3rd Year MOCSE

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3rd Year MOCSE
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Qu. 1

1. Whats the rate?
2. Whats the rhythm?
3. Is the axis normal?
4. What 4 things in the history or examination would
   lead you to act upon this immediately?

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Qu. 2

1. Whats the rate?
2. Whats the rhythm?
3. What is the most obvious abnormality and what is
   this caused by?
4. If the condition worsened what 3 other ECG
   abnormalities might you see?

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Qu. 3

• This ECG shows a type of Second Degree Heart
  Block
• Is this Type 1 or Type 2?
• Is this more or less serious than the other Type
  of Second Degree Heart Block? Give a reason

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• Qu. 4
• Name 3 abnormalities on this film.
• List 6 signs that this patient might have.
• What could have caused this?

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• Qu. 5
• What is the most obvious abnormality?
• List some possible diagnoses apart from lung
  cancer
• If this was bronchial carcinoma, list 20 possible
  signs that the patient may have due to this.

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Qu. 6

• How would you instruct a patient to take an MSU
  sample?
• List the important steps in performing a urine
  dipstick, mention any other important points?
• The patient had 3 protein. List 3 causes.
• What further tests could you do?
• If glucose was detected, name a cause other than
  diabetes mellitus.
• Name two blood tests you could do to confirm a
  diagnosis of diabetes.
• Name five causes of haematuria.
• Name five further tests for haematuria.

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Qu. 7

• A patient is referred to you with a history of
  chest pain
• List 15 symptoms (other than pain) that you may
  want to ask about in the history of presenting
  complaint
• List 6 risk factors for IHD you would like to ask
  about.

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Qu. 8

• List 10 possible mistakes you could make when
  taking a patients blood pressure in an OSCE
  station

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Qu. 9

• You are asked to examine a patients neck
• List 4 instructions that you may need to give the
  patient during the inspection part of your
  examination.

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Qu. 9 cont. b. Which triangle is the lump
in? c. List 8 characteristics of the lump you
would like to be able to describe to the
examiner d. Give a possible diagnosis.
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Qu. 10

• You have to break the bad news to one of your
  patients that they have diabetes.
• List 10 general principles of good practice when
  breaking bad news
• List 5 aspects of living with diabetes that you
  may want to explain to the patient.

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Qu. 11

• You have a patient with a headache
• List 10 causes of a headache
• b. List 10 things that would be important to
  elicit in the history