OSCE

Question 1

What are 5 moments of hand hygiene?

Answer 1

	Before patient contact
	After patient contact
	Before using an aseptic technique
	After contact with blood or saliva
	Before leaving patient surroundings

Question 2

What is the name of hand washing technique?

Answer 2

o Ayliffe technique

Question 3

Questions to ask if pt has asthma

Answer 3

Age onset
Symptoms during attack
Aggravating factors
 Relieving factors
Level of control (mild, mod, severe)/Last attack/frequency of attacks
Duration of attacks
History hospitalisation
Medications

Question 4

Generic questions to ask for any medical condition

Answer 4

History hospitalisation
Medications
Aggravating factors
 Relieving factors
Age onset
Frequency / level of control

Question 5

Medical history

Answer 5

GP
CVS
RS
ENDO- diabetes or thyroid
Blood/ infection/clotting
Skin
Stomach/digestion (GI)
MS (muscle, joins and bone!)
Cancer
chemo

Question 6

issues that can occur with radiographs

Answer 6

Developer temperatureFixer concentrationOut of date film usedPatient movementFilm placed back to frontFilm fogging (exposure to light)Scatter

Question 7

You get a sharps injury, what do you do next?

Answer 7

o Make bleed and run under warm water
o Inform head nurse who will take patients blood
o Arrange a blood sample to be taken from yourself
o Assess patient risk – ask them the questions from the risk assessment form
o Complete Datix form and inform occupational health.
o May need post exposure prophylaxis if the patient is high risk.

Question 8

Problems with LA cartridges

Answer 8

 There is no information about the contents of the cylinder
 The expiry date has passed
 The solution is cloudy
 There is a crack or fracture in the cylinder
 There is a large air bubble obvious in the solution
 The plunger is extruded from the end of the cylinder

Question 9

what LA to use for severe hepatitis?

Answer 9

Prilocaine – amide partly metabolized in the lung

o Articaine – amide partly metabolized in the blood by pseudocholinesterases.

Question 10

How to do an IDB?

2) how much do you pull out to gibe a lingual block as well?

Answer 10

Landmarks: 
premolars of opposite side
pterygomandibular raphe
internal oblique ridge
coronoid notch
posterior border of ramus
2) half way