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Primary OSCE 86

Created: 23/6/2020
 
1. Equipment
You are asked about chest drains.

2. Anatomy
Describe the anatomy of the vagus nerve.

3. Anatomy
Describe the anatomy of the diaphragm.

4. Skills
You are asked to demonstrate how you would perform spinal anaesthesia for a hernia repair

5. History taking
Take a history from a patient presenting for varicose vein stripping. He has a propranolol allergy, is asthmatic and has paroxysmal atrial fibrillation.

6. History taking
Take a history from a 68-year-old patient presenting for arthritis surgery. She has osteoarthritis and subluxation, and has previously had tuberculosis, a partial pneumonectomy and poor exercise tolerance. She is on methotrexate and non-steroidal anti-inflammatory drugs long term.

7. Scans
You are asked to interpret the results of a barium swallow (showing a pharyngeal pouch).

8. Scans
You are asked to interpret the results of a three-dimensional computed tomography CT) scan (showing a lumbar wedge fracture with L1/L2 subluxation)

9. Simulator manikin
You are asked to demonstrate the treatment of malignant hyperthermia on a simulator manikin

10. Resuscitation
How would you resuscitate a 72-year-old patient on the ward who is in cardiorespiratory arrest with asystole.

11. Resuscitation
How would you resuscitate a pregnant woman with pulseless electrical activity (PEA) and sinus bradycardia following an epidural top-up.
- Discuss the management of local anaesthetic toxicity.

12. Communication skills
Talk to the parent of a 15-year-old boy who got up and left the anaesthetic room and is refusing surgery. Discuss consent issues and pre-medication.

13. Equipment
You are asked to identify and discuss oesophageal temperature probes, focusing on thermistor-based oesophageal temperature probes.

14. Clinical anaesthesia
Discuss intubation, Cormack & Lehane (C&L) grades and aids to intubation. You are asked to interpret capnography traces.

15. Clinical anaesthesia
Spinal anaesthesia: discuss the types of needle, landmarks and dermatomes.

16. Equipment
Discuss how vaporisers work, temperature compensation and effects of altitude on a vaporiser.




ArticleDate:20200623
SiteSection: Article
 
   
    
                                            
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