One Step Ahead

OSA Medics are clinically experienced tutors offering 1-2-1 interview practice for prospective medic Please visit www.osa-medics.com for more information.

One Step Ahead Medics (OSA Medics) was founded in 2016 by a group of family and friends dedicated to student education. We solely employ tutors with proven educational experience, clinical competency and interactive teaching styles. The team is vast ranging from junior doctors to senior registrars across many medical and surgical specialties who have graduated from universities across London and Cambridge. Our goal is to provide a platform and access route for both prospective medical students and medical students to high standard private education. This will include one to one interview practice sessions with one of our specialised tutors. We will ensure to pair you with a tutor who has qualified from your first choice university and who has experience in medical school interviews. We will also be delivering SJT courses in November and December 2016. The content of this course was trialed in December 2015 to a mixture of students from Imperial College London, Southampton University and St George's medical school with excellent feedback that can be seen on our testimonial page. It is a guideline based presentation based on accurate summaries of the GMC guidelines with realistic practice questions. Finally, beginning in January 2017 we will be hosting national revision lectures for medical examinations. This will include lectures for individual clinical years to ensure our content is tailored to the standard of your examination. We separate ourselves from the rest by ensuring that all our material that is taught during our revision courses is only delivered by doctors who are clinically experienced in their respective specialty. That way, we ensure that you are only receiving accurate and high quality content with high yield examination knowledge. Alternatively, email us at admin@osa-medics.com if you have any questions or would like to make a booking with us.

05/03/2017

An excellent General Surgery revision lecture for final year medical students by two great Surgical Registrars!

03/03/2017

Dear all,

This is a short message confirming some details about tomorrow's event; 'Finals Preparation Course'.

Registration will be open at 0830 with coffee and refreshments and a chance to pick up your booklet. The course will aim to start for 0900 and aim to finish by 1700.

All attendees will require registration with Security at:

St George's University of London
Cranmer Terrace
Tooting, London
SW17 0RE

From here, you will be picked up by a member of the organisation and taken to Lecture Theatre A. If you are driving, the parking available is purely pay and display. If you are taking the train, the nearest train station is Tooting Broadway, which is on the Northern Line.

Please let me know if you have any other questions.

Look forward to meeting you all tomorrow.

BW

Senan

27/02/2017

*** LAST CHANCE FOR TICKETS ***

Hey guys,

We hope you're all managing to get some focused revision done for your finals! This is a particularly stressful time for many of you as the stakes are higher than ever before.

We'd like to remind you that this is your last chance to get tickets for the event if you haven't already done so. Remember this course will be just as useful for third and penultimate year students who have medical and surgical exams! Everyone is welcome!

Our offer is £70 for both days and we've put together an extremely useful revision booklet which will be included to ensure your success. Further discounts are available if booked in groups. Lunch, refreshments and plenty of caffeine will also be provided.

This is one course not to miss!

BW

OSA Medics

27/02/2017

*UPDATE*

We are all excited to get Saturday started with our first guest speaker of the day - Senior Interventional Cardiology Registrar who has been involved in both teaching and examining for medical schools across the South Thames Deanery. Perfect opportunity to learn all the tricks needed to answer any ECG question.

For those of you who feel the need to brush up on your surgical knowledge - Sunday will be kick started by our Senior Surgical Registrar who will be teaching you how to approach and answer surgical questions in your upcoming exams.

Promises to be a great day.

BW

OSA Medics

26/02/2017

*** SAMPLE QUESTION 8 ***

Mrs. Smith is a 32 year old lady who presents with a two weeks history of passing red coloured urine, particularly in the morning. She has come to A&E today because she is now getting progressively more short of breath and easily fatigued. She has no past medical problems. Her bloods show an iron deficiency anaemia with a Haemoglobin of 95. All other bloods are within the normal range.

Part A: Based on your presumed diagnosis what is the most accurate diagnostic test for this condition:
A: Bone scan
B: Bone marrow biopsy
C: Flow cytometry
D: Urinary Haemosiderin
E: CT scan of the chest/abdomen/pelvis

Part B: What is the most common cause of death in these patients?
A: Thrombosis
B: Cardiac Arrest
C: Uncontrolled haemorrhage
D: Liver failure
E: Bone marrow failure

25/02/2017

*** SAMPLE QUESTION 7 ***

Mr. Smith is a 65 year old gentleman who had a cholecystectomy two weeks ago. He has now presented with severe right upper abdominal pain and vomiting. His wife has commented that he looks more yellow than usual. He has been eating and drinking well and has had no fevers or rigors.
His bloods are insignificant except for an ALP of 380, ALT of 99 and a Bilirubin of 52.

What is the most important step to definitively manage this patients symptoms?

A: Ultrasound of the abdomen/pelvis
B: MRCP
C: ERCP
D: CT scan of the abdomen / pelvis
E: Cholecystostomy

22/02/2017

*** SAMPLE QUESTION 6 ***

Mr. Smith is a 38 year old gentleman who presents with severe epigastric pain radiating through to the back associated with 6 episodes of vomiting. He was out at his friends birthday last night but does not recall eating anything out of the ordinary. On examination he is tender in the epigastrium with localised guarding. You have taken a set of bloods with the results below:
Hb: 15
WCC: 15.4
Platelets: 421
CRP: 82
Na: 138
K: 4.5
Urea: 6
Creatinine: 54
eGFR: >60
Bilirubin: 9
ALT: 38
ALP: 88
Albumin: 35
Calcium: 1.98
Phosphate: 1.2
Lipase: 3000

Based on your presumed diagnosis, what is the next most appropriate investigation to complete your initial assessment:

A: ABG
B: Erect CXR
C: AXR
D: Ultrasound of the abdomen/pelvis
E: CT scan of the abdomen/pelvis

22/02/2017

*** SAMPLE QUESTION 5 ***

Mrs. Smith is a 80 year old lady with a background of Hypertension, T2DM and COPD. She attends A&E complaining of a five day history of progressive shortness of breath and a productive cough of yellow sputum. On examination there is reduced air entry bilaterally with an expiratory wheeze. The ABG on air is as follows:
pH: 7.28
pCO2: 8.51
pO2: 8.23
HCO3: 32
Lactate: 2.2

What is the most appropriate management of this patient based on the options below?

A: High flow oxygen via non-rebreathe
B: Venturi mask starting at 24%
C: Humidified oxygen through a simple face mask
D: Non-invasive ventilation
E: Nasal cannula aiming saturations at 88-92%

22/02/2017

*** SAMPLE QUESTION 4 ***

Mr. Smith is a 21 year old gentleman who presents with a two day history of abdominal pain. He says the pain started around his belly button and has now localised to his right lower abdomen. On examination he is tender and guarding in the RIF. He is currently pyrexic with a CRP of 120. What is the most appropriate management of this patient?

A: Ultrasound of the abdomen/pelvis
B: CT scan of the abdomen/pelvis
C: Diagnostic laparoscopy
D: Abdominal X-ray
E: MRI small bowel

21/02/2017

** SAMPLE QUESTION 3 ***

A 21 year old man is brought to A&E after being stabbed in the back. He is currently alert and orientated. Basic observations are normal. Neurological examination of the right side reveals an absence of motor activity in the right lower limb with absent reflexes. Neurological examination of the left lower side reveals normal motor activity but a loss of pinprick sensation below the level of the umbilicus. However, sensation to light touch and proprioception is normal on the left side but diminished on the right side. What is the most likely location of the patients injury:

A: Left spinal hemisection at T8
B: Left spinal hemisection at T10
C: Left spinal hemisection at C6
D: Right spinal hemisection at T8
E: Right spinal hemisection at T10
F: Right spinal hemisection at C6

21/02/2017

*** SAMPLE QUESTION 2 ***

Mr. Smith is a 97 year old gentleman with a background of T2DM and previous Vagotomy for reflux disease. He presents with nausea and vomiting within an hour of eating. His latest HbA1c is 12.4%. You are asked to prescribe an appropriate anti-emetic given his likely underlying diagnosis.

A: Metoclopramide
B: Erythromycin
C: Cyclizine
D: Ondansetron
E: Domperidone

21/02/2017

*** SAMPLE QUESTION 1 ***

Mrs. Smith is a 81 year old lady who presents with a collapse. You are told by her husband that one hour previous she was complaining of chest pain radiating through to the back. She has a past medical history of uncontrolled Hypertension on Ramipril, Amlodipine and Bendroflumethiazide. Her observations are as follows: BP 90/40, HR 110, O2: 98% on air, RR: 28, T: 37.5. On auscultation you detect beats which cannot be felt on distal examination of her radial pulse. Her JVP is elevated. Chest is clear with good air entry bilaterally. Which type of pulse pattern would you expect in this patient?

A: Pulsus Alterans
B: Pulsus Paradoxus
C: Pulsus Bigeminus
D: Pulsus Bisferiens
E: Waterhammer Pulse

Address

Kingston Upon Thames
KT160PZ

Telephone

+447595177724

Website

http://www.1stepahead.org.uk/

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