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Year 3 Finals > OSCE > Flashcards

OSCE Flashcards

1
Q

Fundal height should be approximately gestational age in weeks +/- how many cm?

A

3cm

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2
Q

Oedema in a pregnant lady should ring alarm bells of what?

A

Pre-eclampsia

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3
Q

Too big for gestational age can suggest what?

A

Polyhydramnios, macrosomia, molar pregnancy

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4
Q

Too small for gestational age can indicate what?

A

Oligohydramnios, intra-uterine growth retardation

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5
Q

What is a normal foetal heart rate?

A

110-160

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6
Q

Where should we listen for a foetal heart rate?

A

Over baby’s anterior shoulder

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7
Q

Which way should the tape measure be when recording fundal height?

A

Face down

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8
Q

The P in ITPCRS for neurological examination stands for what?

A

Power AND Pronator drift

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9
Q

Which tuning fork should we use for vibration sense in neurological examination?

A

Large

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10
Q

Pretibial myxoedema and exophthalmos are indicative of what?

A

Graves’ disease

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11
Q

What will happen to a goitre swelling on swallowing water?

A

Ascend

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12
Q

Limited external rotation of the shoulder is indicative of what?

A

Adhesive capsulitis

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13
Q

Dupuytren’s thickening on hand examination are suggestive of what?

A

Alcoholic disease

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14
Q

Phalen’s test involves holding the hands in what position for how long?

A

Reverse prayer sign for 60 seconds
- will stimulate carpal tunnel symptoms

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15
Q

In Tinel’s test what nerve are we tapping over?

A

Median nerve

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16
Q

How do we calculate rhythm from an ECG rhythm strip?

A

300 divided by how many big squares between QRS peaks

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17
Q

Wide QRS complexes can be caused by what?

A

Hyperkalaemia, SVT

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18
Q

Narrow QRS complexes can be caused by what?

A

Atrial flutter, atrial fibrillation

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19
Q

What are the 3 first steps in treating a STEMI or NSTEMI?

A

Analgesia, 300mg aspirin, O2 if sats below 94%

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20
Q

Give 3 ways we can treat hyperkalaemia

A

Salbutamol nebulisers, IV insulin, calcium resonate

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21
Q

How do we treat VF?

A

CPR, de-fibrillation, epinephrine, amiodarone

22
Q

What is a normal fasted cap BG value?

A

3.9-5.5mmol/l

23
Q

Fasted cap BG of over what value indicates diabetes?

A

7.0mmol/l

24
Q

Random or 2 hour post load cap BP of what value indicates diabetes?

A

11.1mmol/l

25
Q

What should we do if a cap BG suspects diabetes?

A

Request a venous lab measurement, screen for associated problems such as hypertension and hypercholesterolaemia

26
Q

A cap BG value of below what is classed as hypoglycaemia?

A

Below 4.0mmol/l

27
Q

High cap BG in a known diabetic raises concern over what?

A

DKA

28
Q

What is the immediate management of an unconscious patient with hypoglycaemia?

A

IM glucagon

29
Q

What does a patient need to do before taking a dose of an inhaler?

A

Breathe out

30
Q

How long should patients hold their breath after taking a dose of an inhaler?

A

10 seconds

31
Q

What position does the leg take if the neck of femur is fractured?

A

Shortened and externally rotated

32
Q

Ataxic gait indicates a lesion where in the brain?

A

Cerebellum

33
Q

The Trendelenburg test tests for what?

A

Weak or paralysed hip abductors

34
Q

High stepping gait indicates what?

A

Foot drop

35
Q

Which special test(s) should be carried out in hand examination?

A

Tinel’s and Phalen’s

36
Q

Which special test(s) should be carried out in hip examination?

A

Thomas and Trendelenburg

37
Q

Which special test(s) should be carried out in knee examination?

A

Patellar tap (+/- bulge test for smaller effusions if no patellar tap) and posterior/anterior drawer test
- POSTERIOR FIRST

38
Q

Which special test(s) should be carried out in ankle and foot examination?

A

Lateral squeeze for Morton’s neuroma

39
Q

Fine tremor is related to which medication?

A

Salbutamol inhalers

40
Q

Flapping tremor/aterixis is related to what?

A

Hypercapnia
- consider COPD, T2RF

41
Q

Which assessment can we undertake in primary care for depression?

A

PHQ-9

42
Q

How long should we advise patients that it takes for SSRIs to start taking effect?

A

2-4 weeks

43
Q

Common side effects of SSRIs include?

A

GI upset, anxiety, suicidal ideation

44
Q

Minimum how long should antidepressants be continued for once remission has been reached?

A

6 months

45
Q

What is the typical urine output?

A

0.5ml/kg

46
Q

Nitrites in the urine is indicative of what?

A

UTI

47
Q

Bilirubin in the urine is via what type of hyperbilirubinaemia?

A

Conjugated
E.g. pancreatic cancer

48
Q

DKA will show what type of urinary pH?

A

Low

49
Q

How often should thyroid function tests be taken until function has stabilised post hypothyroidism diagnosis?

A

Every 3 months

50
Q

When should levothyroxine be taken?

A

In the morning on an empty stomach, 30 minutes before eating

51
Q

Which 2 drugs can be used in hyperthyroidism?

A

Carbimazole, propylthiouracil

Year 3 Finals (7 decks)

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