OSCE Cases with Mark Schemes: A Revision Aid for Medical Finals

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By publishing your document, the content will be optimally indexed by Google via AI and sorted into the right category for over 500 million ePaper readers on YUMPU. You mentioned you were concerned that your father had a stroke which may have been related to smoking. Unfortunately, smoking is associated with an increased risk of stroke amongst other conditions such as heart disease and lung cancer.” At this point, it is also useful to briefly gauge what the patient’s understanding is of how their smoking impacts their health. This is a good starting point from which you can give information later on:

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Set a quit date based on the patient’s willingness, motivation and agreement. This should usually be within 2-4 weeks (abrupt quitting is usually more effective than gradual quitting). I can't be ill, I'm doing so well in school". I am aiming for A* in my A-level exams and I am doing very well. Prefacing all of the examinations, introduce yourself to the patient (full name), explain who you are, and why you are there/what you are about to do. Confirm the patient's name and date of birth. Tell the patient how much time the exam will take, and if required, also obtain a chaperone. Ask for consent, and once given, proceed to wash hands. All bedside examinations are performed from the right side of the patient. 2. EndingDifferent therapies will be effective for different patients depending on their health and other factors which influence their smoking behaviours. Decide together Explore psychosocial aspects of the patient’s health including stressors at home and work – do these factors affect their smoking habit?

Knee examination - Mark Scheme - Geeky Medics Knee examination - Mark Scheme - Geeky Medics

Myers K, McRobbie H, West O, Hajek P. National Institute for Health and Clinical Excellence. Review 3: Barriers & facilitators for smoking cessation interventions in acute & maternity services. Published in 2012. [LINK] Smoking is a significant risk factor for multiple conditions including cardiovascular disease, stroke and lung cancer. Does the patient experience any withdrawal symptoms? (e.g. craving, irritability, dizziness, low mood, fatigue, insomnia)

Station 14 – Hand examination – with questions at the end, differential diagnosis and look at picture The Ultimate OSCE History Guide: 100 Cases, Simple History Frameworks for OSCE Success, Detailed OSCE Mark Schemes, Includes Investigation and Treatme Station 13 – Sepsis station – Patient lying in bed confused, doesn’t answer any questions. Examiner Tell family and friends. Advise the patient to make family and friends aware that they are quitting to provide further accountability and support. Advise the patient to commence the medication 1 week before their quit date and complete a total course of 12 weeks