OSCE

STATION

This 65-year-old male complains of

difficulty passing urine.
INSTRUCTIONS TO CANDIDATE:

A. Take a focused history from the

patient
B. Perform the relevant
examination on the manikin
provided.
C. Describe the physical findings
as you proceed.
D. The examiner will then ask you
some questions.

Semester 9 (Long)
STATION STUDENT ID:

Items Examined Marks Marks

Allocated Awarded
Presenting problem 2.0
Reiterates and clarifies the problem
Its onset and duration
What was done to overcome the problem,
including medication; progress since
Storage symptoms: 2.0
Frequency
Urgency
Nocturia
Voiding symptoms: 3.0
Hesitancy (Difficulty with Initiation)
Straining to void
Weak urinary stream
Incomplete bladder emptying (dribbling)
Symptoms suggestive of complications
1.0
Dysuria, hematuria (UTI)
Suprapubic pain (AUR)
Symptoms suggestive of malignancy: 1.0
loss of appetite & weight
Skeletal (bone) pain
Personal & Social History: 1.0
Marital status, sexual activity
Alcohol intake
Travels
Co-morbid Conditions (anesthesia): 2.0
Hypertension
Diabetes Mellitus
Ischemic Heart Disease
Digital rectal examination of the prostate: 3.0
Size
Surface, presence of median sulcus
Consistency
Questions:
A. State the likely diagnosis, justify. 3.0
Benign Prostatic Hyperplasia with
possibility of UTI/bladder stone, classic
symptoms and typical physical findings
B. List appropriate investigations and Interpret 4.0
the results provided:
Renal profile

Semester 9 (Long)
 UFEME
FBC
PSA
Pelvic x-ray
C. What would be your approach to managing 3.0
this patient? Justify
Treat the UTI
Surgery to remove the stone as well as
reduce size of prostate, e.g. TURP
Medical therapy while waiting for surgery

Items Examined Marks Marks

Allocated Awarded
Total 25.0
If unprofessional (Give justification) Maximum
30%

Remarks

GLOBAL RATING
Irrespective of the marks scored in the checklist, please assess the student using the
global rating below. Tick () at the appropriate box.

FAIL BORDERLINE CLEAR PASS DISTINCTION

Justification

Name of Examiner :

Signature :

Date :

Semester 9 (Long)