HD OSCE Exam 2023 Questions and Answers

Actomegaly dental relevance - Answer- 1) spaced out teeth 2) frontal sinus is obliterated - maxillary sinus may get smaller (big) 3) dentures no longer fit Ways of securing airways? - Answer- 1) intubation 2) endo tracheal tube 3) cricothyroidectomy 4) tracheostomy What is osteogenesis imperfecta ? - Answer- Bone has abnormal matrix and is brittle What are the potential causes of periorbital oedema? - Answer- 1) traumatic- blow to face or accident 2) infective 3) neoplastic 4) congenital - problem with lymphatic drainage Which CN nerve is particularly prone to damage ? - Answer- Abductees - has a long intracranial nerve path What is the cause of kaposi's sarcoma? - Answer- HHV 8. Seen in the immunosuppressed What must you never do to a kaposi's sarcoma? - Answer- Biopsy- vascularised How would you manage a diabetic patient in practise? - Answer- 1)Ask about their glucose record book 2) book first on list on morning, allow mid morning snack and usual medication 3) give glucose if they have not eaten 4) take a pre and post procedure glucose reading What can you consider when treating epileptic patients? - Answer- Using sedation with BZD but don't use flumazenil What does glossopharyngeal do - Answer- M- stylopharyngeua S- posterior 1/3 of tongue and salivation What cranial nerves innervate the tongue? - Answer- 7 and 9 sensory 10 and 12 motor Patients with heriditary angiooedema display symptoms when? - Answer- Exposure to minor trauma or stress Patients with Herid Angiooedema require what? - Answer- Long term steroids and tranexamic acid