Course Content
🩺 OSCE Station 1 — Prescription Writing in Graves’ Disease
KMU clinical activity: Graves’ disease — formulation of an appropriate prescription. Learning Objectives The student should be able to: Formulate a prescription for a patient with Graves’ disease.
0/1
Topic: 🩺 OSCE Station 1 — Prescription Writing in Graves’ Disease
🩸 OSCE Station 2 — Diabetes Mellitus: Glucose Testing and Prescription Writing
KMU clinical activities: Diabetes mellitus prescription + glucose estimation in urine and blood. Learning Objectives The student should be able to: Check glucose in urine. Check blood glucose in a given sample. Formulate an appropriate prescription for a patient with Type 1 diabetes mellitus. Formulate an appropriate prescription for a patient with Type 2 diabetes mellitus.
0/1
Topic: 🩸 OSCE Station 2 — Diabetes Mellitus: Glucose Testing and Prescription Writing
🔬 OSCE Station 3 — Microscopic Identification of Multinodular Goitre
KMU clinical activity: Goitre — microscopic identification. Learning Objectives The student should be able to: Identify the important microscopic features of multinodular goitre. Recognize multinodular goitre when presented as a histopathology slide or image at the station.
0/1
Topic: 🔬 OSCE Station 3 — Microscopic Identification of Multinodular Goitre
🔬 OSCE Station 4 — Gynecological Pathology: Pap Smear and Uterine Fibroid
KMU clinical activities: Pap smear interpretation + microscopic identification of uterine fibroids. Learning Objectives The student should be able to: Interpret a Pap smear slide. Identify the important microscopic features of uterine fibroids. Differentiate the two when presented as cytology/histopathology specimens or images at the station.
0/1
Topic: 🔬 OSCE Station 4 — Gynecological Pathology: Pap Smear and Uterine Fibroid
🎗️ OSCE Station 5 — Microscopic Identification of Carcinoma of the Breast
KMU clinical activity: Carcinoma breast — microscopic identification. Learning Objectives The student should be able to: Identify the important microscopic features of carcinoma of the breast. Recognize carcinoma of the breast when presented as a histopathology slide or image at the station.
0/1
Topic: 🎗️ OSCE Station 5 — Microscopic Identification of Carcinoma of the Breast
⚖️ OSCE Station 6 — Forensic Examination in Sexual Offences: Examination, Sampling and Preservation of Evidence
KMU clinical activities: Examination of a rape victim and assailant + examination of a sodomy victim and assailant. Learning Objectives The student should be able to: Take appropriate consent from a rape victim. Demonstrate or describe the examination of a rape victim/manikin. Describe the procedure for taking samples from the victim/manikin/item. Describe the correct sealing and preservation of specimens. Describe the procedure for examining a victim of sodomy. Describe the procedure for taking appropriate samples in such a case. Describe the correct sealing and preservation of specimens obtained during the examination.
0/1
Topic: ⚖️ OSCE Station 6 — Forensic Examination in Sexual Offences: Examination, Sampling and Preservation of Evidence
💊 OSCE Station 7 — Contraceptive Identification and Counselling
KMU clinical activity: Contraception. Learning Objectives The student should be able to: Identify a given contraceptive device or drug. Explain its merits and demerits. Discuss the appropriate method of administration/use of the given contraceptive device or drug.
0/1
Topic: 💊 OSCE Station 7 — Contraceptive Identification and Counselling
🤰 OSCE Station 8 — Antenatal Care: Maternal Health Chart and WHO Visit Schedule
KMU clinical activity: Mother and child health. Learning Objectives The student should be able to: Identify the relevant mother-and-child-health chart presented at the station. Devise an appropriate schedule for antenatal visits according to WHO criteria.
0/1
Topic: 🤰 OSCE Station 8 — Antenatal Care: Maternal Health Chart and WHO Visit Schedule
💉 OSCE Station 9 — EPI Schedule, Vaccine Identification and Immunization Counselling
KMU clinical activities: EPI schedule + vaccination and immunization. Learning Objectives The student should be able to: Counsel a mother regarding the EPI schedule. Identify a given vaccine. Explain the uses of the vaccine. Discuss its schedule of administration. Interpret the VVM (vaccine vial monitor). Discuss the use of VVM in epidemics.
0/1
Topic: 💉 OSCE Station 9 — EPI Schedule, Vaccine Identification and Immunization Counselling
👶 OSCE Station 10 — Child Growth Assessment: Anthropometry, Shakir’s Tape and Growth Chart
KMU clinical activities: IMCI anthropometric measures/Shakir’s tape + growth chart. Learning Objectives The student should be able to: Identify the relevant anthropometric model/instrument. Measure the mid-upper arm circumference using Shakir’s tape. Calculate or determine the weight and height of the child as required by the station. Interpret the anthropometric results. Identify a growth chart. Plot data on the growth chart using a given clinical scenario. Interpret the different parts and findings of the growth chart.
0/1
Topic: 👶 OSCE Station 10 — Child Growth Assessment: Anthropometry, Shakir’s Tape and Growth Chart
📊 OSCE Station 11 — Interpretation of Demographic Indicators
KMU clinical activity: Demographic indicators. Learning Objectives The student should be able to interpret a given demographic indicator, including: Population pyramid Human Development Index (HDI) Physical Quality of Life Index (PQLI) Population growth rate Dependency ratio
0/1
Topic: 📊 OSCE Station 11 — Interpretation of Demographic Indicators
AIM OSPE/OSCE Lab — Endocrine & Reproduction-II Module | 4th Year MBBS
AIM OSCE / OSPE • MBBS

Station 1 — Prescription Writing in Graves’ Disease

4th Year • GIT / Hepatobiliary • Rapid Revision • Practical Skills • Viva

🎯 Candidate Task

An adult patient has newly diagnosed Graves’ disease with troublesome palpitations and tremor. Baseline blood tests are satisfactory and there is no contraindication to beta-blocker therapy. Write an appropriate initial prescription and state the essential safety advice.

⚡ Model Station Answer

Prescription:

Rx

Carbimazole 10 mg tablets — Take 10 mg orally twice daily.

Propranolol 20 mg tablets — Take 20 mg orally three times daily for symptomatic control, provided there is no contraindication.

Review clinical response and thyroid function tests in approximately 4–6 weeks and adjust antithyroid treatment accordingly.

Safety: Advise the patient to stop carbimazole and seek urgent medical assessment with a blood count if fever, sore throat or other features of infection develop.

Exam point: A complete prescription should include patient details, date, generic drug name, strength, dose, route, frequency and prescriber identification/signature.

🔎 How to Perform / Approach

  1. Step 1 — Review the scenario: Confirm the indication is Graves’ hyperthyroidism and check information relevant to safe prescribing.
  2. Step 2 — Complete patient details: Enter the patient’s identifiers and the prescription date.
  3. Step 3 — Prescribe the antithyroid drug: Write carbimazole using its generic name with a clear strength, dose, route and frequency.
  4. Step 4 — Control adrenergic symptoms: Add propranolol when indicated and when no beta-blocker contraindication is present.
  5. Step 5 — Write unambiguous instructions: Avoid unclear abbreviations and make the dose and frequency easily readable.
  6. Step 6 — Check safety: Confirm appropriate baseline monitoring and give the important carbimazole warning regarding fever or sore throat.
  7. Step 7 — Authenticate: Recheck the prescription for errors or omissions, then sign and provide prescriber details as required.

🖼️ Visual Learning

VISUAL 1

Writing a Safe Prescription for Graves’ Disease

 

📝 Important Viva Questions

1. What is the role of carbimazole in Graves’ disease?

Answer: Carbimazole reduces thyroid hormone synthesis and is commonly used as antithyroid therapy for Graves’ hyperthyroidism.

2. Why may propranolol be prescribed initially?

Answer: It provides rapid symptomatic relief of adrenergic manifestations such as palpitations, tremor and tachycardia while antithyroid treatment takes effect.

3. What important warning should a patient taking carbimazole receive?

Answer: The patient should stop carbimazole and seek urgent medical assessment if fever, sore throat or other signs of infection develop because of the risk of agranulocytosis.

4. What baseline tests are commonly checked before starting carbimazole?

Answer: A full blood count and liver function tests should be checked, together with appropriate thyroid function assessment.

5. Name one important contraindication to propranolol.

Answer: Bronchial asthma is an important contraindication because non-selective beta-blockade can precipitate bronchospasm.

Previous
Next
Scroll to Top
💬 WhatsApp Support