OSCE MCQ 3

Question 1

During an OSCE ABCDE assessment station, after ensuring scene safety, what is the first step when approaching an unresponsive patient?

Accepted Answer

Call for help and check responsiveness

Answer

The first step in any patient assessment is to check responsiveness and simultaneously call for help before proceeding to airway.

Question 2

In an OSCE prescribing station, you need to prescribe morphine for acute pain. Which co-prescription is always required to prevent a common side effect?

Accepted Answer

Laxative

Answer

Opioids cause constipation by acting on gut opioid receptors, so a laxative must always be co-prescribed.

Question 3

During an OSCE ENT station, which finding on otoscopy is most consistent with acute otitis media?

Accepted Answer

Bulging, erythematous tympanic membrane

Answer

Acute otitis media causes a bulging, erythematous tympanic membrane due to middle ear inflammation and pus accumulation.

Question 4

An OSCE station requires you to measure a patient's peak expiratory flow rate (PEFR). What position should the patient be in?

Accepted Answer

Standing upright

Answer

PEFR is most accurately measured in the standing position, though seated is acceptable if the patient cannot stand.

Question 5

In a pediatric OSCE station, you observe a child with a barking cough, inspiratory stridor, and low-grade fever. The most likely diagnosis is:

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

Croup is characterized by a barking cough, inspiratory stridor, and mild fever due to subglottic inflammation, typically from parainfluenza virus.

OSCE Practice Test

OSCE Practice Test

OSCE MCQ 3