Sample OSCE
You are at the preadmission clinic. Please take a history from this 60 yo man who is a
diabetic and he will be coming in for a colonoscopy
Marks
Opens the interview
Introduces self(name & status)
Asks patient – Reason for presentation AND listens to opening statement
without interruption
Acknowledges the patient’s concerns, clarifies info obtained from opening
statement /5
Asks – Hx of Diabetes
Duration
Treatment – Tablets / insulin /3
Diabetic control
BSL reading – frequency, high/low readings
Dietary compliance
Cx – Hypoglycaemia: frequency/severity/warnings? /5
Complications
Eye sight
Peripheral circulation – claudication/impotence/toe nails
Renal failure - nocturia
Neuropathy – leg ulcers
Ischaemic heart disease/stroke
/3
Surrogate mark
/3
Communication Skills mark
Award mark for taking control of the interview
Communication skills – Effective listening skills, questioning tech,
appropriate body language/eye contact, treated patient with respect,
responsive to patient’s concerns, professional manner, brought encounter
to a suitable close /5
Examiner questions
1. What investigations might be appropriate?
a HbA1c
b Random blood glucose
2. Give three aspects of managing his diabetes on the day of the
planned colonoscopy
a Fasting from night before
b Omit oral hypoglycaemic drugs in the morning
c Put first on the list
d Remind nursing staff he is diabetic and check BSL /5
TOTAL
/29