OSCE MCQ 2

Question 1

During an OSCE station on abdominal examination, which finding most specifically suggests peritoneal irritation?

Accepted Answer

Rebound tenderness

Answer

Rebound tenderness (Blumberg's sign) specifically indicates peritoneal irritation when pain worsens upon sudden release of deep abdominal pressure.

Question 2

A patient presents with a unilateral, painless, hard, irregular breast lump in an OSCE breast exam station. What is the most appropriate next step in management?

Accepted Answer

Refer urgently for triple assessment

Answer

A hard, irregular, painless breast lump raises concern for malignancy and requires urgent triple assessment (clinical exam, imaging, biopsy).

Question 3

In an OSCE communication station, a patient refuses a blood transfusion on religious grounds despite life-threatening anemia. What is the most appropriate response?

Accepted Answer

Respect the decision and document it

Answer

A competent adult has the right to refuse treatment, including blood transfusions, and this decision must be respected and documented.

Question 4

During a respiratory OSCE station, you note tracheal deviation to the right. Which condition most commonly causes this?

Accepted Answer

Right upper lobe collapse

Answer

Right upper lobe collapse pulls the trachea toward the affected side (toward the right), whereas tension pneumothorax pushes it away.

Question 5

In an OSCE neurology station, a patient cannot perform rapid alternating movements smoothly. This finding is called:

Accepted Answer

Dysdiadochokinesia

Answer

Dysdiadochokinesia is the inability to perform rapid alternating movements smoothly and is a sign of cerebellar dysfunction.

OSCE Practice Test

OSCE Practice Test

OSCE MCQ 2