ENT OSCE sample

 STATION 6 

This patient has a 6-month history of ear discharge. 

INSTRUCTIONS TO CANDIDATE: 

A. Take a focused history. 

B. Examine the ear and present your findings as you proceed. 

C. The examiner will then ask you some questions. 

Sample Marking Scheme

Readings: 

Chronic suppurative otitis media (CSOM) is one of the most common childhood infectious diseases worldwide and is a common cause of hearing impairment in resource-limited settings. It is characterised by chronic drainage from the middle ear associated with tympanic membrane(TM) perforation and usually preceded from an acute otitis media (AOM.)

Clinical Presentation:

1. Ear discharge - chronic purulent middle ear discharge (typically >6 weeks) 

2. Hearing loss - due to TM perforation

3. Cholesteatoma

4. Physical Examination: 

- reveals TM perforation and purulent middle ear drainage, typically minimal to no edema of the external auditory canal. 

- otoscope 

Treatment:

1. Aural toilet along with and ototopical fluoroquinolone for initial therapy (eg, ciprofloxacin, ofloxacin). 

- The goal is to eradicate the infection by making sure the ear is dry hence preventing complications. The best goal would be to have the TM heal and improve their hearing. 

2. Advise strict water precautions (no swimming, prevent water to get into the ear) for prevention and management of recurrent disease

3. Tympanoplasty for patients without cholesteatoma who have recurrent disease despite water precautions, or a persistent tympanic membrane perforation for more than 6 to 12 months after resolution of CSOM.

Reference: 

1. https://pubmed.ncbi.nlm.nih.gov/16198004/

2. https://www.uptodate.com/contents/chronic-suppurative-otitis-media-csom-treatment-complications-and-prevention?search=csom&source=search_result&selectedTitle=1~20&usage_type=default&display_rank=1#H9146042

3. 

OSCE sample 5

 STATION 5

Madam ZZ is a 30 year old G4P3 lady at 38 weeks of gestation. She has one previous Caesarean Section delivery for cord prolapse. Otherwise her current antenatal care has been uneventful. 

INSTRUCTIONS TO CANDIDATE: 

A. Examine her abdomen.

B. Present your findings.

C. The patient is anxious about vaginal birth.

Address her concerns. 

Marking scheme:

Provisional registration application via Merits

To apply for MPM number before E-HO application

Go to https://meritsmmc.moh.gov.my/

1st : Click Provisional Registration

2nd: Fill up the form for fitness to practice form --> click confirm

3rd: Fill up the Forms listed in the website.

   

      

4th : wait for the approval and check from time to time if they need you to re-upload the documents. 

** for International Medical Graduates  

    >> make sure you have the Primary Source Verification (PSV) to get your graduation certificate verified. You can check this thread for more information.

https://yu4med.blogspot.com/2020/07/verify-your-graduation-certificate-for.html

5th : Once approved, you just need to wait for your surat tawaran. You will get the surat tawaran after you choose your hospital during E-HO. So you can apply for Provisional Registration Certificate. 

Good luck and all the best!