OSCE Test questions with correct answers

General Practice 1 - A 50 year old man has been sent along by his wife. He lost his license last month for the 3rd time for 'DUI' and she has insisted that he talk to you about his alcohol use. - Answer 0 General Practice 1 - Leon 19 yo M mother insists poorly controlled asthma, Lots of ventolin, used to be on flixotide but lost it. - Answer Hx: Age of onset[1]FHx[1]Triggers: exercise, cold air, hayfever, dust, smoke[3]Previous hospital admissions[1]Compliance with current meds[1]Attitude towards condition[1]Able to get Leon to demonstrate how he uses his accuhaler[2]Student can demonstrate correct use of Accuhaler[2]Empathy score: 2 General Practice 1 - Your next patient comes to see you about her/his asthma. It has been worse over the past few months, and s/he is needing to use a puffer a couple of times a day. - Answer Communicate clearly, avoid jargon[0.5]Check patient's understanding of information and instructions[0.5]Choose preventer+reliever, ICS may be combined with LABA[1]Watch technique, recognise if poor.[1]Advise use of spacer[1]Demonstrate good MDI technique: Shake[0.5]Hold correctly[0.5]Exhale[0.5]Inhale and hold[0.5]Arange appropriate follow up (1-3/52)[1]Safety net including warning signs of severe asthma and action to take[1]Advice on care of delivery device[1]Appropriate dose[1]Possible side effects, wrinsing mouth to avoid thrush[1]Written action plan[1]Empathy score: 2 General Practice 1 - Your patient is 19 and tells you that s/he has recently started a triathlon-training course but finds s/he is still getting short of breath when training, and feels his/her fitness should have improved by now. - Answer 0 General Practice 1 - Your next patient, a middle aged woman, has had a cough for the last 3 months. - Answer 0