OSCE Suggested Answers May 2016

This presentation covers a series of OSCE case scenarios along with suggested answers. Topics include abdominal aortic aneurysm, purple urine bag syndrome, cystic lesions in the cranial fossa, opioid and anticholinergic overdoses, lung collapse, and more. Detailed solutions and management plans are provided for each case, emphasizing critical thinking and clinical decision-making skills.

• OSCE
• Suggested Answers
• Clinical Scenarios
• Medical Management
• Case Studies

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1. OSCE Suggested answer 4 May 2016

2. Q1 A) Abdominal aortic aneurysm B) Abdominal mass/bruit Flank ecchymosis LL circulation C) Resuscitation Pain control Emergency surgical consultation

3. Q2 A) Purple urine bag syndrome B) Indwelling urinary catheter Chronic constipation Female C) Alleviation of constipation Catheter replacement +/- Antibiotic

5. Q3 A) Well circumscribed CSF lesion at left middle cranial fossa B) Arachnoid cyst Epidermoid cyst C) Refer to neurosurgeon

6. Q4 A) Opioid overdose CNS depression Respiratory depression Miosis

7. Anticholinergic overdose Flushing Mydriasis Tachycardisa Urinary retention Confusion

8. B) ECG C) Observation for 6 hours

9. Q5 A) Left lung collapse Massive left pleural effusion Mediastinal shift B) Boerhaave Syndrome Aortic dissection Emphyema

10. C) Resuscitation Broad spectrum antibiotic NG tube Tube thoracostomy Urgent surgical consultation

11. The end