Osce Scenarios

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OSCE Scenarios

You are a 72 year old lady. This morning you were hanging your freshly laundered curtains, when you suddenly felt dizzy and you remember nothing after that, until your friend was calling your name. You have no idea how you ended up on the floor. You have had a few dizzy spells No SOB or chest pain. You have the odd “missing heart beat” not too troublesome. Otherwise you are fit and well. You were not incontinent during the attack.

You are a 42 year old professional trombone player. You are rehearsing for a tour abroad. Last night you seemed OK just a bit tired and possibly had a bit of a fever. This morning you woke up with severe left sided chest pain aggravated by deep breathing and coughing. You are very frightened because your sister had a pulmonary embolism after the birth of her baby. There is no sputum or haemoptysis. You had slight asthma as a child. You haven’t got much of a cough, but feel SOB and frightened to breathe deeply. Your general health is good and you’ve had no serious illnesses in the past.

You are a 35 year old man who came to A&E with pain when passing urine and discomfort for 3-4 days. You think that there was a little blood in your urine once. You are gay and not practice safe sex. (DO NOT VOLUNTEER THIS INFORMATION UNLESS YOU ARE ASKED.) You are not particularly bothered about HIV. Generally your attitude is rather cavalier and have had several sexual partners in the past.

You are the wife of an 82 year old man and you brought him into A&E because you are frightened and worried about him. For the last 3-4 days he’s been increasingly confused and today he started to get verbally abusive. He has never had psychiatric problems. 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 “some prostate problem” otherwise he has been remarkably healthy.

You are the father of a 3 year old girl. Your wife and you separated 2 years ago and she is the main carer for the child. You have her every other weekend. You are rather vague about the child’s health, mainly because she does not live with you. DO NOT VOLUNTEER THE FOLLOWING INFORMATION: You have been sexually abusing the girl for some time and obviously don’t want your ex-wife to find out, or anyone else for that matter. Therefore, you want this problem sorted out now.

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 pressure feeling in your lower abdomen,. Your general health is fairly good but lately you have lost some weight and you’ve become impotent.

You are the mother of a 3 year old boy. This afternoon he fell off the slide in the park (about 2m high). He was sick once about 5 minutes after the accident, he was NKOD but has complained of headache ever since. He is alert and had something to eat about half an hour ago which stayed down. You are worried about the effects of the injury and have no idea what to look out for.

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 morning you noticed that she is covered in a rash from head to foot. She is up to date with her immunisations (BUT DO NOT VOLUNTEER THIS INFORMATION.) In a nearby school there are three confirmed cases of measles. You are convinced that your child has meningitis and you know this can be a fatal illness. Therefore, you think she should be admitted to hospital.

You are a 30 year old unemployed man. You have been abusing a variety of drugs, including diazepam, dihydrocodeine, amphetamine and cocaine in the past. You have an agreement with your GP that he will prescribe 90 tablets of Diazepam 5mg a month. However, recently you have been quite agitated and been taking more...
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