OSCE

Question 1

what is GTN spray, dose, adminstration route and what is it used for

Answer 1

Glyceryl trinitrate spray
400 micrograms / dose
sublingual
angina

Question 2

how does GTN spray work

Answer 2

potent vasodilator for coronary artery

Question 3

what are possible side effects of using GTN spray

Answer 3

dizziness

headaches

Question 4

what is Salbutamol used for, dose, admin route

Answer 4

blue inhaler / reliever for asthma
inhalation
100 micrograms/actuation or 10 puffs

Question 5

how does salbutamol work

Answer 5

B2 agonist
bronchodilator
smooth muscle relaxant

Question 6

What is adrenaline used for, dose and admin route

Answer 6

0.5mg (0.5ml of 1:1000 solution)
Anaphylaxis
Intramuscular using anterio lateral part of thigh

Question 7

how does adrenaline work

Answer 7

alpha receptor agonist
B1 agonist
B2 agonist 
mast cells stabilisation 
glucose elevation

Question 8

what is aspirin used for, dose and admin route

Answer 8

Myocardial infarction
300 mg
oral

Question 9

how does aspirin work

Answer 9

antiplatelet

Question 10

What is glucagon used for, dose and admin route

Answer 10

when glucose gone, converts glycogen -> glucose
unconscious hypoglycaemia
1mg
intramuscular

Question 11

how does glucagon work

Answer 11

glycogenolysis

Question 12

when would you use a glucose solution or tablet instead of glucagon

Answer 12

conscious hypoglycaemia for glucose solution

unconscious -> glucagon

Question 13

what is midazolam, dose and admin route

Answer 13

epilepsy,
status epilepticus (prolonged seizure > 5mins)
10mg/ml
buccal (gums)

Question 14

how does midazolam work

Answer 14

muscle relaxant

Question 15

when would you give oxygen and how, and how much

Answer 15

15L/min, inhalation

syncope, MI, anaphylaxis, adrenal insufficiency, stroke

Question 16

how would you treat angina

Answer 16

GTN spray
400 mcg/dose
sublingual

Question 17

how would you treat asthma

Answer 17

blue reliever = salbutamol
100 mcg/ actuation = 10 puffs
inhalation

Question 18

how would you treat anaphylaxis

Answer 18

adrenaline
0.5mg (0.5ml of 1:1000 sol)
intramuscular
anterio lateral part of thigh

Question 19

how much adrenaline is needed according for age and what is it used for

Answer 19

anaphylaxis ( severe allergy)
adult/>12 = 0.5mg
6-12 = 0.3mg
<6 = 0.15mg

Question 20

how would you treat myocardial infarction

Answer 20

dispersable aspirin
300mg
oral

Question 21

how would you treat unconscious hypoglycaemia

Answer 21

glucagon
1mg
intramuscular

Question 22

how would you treat conscious hypoglycaemia

Answer 22

glucose sol/tablet/powder/gel

oral

Question 23

how would you treat epilepsy or a status epilepticus

Answer 23

midazolam
10mg/ml
bucally (gums)

Question 24

what is status epilepticus

Answer 24

prolonged seizure lasting more than 5 mins

Question 25

how much midazolam would you give according to age, and for what, and its action mech

Answer 25

epilepsy or status epilepticus 
works as a muscle relaxant
>10 = 10mg
5-10 = 7.5mg
1-5 = 5mg
<1 = 2.5mg

Question 26

when would you avoid giving oxygen to a patient

Answer 26

if hyperventilating