OSCE

Question 1

Thyrotoxicosis management ?

Answer 1

Propanolol
Propylthiouracil
Hydrocortisone

Question 2

Safety points for each station?

Answer 2

Allergies
Safety net
Provide information on how to get help

Question 3

Management of DKA

Answer 3

IV fluids - 0.9% saline
0.1 units/kg of insulin
Give K+ - initially may be hyperkalaemic but insulin causes K+ to shift into cells causing HYPOkalaemia

Question 4

Hypocalcaemia management?

Answer 4

MEDICAL EMERGENCY

10ML 10% CALCIUM GLUCONATE over 10 minutes in saline or dextrose

Question 5

Management of myxoedema coma (hypothyroid)

Answer 5

IV levothyroxine
IV fluids
IV corticosteroids

Question 6

Hypoglycaemia in community - patient alert

Answer 6

Oral glucose (10-20mg) glucogel/tablet
Fast acting carb

Question 7

Hypoglycaemia - patient unable to swallow/unconscious

Answer 7

IM glucagon

Question 8

Hypoglycaemia and reduced GCS

Answer 8

IV glucose

Question 9

Dose of adrenaline in cardiac arrest?

Answer 9

1mg IV

Question 10

Dose of adrenaline in anaphylaxis ?

Answer 10

0.5mg IM

Question 11

When is nephrostomy preferred?

Answer 11

Stone blocking ureter/kidney –> hydronephrosis but infection so don’t want to remove stone yet

Question 12

CI to lithotripsy?

Shock wave degradation of renal stone

Answer 12

Pregnancy
Bleeding disorder or anticoagulation
Stone >10mm

Question 13

Optic disc cupping/lost?

What are you going to do?

Answer 13

Check other eye to confirm or exclude papilloedema

Check BP