out for. EIGHT You brought your 6 month old baby to A&E as you are very tranquillityless environing her. She familiar a indifferent, cough and temperature 3 days ago. She has not been eating courteous but she has no D&V. This early you noticed that she is ripe in a foolhardy from chief to sole. She is up to age following a while her immunisations (BUT DO NOT VOLUNTEER THIS INFORMATION. ) In a nearby ground tcexpose are three grown cases of measles. You are positive that your slip has meningitis and you recognize this can be a deadly ailment.
Therefore, you imagine she should be admitted to hospital. NINE You are a 30 year old lazy man. You own been abusing a abnormity of drugs, including diazepam, dihydrocodeine, amphetamine and cocaine in the elapsed. You own an covenant following a while your GP that he obtain indicate 90 tablets of Diazepam 5mg a month. However, novelly you own been completely agitated and been commencement over than the indicated dose. When you are broke for specie you so vend some of your tablets on the sombre trade. You came today scrutiny the receptionist to reiterate your recipe byword that the earlier was stolen from you.
You are established not to concession until you get some over tablets. Anyway, you can’t see what all the tumult is environing. A few over tablets are neither cexpose nor tcexpose and you are fed up following a while these dragons, denominated receptionists. You solid to duff them up a bit! TEN You are the dame of a 12 year old boy. He subvert and cut his elbow this early at ground. You brought him to A&E and behind a crave abide one of the puerileer teachers stitched his elbow. The A&E impeach foster checked that your son has not had a tetanus booster gone he was 3 years old and apprised you that he needs a booster today.
You agreed to this. The puerile teacher proceeded to direct the insertion that the foster gave him. The puerile teacher was very companionly and neat to your son but appeared pregnant following a while vacillating hands. Behind he gave the jab he seemed very tranquillityless and it transpired that it was the evil-doing insertion. He hasn’t checked the vial precedently directing the vaccine. You are flabbergasted and vehement and appall to sue the hospital. ELEVEN You are a27 year old man from the Ivory Coast. You own been occupant in the UK for 3 years and novelly returned to your state for a race mark.
As you speedd in Africa most of your history you did not imagine it was relevant to use stink precautions. You’ve been fervorish and felt polluted for two days following a while the portable hurting your eyes, your neck and tail of your chief and you own horrible griping sufferings in your preferable abdomen on twain sides. DO NOT VOLUNTEER THE INFORMATION THAT YOU HAVE JUST COME BACK FROM AFRICA! TWELVE You are a 29 year old dame who works as a canvasser in a big city law solid. This is a very prestigious job following a while proud constraining and crave started hours. Your ocean way of de-stressing is going to the gym at gloom.
Two days ago your “tail went” for the third space in six months and this early you could scarcely get out of bed and get ripe. The suffering is truly cutting, specially when you deviate down and at spaces affect a knife in your tail. You are not too bad at tranquillity. The suffering does shine down your buttock to the tail of your leg, but you own no pins and needles, damage of motor operation or abusual surprise. You are fed up and worried you capability expose your job if you restrain commencement space off. One of your companions is a teacher and he told you that X rays are unserviceable and you must own an MRI view to see if you’ve got a slipped disc.
You won’t animate spontaneous the A&E teacher agrees to do this. YOU WON’T BE FOBBED OFF! THIRTEEN You are a 58 year old Pakistani man,. You were diagnosed as a diabetic in 1999 and hypertensive in 2001. You use metformin, gliclazide and enalapril. Definite week you came to the habit foster for a order criterion and this early the habit receptionist rang you to say that you must follow in to see the teacher to debate the upshot of your novel order criterion. You are truly worried and imagine tcexpose is triton horribly evil-doing. Your dame and aunt were twain diabetic and died