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Answer Format
MRCP MRCS PLAB

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There are some forms of OSCE questions which come pretty frequently. We are trying to outline answer.

  • History taking for Pain  

  • Counseling

  • Consent for operation

  • Breaking bad news

  • Phone conversation.

 

History Taking for Pain

Counseling:

 
 

Site

radiation

character

    sharp/ dull

    burning / tingling

    boring/ stabbing

    crushing/ band like

severity

onset

duration

course

    episodic / continuous

pattern

variation with time

    e.g. by day or night

aggravating factor

relieving factor

 

Introduction

Greet and identify patient

Review of disease 

(e.g. Management until now)

Diagnosis

Explanation of disease 

( e.g. pathology of disease)

Temporal course of disease

Treatment options available

Invite question and clarification

 
 

Consent for operation:

Breaking bad news

 
 

Introduction

  • greeting

  • who are you

  • rapport

purpose of visit

        e.g. I  would like to tell you about the operation you are going to have

 

ascertain the level of information the patient has

    e.g. how much do you know about your problem?

 

explanation regarding their problem     including natural history and complication without treatment

 

options of treatment

 

proposed plan of treatment with brief description of procedure

 

complications

 

preoperative measures

 

expected post-operative course and hospital stay

 

follow up

invite question and clarification

Establish rapport

what we have done so far

break news

silence

reassurance

   e.g. Important thing is, now that we know what is happening we will be able to deal with it.

options available

chemo/radio therapy

prognosis( do not volunteer yourself)

community support

medico legal aspect

 
       

 

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