OSCE MCQ 4

Question 1

In an OSCE gynecology station, a woman presents with heavy periods and an enlarged, irregular uterus. The most likely diagnosis is:

Accepted Answer

Uterine fibroids

Answer

Uterine fibroids (leiomyomas) classically present with heavy menstrual bleeding and an enlarged, irregular uterus on bimanual examination.

Question 2

During an OSCE station on ECG interpretation, you note ST elevation in leads II, III, and aVF. Which coronary artery is most likely occluded?

Accepted Answer

Right coronary artery

Answer

Inferior ST elevation in leads II, III, and aVF indicates right coronary artery (RCA) occlusion in the majority of patients.

Question 3

In an OSCE station on obtaining informed consent, which element is NOT required for valid consent?

Accepted Answer

Guarantee of a successful outcome

Answer

Valid consent requires capacity, adequate information disclosure, and a voluntary decision — outcomes cannot be guaranteed and this is not a consent requirement.

Question 4

During a musculoskeletal OSCE station, Finkelstein's test is performed. Which condition does a positive result indicate?

Accepted Answer

De Quervain's tenosynovitis

Answer

Finkelstein's test (pain on ulnar deviation with thumb enclosed in fist) is positive in De Quervain's tenosynovitis affecting the first extensor compartment.

Question 5

A medical student in an OSCE station correctly identifies a patient with clinical features of myxedema. Which finding is most consistent with hypothyroidism on examination?

Accepted Answer

Slow-relaxing reflexes and bradycardia

Answer

Hypothyroidism causes slow-relaxing deep tendon reflexes (hung-up reflexes) and bradycardia due to decreased metabolic rate.

OSCE Practice Test

OSCE Practice Test

OSCE MCQ 4