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The reviews are in
★★★★★
6,893 users
Don't take our word for it
"The stations you provide are strikingly similar to those I came across during my medical school finals (some even verbatim!), and I have tried many other exam platforms. I'm truly grateful for your priceless support throughout my final couple of years at medical school!"
Raza Q π¬π§
"It has absolutely everything for medical school, so many histories with detailed differential diagnoses, how to approach emergencies, commonly prescribed drugs..every kind go examination youβll ever need in osces"
John R π¬π§
"Thank you SO MUCH for the amazing educational resource. Iβve tried lots of platforms and books with mock OSCE stations and yours is by far and away the best Iβve tried"
Ed M π³πΏ
"Get this right away. So helpful for OSCEs but also general clinical learning and understanding. Wish I had brought it sooner"
Emma W π¬π§
"Without a doubt, your platform outshines all other OSCE resources currently available. In all honesty, I can confidently attribute my success in securing a distinction in my finals to OSCEstop."
Harish K π¬π§
"OSCEstop distinguishes itself from many other platform banks by offering a wealth of questions that mimic the demanding and complex aspects of our finals. This platform played a crucial role in ensuring I was ready for the level of difficulty that awaited me in my final exams."
The acute presentation assessment is outlined here. Below are some examples to demonstrate how we suggest you assess some common acute presentations.
Why don’t you test yourself by thinking what what you would do before expanding the boxes?
Shortness of breath
Key differentials
Β Life-threatening
PE
Pneumothorax
Asthma/COPD
Pneumonia
Acute LVF
ACS
Focussed history
Exploring
When did it start? How did it come on?
Getting worse?
Exercise tolerance (current vs. normal)
Orthopnoea, paroxysmal nocturnal dyspnoea
Systems reviews (important parts)
General: how patient feels, fever
Cardiorespiratory: chest pain, wheeze, cough, sputum, leg swelling
PMHx
Happened before? Other medical conditions
If asthma/COPD: baseline and severity (including home nebs/oxygen), exacerbation history (spectrum: home β GP β ward β non-invasive ventilation β ICU/intubated), normal peak flow
Recent surgery
DHx + allergies
Remember inhaler compliance
SHx
Smoking, alcohol, long-haul travel
Focussed examination
Quick general exam
Surroundings: drips, medications, monitoring
General inspection: well/unwell, breathing pattern, in pain, pale, sweaty/clammy
Hands: shut down, tremor, capillary refill
Pulse: rate, rhythm, volume (central and peripheral)
Eyes: pupils, redness, acuity, fields, fundoscopy to look for papilloedema (βintracranial pressure) or haemorrhages
Feel sinuses and temporal arteries for pulsation/tenderness
Neck stiffness: passively turn head side to side and touch ears to shoulder
Brudzinski’s sign (passive flexion of neck causes involuntary flexion of knee and hip)
Kernigβs sign (pain on passive knee extension with hip fully flexed)
Motor neuro exam: tone, power, reflexes
Cranial nerves exam
Investigations
Bloods
FBC, CRP, U&Es
ESR (if >55 years)
Blood cultures if pyrexial
Meningococcal PCR
X-rays/imaging
CT head
Special tests
Lumbar puncture
Test your knowledge
You assess a patient with a sudden onset severe headache, that reached its peak within 60 seconds. What are you concerned about and which investigations would you request?
A patient presents with tearing chest pain, radiating from the front of their chest to the back. What are you concerned about? Are there any clinical signs that may support the diagnosis? Which investigation would be definitive?