Mini

Osce Oath group E

Done by : Dana ALTARIFI
Q1
What is your treatment ?
A) Cardioversion
B) Dc
C) Iv amiodaron
D) Iv adenosine

E) Ans : B
Q2
What is the underlying condition
a. Hypothyroidism
b. Hyperthyroidism
C. Pulmonary embolism

Ans : A
Q3
Dx
Inferior st elevation mi
Q4
What is the most effective treatment
A) thrombolytic therapy
B) Aspirin
C) Primary angioplasty
D) B blockers

Ans : c
Q5
This patient presents with high blood
pressure and worsening kidney function,
what is the best initial treatment?
a. Steroids
b. Oral Acei
c. Iv methotrexate
d. Antihistamine

Ans A
Q6
This 67 y\o asymptomatic patient took this
cxr preoperativly which of the following is
not part of the test planned or required?
a) Ct of the chest
b) Pet scan
c) Sputum for acid base
d) Previous cxr
e) Bronchoscopy and biopsy

Ans C
Q7
This 40 y/o never smoked presents with
cough weight loss and night sweats for 6
weeks, what test helps you to diagnose
a) Sputum for acid base
b) Biopsy
c) Ct

Ans A
Q8
Dx
a) Massive left sided plural
effusion
b) Pneumothorax
c) Left sided lung collapse

Ans A
Q9
Dx
Ankylosing spondylitis
Q10
Dx
End stage liver disease
Q11
Dx
Sickle cell disease
Q12

• What is the acid base

disorder

Chronic respiratory acidosis

Q13
Where do we use this device

Obstructive sleep apnea

Q14
This patient presents with itchy rash and
difficulty swallowing what is your tx
a) Steroids and antihistamine
b) Intubation,steroids and antihistamine
c) Antibiotics

Ans B
Q15
This patient presents with exertional dyspnea
and low blood pressure Dx

Cardiac tamponade
Case 1
• Infective endocarditis
• What physical sign is present : splenomegaly, pulsatile jvp, bilateral
basal crackle, nail pitting (Ans: splenomegaly )
• What empirical treatment do we use : vancomycin and gentamicin
• For how long : 4-6 weeks
• How to confirm Dx : blood culture
• Not an indication for surgical intervention: infection with
staphylococcus aureus
Case 2
• Hepatic encephalopathy
• What do we need to measure: serum ammonia
• What drug makes level of consciousness worse :
diazepam,spironelactone , lactulose , ribavarin ( Ans: diazepam)
• What should be measured in this patient before any intervention: INR
• This patient presents with fever and abdominal pain Dx :SBP
• How to diagnose: ascites aspiration and culture