Trial OSCE exam: 'Practice' by Victoria

You are taking part in a trial exam created by Victoria. There are 18 OSCEs in this exam (180 minutes).

You have 3 minutes reading time. This OSCE will run for a maximum of 7 minutes.


A 78 year old woman presents with fainting episodes at home. She was walking to the toilet when she fainted without any warning. Your junior registrar shows you an ECG strip taken in the ambulance when she was unresponsive for a few seconds. She is now alert and well and wants to go home.

Attachment 1 is to be viewed now. Attachments 2 and 3 are for debrief.

View attached:   Attachment 1   Attachment 2   Attachment 3

Instructions for the candidate

Review the ECG strip and discuss it with the junior registrar. Advise the junior registrar the information you would like to know and the management of this patient.

Domains being examined

  • Medical Expertise
  • Prioritisation And Decision Making
  • Communication
  • Scholarship and Teaching
The candidate has 3 minutes reading time. This OSCE is expected to run for a maximum of 7 minutes.

For the actor

You have just been promoted to junior registrar after passing your primary examination 2 weeks ago. You saw this well looking elderly woman (78yo)who insists on going home because she has to feed her dogs. You managed to get a brief history from the patient and grabbed the ECG strip from the ambulance before talking to your consultant.

Patient’s history:
She has had 3 fainting episodes over the last 1 week but each time she recovered quickly without any sequelae. She is taking medications for diabetes, hypertension, irregular heartbeats and angina. Her GP started her on a fluid tablets 4 weeks ago and she is currently on antibiotic for a chest infection.

For the examiner

No prompts are given.

Domains Assessment Objectives

Medical Expertise
Ability to diagnose Torsades and its aetiology causes

Prioritisation And Decision Making
Immediate management and formulation of management plan

Ability to effectively communicate to a junior colleague.

Scholarship and Teaching
Effective teaching technique for registrar

Other Assessment Notes

Candidate must clearly identity the ECG diagnosis
Relevant history for fainting and Torsades
Management of torsades