PRES 3 OSCE practice stations

44 clinician-reviewed PRES 3 OSCE stations with real candidate briefs and examiner focus points, grounded in NICE and HSE guidance. Practise each one with an AI patient.

cardiology

• Explain ECG — newly diagnosed atrial fibrillation — PLAB 2 & PRES 3, medium
• Acute chest pain — suspected ACS — PLAB 2 & PRES 3, hard

communication

• Treatment escalation and CPR discussion — advanced cancer — PLAB 2 & PRES 3, medium
• Capacity assessment — refusing blood transfusion — PLAB 2 & PRES 3, hard
• Medication error — insulin overdose disclosure — PLAB 2 & PRES 3, hard
• SBAR telephone referral — severe hyperkalaemia — PLAB 2 & PRES 3, hard
• Angry relative — prolonged ED wait — PLAB 2 & PRES 3, medium
• Breaking bad news — confirmed lung cancer — PLAB 2 & PRES 3, hard

emergency

• Acute kidney injury — fluid prescription and medication review — PLAB 2 & PRES 3, medium
• Diabetic ketoacidosis — VBG interpretation and initial management — PLAB 2 & PRES 3, hard
• Suspected urinary-source sepsis — PLAB 2 & PRES 3, hard
• Anaphylaxis — emergency management — PLAB 2 & PRES 3, hard

emergency medicine / nephrology

• Severe hyperkalaemia with ECG changes — PLAB 2 & PRES 3, hard

endocrine

• Hypothyroidism — new diagnosis — PLAB 2 & PRES 3, easy
• Type 2 diabetes — newly diagnosed counselling — PLAB 2 & PRES 3, medium

endocrinology / emergency medicine

• Diabetic ketoacidosis — VBG interpretation and initial management — PLAB 2 & PRES 3, hard

gastro

• Upper gastrointestinal bleed — haematemesis and melaena — PLAB 2 & PRES 3, hard
• GORD counselling and red-flag assessment — PLAB 2 & PRES 3, medium

geriatrics

• Acute confusion in an older adult — delirium — PLAB 2 & PRES 3, hard

haematology

• Iron-deficiency anaemia — adult assessment — PLAB 2 & PRES 3, medium

msk

• Back pain — suspected cauda equina syndrome — PLAB 2 & PRES 3, hard

neurology

• First suspected seizure — assessment, safety and driving advice — PLAB 2 & PRES 3, hard
• Thunderclap headache — suspected SAH — PLAB 2 & PRES 3, medium
• Stroke — FAST positive — PLAB 2 & PRES 3, hard

obs-gyn

• Ectopic pregnancy — suspected rupture — PLAB 2 & PRES 3, hard
• Lower UTI in pregnancy — assessment and treatment — PLAB 2 & PRES 3, medium
• Postmenopausal bleeding — urgent assessment — PLAB 2 & PRES 3, medium

ophthalmology

• Acute painful red eye — suspected angle-closure glaucoma — PLAB 2 & PRES 3, hard

paediatrics

• Child safeguarding — suspicious bruising in a non-mobile infant — PLAB 2 & PRES 3, hard
• HPV vaccine counselling — parent concerns — PLAB 2 & PRES 3, easy
• Child vaccination hesitancy — MMR/MMRV — PLAB 2 & PRES 3, medium
• Paediatric fever — assessing a 2-year-old — PLAB 2 & PRES 3, medium

pharmacology

• Warfarin counselling and INR monitoring — PLAB 2 & PRES 3, medium

psychiatry

• Acute psychosis — mental-state and risk assessment — PLAB 2 & PRES 3, hard
• Alcohol dependence — assessment and safe management — PLAB 2 & PRES 3, hard
• Suicidal ideation — urgent assessment — PLAB 2 & PRES 3, hard

respiratory

• Explain inhaler technique — pMDI with spacer — PLAB 2 & PRES 3, easy
• Asthma review — uncontrolled symptoms — PLAB 2 & PRES 3, easy
• COPD exacerbation — acute management — PLAB 2 & PRES 3, hard

safeguarding

• Domestic abuse disclosure — immediate safety assessment — PLAB 2 & PRES 3, hard

surgery

• Testicular torsion — acute scrotal pain — PLAB 2 & PRES 3, hard
• Pre-operative assessment for elective hernia repair — PLAB 2 & PRES 3, medium
• Consent for laparoscopic appendicectomy — PLAB 2 & PRES 3, medium

vascular

• DVT — suspected deep vein thrombosis — PLAB 2 & PRES 3, medium

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