OSCE Treatment Protocols & Interventions 2

Question 1

A patient presents with anaphylaxis after a bee sting. What is the FIRST-line treatment?

Accepted Answer

Epinephrine 0.3mg IM into the lateral thigh

Answer

Epinephrine IM is the first-line treatment for anaphylaxis due to its rapid onset and ability to reverse bronchoconstriction and vasodilation.

Question 2

During a urinary catheterization, the patient reports significant pain and resistance is felt. What is the appropriate next step?

Accepted Answer

Stop the procedure and notify the supervising physician

Answer

Resistance and pain during catheterization may indicate urethral stricture or false passage, requiring physician evaluation before proceeding.

Question 3

A child with febrile seizure has stopped convulsing. Temperature is 39.8°C. What is the priority intervention?

Accepted Answer

Reassure parents and monitor; administer antipyretics

Answer

Most simple febrile seizures are self-limiting; antipyretics and parental education are the mainstay of management.

Question 4

You are performing a wound irrigation. What is the recommended irrigation pressure for a contaminated wound?

Accepted Answer

8–15 psi using a 35mL syringe with 19-gauge angiocath

Answer

8–15 psi is the optimal irrigation pressure to remove bacteria and debris without damaging tissue.

Question 5

A patient on warfarin presents with an INR of 8.5 and is actively bleeding. Which intervention is most appropriate?

Accepted Answer

Administer 4-factor PCC and IV vitamin K

Answer

For life-threatening bleeding with supratherapeutic INR, 4-factor prothrombin complex concentrate (PCC) with IV vitamin K provides the fastest reversal.

OSCE Practice Test

OSCE Practice Test

OSCE Treatment Protocols & Interventions 2