OSCE Treatment Protocols & Interventions 3

Question 1

A patient with ST-elevation MI is being prepared for primary PCI. In addition to aspirin, which antiplatelet agent is recommended?

Accepted Answer

Ticagrelor 180mg loading dose

Answer

Ticagrelor 180mg loading dose (or prasugrel/clopidogrel) is added to aspirin as dual antiplatelet therapy for STEMI patients undergoing PCI.

Question 2

You are suturing a facial laceration. Which suture material is most appropriate for the skin closure?

Accepted Answer

5-0 Prolene (non-absorbable monofilament)

Answer

5-0 or 6-0 non-absorbable monofilament (Prolene/Nylon) is preferred for facial lacerations to minimize scarring and allow precise removal.

Question 3

During an OSCE station, a patient with asthma fails to respond to two back-to-back albuterol nebulizers. What is the next appropriate step?

Accepted Answer

Add ipratropium bromide nebulizer and systemic corticosteroids

Answer

Ipratropium bromide combined with systemic corticosteroids is the next step for moderate-to-severe asthma not responding to initial bronchodilators.

Question 4

A patient requires procedural sedation. You administer midazolam and the patient becomes apneic. What reversal agent should you administer?

Accepted Answer

Flumazenil 0.2mg IV

Answer

Flumazenil competitively reverses benzodiazepine-induced sedation and respiratory depression.

Question 5

A 70-year-old patient is prescribed metformin for type 2 diabetes. Which condition would CONTRAINDICATE this medication?

Accepted Answer

eGFR of 25 mL/min/1.73m²

Answer

Metformin is contraindicated when eGFR falls below 30 mL/min/1.73m² due to risk of lactic acidosis from drug accumulation.

OSCE Practice Test