OSCE PART 1
01. A 88yr old lady had forgetfulness for 01 yr and presented with acute confusional state ( a
history suggestive of delirium) she has taken medications for cough and fever from a GP.
1. List three findings of her chest x ray .(lobar pneumonia with pleural effusion )
2. What is the immediate management of her condition.
3. What are the predisposing factors for her condition according to history?
4. What are the precipitating factors for Q 3?
5. Patient was deteriorated in the ward. List two causes for her deterioration.
02. A 30 yr old man presented with shortness of breath (ABG given – metabolic acidosis with
respiratory alkalosis )
04. A 20 yr old girl presented to medical ward following ingestion of unknown seed of a plant.
ECG was given.( Atrial flutter with variable block)
05. A 50 yr old gentleman who is a known Diabetic , Hypertensive presented with headache.
8. Observe this patient’ s face and proceed with relevant cranial nerves examination.
3. Examine the patient’s precordium. ( palpation & auscultation only. Don’t change patient’s position
without examiners’ consent.)
10. A 50yr old gentleman presented with progressive worsening of cough for 06 months.
11. 16 year old boy was admitted to the medical ward with bodyches ,fever for 3 days. His dengue
NS 1 antigen positive. On admission you have done a uss abdomen. It shows thickened gall bladder.
His mother Mrs perera is worring about her son’s condition. Counsel mother regarding his current
condition. She prefers to continue conversation in english.
1. Communication skills
2. Data interpretation
12. Basic life support (examiners said no need to confirm cardiac arrest. Your are alone. Show the
technique of cardiac compressions and ambu ventilation using oral airway.)