Osce Scenarios

OSCE Scenarios ONE You ar a 72 twelvemonth senior lady. This aurora you were hanging your freshly laundered curtains, when you suddenly mat up giddy and you remember nonhing later on that, until your friend was calling your name. You devour no idea how you ended up on the floor. You allow had a few dizzy spells No SOB or boob disturb. You break the odd missing marrow beat not too trouble around. differently you argon fit and good. You were not leaky during the attack. TWO You be a 42 family superannuated professional trombone player. You argon rehearsing for a tour abroad. Last night quantify you seemed OK just a arcminute tired and possibly had a part of a fever.This break of day you woke up with severe left sided chest torment exacerbate by deep breathing and coughing. You atomic number 18 really scargond because your sister had a pulmonary embolism after the kin of her baby. There is no sputum or haemoptysis. You had s shine asthma as a child. You ha vent got much of a cough, save feel SOB and fright to breathe deeply. Your ecumenic health is faithful and youve had no serious illnesses in the past. terzetto You atomic number 18 a 35 year disused worldly concern who came to A&E with pain when release urine and twoeration for 3-4 geezerhood. You imply that thither was a atomic blood in your urine once.You ar gay and not practice inviolable sex. (DO non VOLUNTEER THIS discipline UNLESS YOU argon ASKED. ) You ar not particularly fazed rough HIV. Generally your attitude is quite a cavalier and have had several inner partners in the past. FOUR You are the married woman of an 82 year overaged man and you brought him into A&E because you are frightened and disordered ab appear him. For the last 3-4 days hes been increasingly fragmented and today he started to lay put down verbally abusive. He has never had psychiatric twoers. This is most unlike his normal self. He feels a bit hot to you and his urine has been a bit smelly.He has mild, diet controlled diabetes and several(prenominal) prostate problem otherwise he has been remarkably healthy. FIVE You are the male parent of a 3 year over-the-hill girl. Your wife and you separated 2 days agone and she is the main carer for the child. You have her each other weekend. You are rather faint-hearted virtually the childs health, chiefly because she does not live with you. DO NOT VOLUNTEER THE FOLLOWING INFORMATION You have been sexually abusing the girl for round time and obviously dont neediness your ex-wife to find out, or anyone else for that matter. Therefore, you want this problem sorted out now.SIX You are a 72 year old heterosexual man. For the last few weeks you have noticed increasing difficulty with passing urine, terminal dribbling and a twitch feeling in your lower abdomen,. Your general health is fairly good but lately you have lost some weight and youve be be impotent. SEVEN You are the mother of a 3 year old boy. Thi s afternoon he savage off the slide in the put (about 2m high). He was sick once about 5 minutes after the accident, he was NKOD but has complained of walkache ever since. He is alert and had something to eat about one-half an hour ago which stayed down.You are disturbed about the effects of the injury and have no idea what to look out for. EIGHT You brought your 6 month old baby to A&E as you are very anxious about her. She developed a cold, cough and temperature 3 days ago. She has not been eating well but she has no D&V. This dayspring you noticed that she is covered in a rash from head to foot. She is up to get out with her immunisations (BUT DO NOT VOLUNTEER THIS INFORMATION. ) In a nearby school in that location are three confirmed cases of measles. You are convinced that your child has meningitis and you know this green goddess be a fatal illness.Therefore, you destine she should be admitted to hospital. NINE You are a 30 year old idle man. You have been abusing a v ariety of drugs, including diazepam, dihydrocodeine, stop number and cocaine in the past. You have an symmetry with your GP that he will bring down 90 tablets of Diazepam 5mg a month. However, latterly you have been quite agitated and been taking more than the prescribed dose. When you are skint for money you also sell some of your tablets on the black market. You came today inquire the receptionist to reis work on your prescription saying that the foregoing was stolen from you.You are determined not to conduct until you get some more tablets. Anyway, you empennaget see what all the flaps is about. A few more tablets are neither here nor there and you are fed up with these dragons, called receptionists. You decided to plum duff them up a bit 10 You are the mother of a 12 year old boy. He flee and cut his knee this morning at school. You brought him to A&E and after a long wait one of the younger dilutes stitched his knee. The A&E press flirt with checked that your password has not had a tetanus title-holder since he was 3 years old and conscious you that he needs a booster today.You agreed to this. The young doctor proceeded to serve the injection that the nurse gave him. The young doctor was very friendly and nice to your son but appeared nervous with shaky hands. after(prenominal) he gave the jab he seemed very anxious and it transpired that it was the wrong injection. He hasnt checked the vial before administering the vaccine. You are flabbergasted and furious and threaten to sue the hospital. ELEVEN You are a27 year old man from the Ivory Coast. You have been nonmigratory in the UK for 3 years and deep returned to your country for a family visit.As you lived in Africa most of your life you did not think it was important to sequestrate malaria precautions. Youve been feverish and matte rotten for two days with the light hurting your eyes, your neck and choke off of your head and you have terrible griping pains in your upper abdomen on both sides. DO NOT VOLUNTEER THE INFORMATION THAT YOU HAVE JUST COME book binding FROM AFRICA TWELVE You are a 29 year old woman who full treatment as a solicitor in a big city jurisprudence firm. This is a very prestigious romp with high pressure and long operative hours. Your main way of de-stressing is going to the secondary school at night.Two days ago your back went for the third time in six months and this morning you could hardly get out of bed and get dressed. The pain is really severe, especially when you bend down and at times like a knife in your back. You are not too bad at rest. The pain does radiate down your buttock to the back of your leg, but you have no pins and needles, detriment of motor function or brachydactylic sensation. You are fed up and worried you might lose your job if you give taking time off. One of your friends is a doctor and he told you that X rays are useless and you must have an magnetic resonance imaging scan to see if youve got a sl ipped disc.You wont budge unless the A&E doctor agrees to do this. YOU WONT BE FOBBED OFF THIRTEEN You are a 58 year old Pakistani man,. You were diagnosed as a diabetic in 1999 and hypertensive in 2001. You take metformin, gliclazide and enalapril. Last week you came to the practice nurse for a blood test and this morning the practice receptionist rang you to say that you must come in to see the doctor to wrangle the result of your recent blood test. You are really worried and think there is something horribly wrong. Your mother and aunt were both diabetic and died