OSCE Revision

Question 1

What is the dose of 1 spray of GTN?

Answer 1

400mcg

Question 2

What is the dose of Aspirin?

Answer 2

300mg

Question 3

What is the dose of IV Morphine?

Answer 3

Up to 10mg, with a further 10mg if pain has not settled

Question 4

What is the dose of IV Paracetamol?

Answer 4

1g

Question 5

What is the dose of Ondansetron?

Answer 5

4mg

Question 6

What would elevation in leads II, III and aVF show?

Answer 6

Inferior MI

Question 7

What would elevation in leads v1, v2, v3 and v4 show?

Answer 7

Anterior MI

Question 8

What would elevation in I, v5 and v6 show?

Answer 8

Lateral MI

Question 9

What would chest pain, with a pale pallor and pain the jaw suggest?

Answer 9

An MI

Question 10

What is the dose of Hydrocortisone?

Answer 10

100mg

Question 11

What is the dose of Chlorphenamine?

Answer 11

10mg

Question 12

What is the dose of Salbutamol?

Answer 12

5mg

Question 13

What is the dose of Ipratropium Bromide?

Answer 13

500mcg

Question 14

How much O2 does a nebuliser require?

Answer 14

6-8 litres

Question 15

What is the dose of IM Adrenaline?

Answer 15

500mcg

Question 16

What route would Adrenaline be given in life-threatening asthma?

Answer 16

IM

Question 17

Where would the IM needle be put when administering Adrenaline?

Answer 17

Anterior lateral aspect of the thigh

Question 18

What would be a last resort in the treatment of life-threatening asthma?

Answer 18

Bilateral chest decompression

Question 19

What warrants asthma as life-threatening?

Answer 19

Silent chest
Cyanosis
Sats >92%
Exhaustion

Question 20

What is the dose of Adrenaline in Anaphylaxis?

Answer 20

500mcg

Question 21

When should Adrenaline be administered in life-threatening Anaphylaxis?

Answer 21

As soon as possible

Question 22

When does Anaphylaxis move to Refractory?

Answer 22

After 2 doses of IM Adrenaline

Question 23

What is the recommended amount of fluids in Anaphylaxis?

Answer 23

Maximum 2 litres

Question 24

What should you do if you have given 2 litres of fluid to a patient in Refractory Anaphylaxis?

Answer 24

Call ahead for clinical advice

Question 25

What should you do once you have given drug therapies to someone you suspect is having an MI?

Answer 25

Put the pads on

Question 26

What should you do on route to hospital with a suspected MI?

Answer 26

Ring PPCI

Question 27

What is the dose for Oxygen in time-critical patients?

Answer 27

15 litres

Question 28

What should be a priority when treating an unconscious patient?

Answer 28

Checking the BM

Question 29

What is considered a normal BM for patients without Diabetes?

Answer 29

3-7

Question 30

What is considered a normal BM for patients with Diabetes?

Answer 30

4-7

Question 31

What is the first line of treatment for a patient with a low BM, but a GCS above 9?

Answer 31

Oral Glucose

Question 32

What is the dose of oral Glucose?

Answer 32

20g in 50g of gel

Question 33

How many tubes of oral Glucose can a patient have before moving on to other drug therapies?

Answer 33

6

Question 34

What is the dose of IM Glucagon?

Answer 34

1mg

Question 35

What is something that should NOT be done when administering IM Glucagon?

Answer 35

Giving a repeat dose

Question 36

What is the dose of IV Glucose?

Answer 36

10g in 100ml

Question 37

What is the maximum dose of IV Glucose?

Answer 37

30g in 300ml

Question 38

What should always be done after administering IV Glucose? Why?

Answer 38

Flush the line because Glucose is necrotic to surrounding tissue

Question 39

What should be checked after every treatment given in a patient having a hypo?

Answer 39

The BM

Question 40

What should be checked after every round of treatment in asthmatics?

Answer 40

Auscultation of the chest

Question 41

What is the dose of Atropine?

Answer 41

600mcg

Question 42

When is Atropine indicated?

Answer 42

Absolute Bradycardia

Question 43

What is a caution when administering Morphine?

Answer 43

BP below 90mmHg

Question 44

What is a caution when administering Salbutamol?

Answer 44

None in the emergency setting

Question 45

What is a caution when administering Ondansetron?

Answer 45

Long QT intervals present on the ECG