Mock OSCE Questions and Answers 2023 Complete(KCL)
You are an FY1 in A&E. Please elicit a full history relevant to this patient's
complaints.
History (Medical)
- ad lib
You are an FY1 in A&E. Please elicit a full history relevant to this patient's
complaints.
History (Surgical)
- ad lib
You are an FY1 in general medicine. Mr Charles has presented with chest pain.
Please take a brief history of his symptoms and establish a differential diagnosis.
History (Chest pain)
DDx
- ACS
- GORD
- PE
- Pneumothorax
- Thoracic aortic dissection
- Chosto-chondiritis
- Pneunomia + pleurisy
- Pericardiitis
You are an FY1 in A&E, Mr Brians has presented with difficulty in breathing.
Please take a brief history of his symptoms and establish a differential diagnosis.
History (SOB +/- wheeze)
- ad lib
DDx
- PE
- Pneumothorax
- Anaphylaxis
- FB inhalation
- Exacerbation of asthma
- Exacerbation of COPD / COPD
- Pericarditis
- Pulmonary hypertension (LVF / pulmonary fibrosis)
- Pulmonary oedema
Mr Gordon is a 60 year old gentleman who presents with a history of cough
Please take a history from Mr Gordon and present your findings.
History (Cough)
- ad lib
DDx
- Asthma
- GORD
,- ACE inhibitors
- Pulmonary fibrosis
- Lung cancer
- Pulmonary tuberculosis
- Chronic bronchitis
- Viral / Bacterial bronchitis
- Pneumonia
- PE
- Bronchiectasis
- Wegener's granulomatosis
Mr Brown is a 63 year old gentleman who presents with leg pain / leg swelling.
Please take a history from Mr Brown and present your findings.
History (Leg pain / Leg swelling)
- ad lib
DDx
- Peripheral artery disease / critical artery ischaemia
- Chronic venous insufficiency
- DVT
- CCF
- Pulmonary hypertension
- Lymphoedema
Mrs Fletcher is a 60 year old lady who is suffering from back pain. Please take
history from this patient.
History (Back pain)
- ad lib
DDx
- Disc prolapse
- Facet joint osteoarthritis
- Spinal metastases (KPBLT)
- Pyogenic spinal infection
- Spinal TB
You are an FY1 in general surgery. Mr Morden has presented with abdominal
pain. Please take a brief history of his symptoms and establish a differential
diagnosis.
History (Abdo pain)
- ad lib
Upper
- Biliary colic
- Acute cholecystitis
- Acute pancreatitis
- Acute cholangitis
- GORD
- Peptic ulcer (GU/DU)
, Central
- Small bowel obstruction
- Mesenteric artery occlusion
- DKA
- AAA dissection
- Crohn's
Lateral
- Appendicitis (R)
- Pyelonephritis (loin-groin)
- Renal / Ureteric calculus)
- Salpingitis
- Ruptured ovarian cyst
- Ovarian torsion
Lower
- Cystitis
- Pelvic inflammatory disease
- Endometriosis
- Ectopic pregnancy
- Large bowel obstruction
- Infective colitis
- Ulcerative colitis
Mrs Smith is a 25 year old patient complaining of vomiting. Please take a history
from Mrs Smith and present your findings.
History (Vomiting)
- ad lib
DDx
- GORD
- Pharyngeal pouch
- Achalasia
- Oesophageal stricture
- Oesophageal carcinoma
- Gastric tumour
- SI tumour
- Achalasia
- Large bowel obstruction
- Hepatic carcinoma
- Mesenteric artery occlusion
- Renal calculi
- Ectopic pregnancy
- Miscarriage
- Drug OD
- DKA
- Hypercalaemia
- Ruptured ovarian cyst
- Ovarian torsion
You are an FY1 in A&E. Please elicit a full history relevant to this patient's
complaints.
History (Medical)
- ad lib
You are an FY1 in A&E. Please elicit a full history relevant to this patient's
complaints.
History (Surgical)
- ad lib
You are an FY1 in general medicine. Mr Charles has presented with chest pain.
Please take a brief history of his symptoms and establish a differential diagnosis.
History (Chest pain)
DDx
- ACS
- GORD
- PE
- Pneumothorax
- Thoracic aortic dissection
- Chosto-chondiritis
- Pneunomia + pleurisy
- Pericardiitis
You are an FY1 in A&E, Mr Brians has presented with difficulty in breathing.
Please take a brief history of his symptoms and establish a differential diagnosis.
History (SOB +/- wheeze)
- ad lib
DDx
- PE
- Pneumothorax
- Anaphylaxis
- FB inhalation
- Exacerbation of asthma
- Exacerbation of COPD / COPD
- Pericarditis
- Pulmonary hypertension (LVF / pulmonary fibrosis)
- Pulmonary oedema
Mr Gordon is a 60 year old gentleman who presents with a history of cough
Please take a history from Mr Gordon and present your findings.
History (Cough)
- ad lib
DDx
- Asthma
- GORD
,- ACE inhibitors
- Pulmonary fibrosis
- Lung cancer
- Pulmonary tuberculosis
- Chronic bronchitis
- Viral / Bacterial bronchitis
- Pneumonia
- PE
- Bronchiectasis
- Wegener's granulomatosis
Mr Brown is a 63 year old gentleman who presents with leg pain / leg swelling.
Please take a history from Mr Brown and present your findings.
History (Leg pain / Leg swelling)
- ad lib
DDx
- Peripheral artery disease / critical artery ischaemia
- Chronic venous insufficiency
- DVT
- CCF
- Pulmonary hypertension
- Lymphoedema
Mrs Fletcher is a 60 year old lady who is suffering from back pain. Please take
history from this patient.
History (Back pain)
- ad lib
DDx
- Disc prolapse
- Facet joint osteoarthritis
- Spinal metastases (KPBLT)
- Pyogenic spinal infection
- Spinal TB
You are an FY1 in general surgery. Mr Morden has presented with abdominal
pain. Please take a brief history of his symptoms and establish a differential
diagnosis.
History (Abdo pain)
- ad lib
Upper
- Biliary colic
- Acute cholecystitis
- Acute pancreatitis
- Acute cholangitis
- GORD
- Peptic ulcer (GU/DU)
, Central
- Small bowel obstruction
- Mesenteric artery occlusion
- DKA
- AAA dissection
- Crohn's
Lateral
- Appendicitis (R)
- Pyelonephritis (loin-groin)
- Renal / Ureteric calculus)
- Salpingitis
- Ruptured ovarian cyst
- Ovarian torsion
Lower
- Cystitis
- Pelvic inflammatory disease
- Endometriosis
- Ectopic pregnancy
- Large bowel obstruction
- Infective colitis
- Ulcerative colitis
Mrs Smith is a 25 year old patient complaining of vomiting. Please take a history
from Mrs Smith and present your findings.
History (Vomiting)
- ad lib
DDx
- GORD
- Pharyngeal pouch
- Achalasia
- Oesophageal stricture
- Oesophageal carcinoma
- Gastric tumour
- SI tumour
- Achalasia
- Large bowel obstruction
- Hepatic carcinoma
- Mesenteric artery occlusion
- Renal calculi
- Ectopic pregnancy
- Miscarriage
- Drug OD
- DKA
- Hypercalaemia
- Ruptured ovarian cyst
- Ovarian torsion
