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3 rd year mocse n.
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3 rd Year MOCSE

3 rd Year MOCSE

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3 rd Year MOCSE

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  1. 3rd Year MOCSE

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

  3. Qu. 2 • What’s the rate? • What’s the rhythm? • What is the most obvious abnormality and what is this caused by? • If the condition worsened what 3 other ECG abnormalities might you see?

  4. 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

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

  6. 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.

  7. 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.

  8. 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.

  9. Qu. 8 • List 10 possible mistakes you could make when taking a patients blood pressure in an OSCE station

  10. Qu. 9 You are asked to examine a patient’s neck • List 4 instructions that you may need to give the patient during the inspection part of your examination.

  11. 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.

  12. 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.

  13. 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