CDCA OSCE EXAM 4 PRACTICE STUDY GUIDE
2026 SOLVED SCENARIOS
◉ correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
indigestion. Answer: all except indigestion and upset stomach
angina
◉ patienttakes nitroglycerine tablet with no effect in 5 min, you give
a second and third tablet and still nothing happens. Patient is most
likley have a ____. Answer: Myocaridal infarction
◉ angina perctoris symptoms .Usually precipitated by exertion of
_____. commonly with see __ _and ___ occur. Answer: chest
,discomfort(not pain) epigrastrium area, usually preciptated by
stress and exertion
nasua and vomitting
◉ if a patient is sitting in dental chair with hands on heart, first
thing you do is give the patient _____. Answer: 0.4mg of nitroglycerine
tablet
◉ if patient is having a myocradial infarction/chest pain, andminster
anti anginal drugs such as _____.
when to not give this to the patient as can cause severe drop in blood
pressure. Answer: 0.4mg nitroglycerine/vasodilation
viagra or cialis
◉ What does MONA stand for and when is it used?. Answer:
morphine, oxygen, nitroglycerine, asprin
angina treatment
◉ Norpace/disopyramide. Answer: Antiarrhythmic/antianginal
agent
,◉ Valium (diazepam) has metabolies for long duration and binds to
___ receptors to cause inhibtory effects . will have ___ channel
opening
It is a ___ used for anxiety, siezures ,and insomina. Answer: GABA
Cl
benzodiazapine
◉ Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED. Answer: TRAMETERNE AND
SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
◉ Stent has been placed for patient undergoing kidney dialysis .
Does patient require medicaiton?. Answer: No, does not require
medication
◉ if a patient has kidney disease, what can you prescribe and NOT
prescribe. Answer: Tylenol (acetaminophen)
, NOT aspirin, advil or naproxen (nsaids are metabolzied in the
kidney)
◉ t/f: If a patient has a kidney transplant, the patient may require
antibiotic(stress dose). Answer: true- due to anti rejection
medications
◉ analgesic for mild to moderate pain: NOT USED IF PATIENT HAS
KIDNEY FAULURE. Answer: PROPROXEPHINE
◉ antihistmine to prevent motion sickness and as a sedative for
insomina when benzodiapenines are contacindicated. Can be used to
treat allergic reactions
common side effects are tardive dysinesia, xerostomia. Answer:
promethazine
◉ bronchiodilater inhaler that relaxes muscles. Used for asthma.
Answer: albuterol
◉ t/f: should administer nitrous oxide to an asthmatic. Answer: false
◉ angioedema of the upper lip has been dianosed as an allergic
reaction with no other signs of allergy. The most apporpriate
2026 SOLVED SCENARIOS
◉ correct sympotms of MI. The other two are more likely ____
chest pain
upset stomach
pounding heart beat
left arm
jaw jerk
pain
indigestion. Answer: all except indigestion and upset stomach
angina
◉ patienttakes nitroglycerine tablet with no effect in 5 min, you give
a second and third tablet and still nothing happens. Patient is most
likley have a ____. Answer: Myocaridal infarction
◉ angina perctoris symptoms .Usually precipitated by exertion of
_____. commonly with see __ _and ___ occur. Answer: chest
,discomfort(not pain) epigrastrium area, usually preciptated by
stress and exertion
nasua and vomitting
◉ if a patient is sitting in dental chair with hands on heart, first
thing you do is give the patient _____. Answer: 0.4mg of nitroglycerine
tablet
◉ if patient is having a myocradial infarction/chest pain, andminster
anti anginal drugs such as _____.
when to not give this to the patient as can cause severe drop in blood
pressure. Answer: 0.4mg nitroglycerine/vasodilation
viagra or cialis
◉ What does MONA stand for and when is it used?. Answer:
morphine, oxygen, nitroglycerine, asprin
angina treatment
◉ Norpace/disopyramide. Answer: Antiarrhythmic/antianginal
agent
,◉ Valium (diazepam) has metabolies for long duration and binds to
___ receptors to cause inhibtory effects . will have ___ channel
opening
It is a ___ used for anxiety, siezures ,and insomina. Answer: GABA
Cl
benzodiazapine
◉ Pottasium-sparing diuretics for hypertension and edema (2)
WHEN IS IT NOT USED. Answer: TRAMETERNE AND
SPIRONLACTONE
NOT USED FOR IMPAIRED RENAL FUNCtion
◉ Stent has been placed for patient undergoing kidney dialysis .
Does patient require medicaiton?. Answer: No, does not require
medication
◉ if a patient has kidney disease, what can you prescribe and NOT
prescribe. Answer: Tylenol (acetaminophen)
, NOT aspirin, advil or naproxen (nsaids are metabolzied in the
kidney)
◉ t/f: If a patient has a kidney transplant, the patient may require
antibiotic(stress dose). Answer: true- due to anti rejection
medications
◉ analgesic for mild to moderate pain: NOT USED IF PATIENT HAS
KIDNEY FAULURE. Answer: PROPROXEPHINE
◉ antihistmine to prevent motion sickness and as a sedative for
insomina when benzodiapenines are contacindicated. Can be used to
treat allergic reactions
common side effects are tardive dysinesia, xerostomia. Answer:
promethazine
◉ bronchiodilater inhaler that relaxes muscles. Used for asthma.
Answer: albuterol
◉ t/f: should administer nitrous oxide to an asthmatic. Answer: false
◉ angioedema of the upper lip has been dianosed as an allergic
reaction with no other signs of allergy. The most apporpriate
