DIAGNOSTIC SKILLS OSCE UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS COMPREHENSIVE STUDY GUIDE
●● DVT Scenario (Suspected Clot)
Answer: Clues: absent pulse, poor circulation, leg incision, high HR
from pain
●● DVT Priority
Answer: Assess circulation (pulse, cap refill, color), do focused vascular
check
●● DVT Labs
Answer: D-dimer (detect clot), PT/INR (clotting time), ultrasound
(confirm clot)
●● DVT Key Thinking
Answer: Suspect clot when circulation is impaired in one limb
●● Sepsis Scenario
Answer: Clues: fever, low BP, lethargy, RR >20, HR >90, abnormal
WBC
, ●● Sepsis Priority
Answer: Recognize early and call CODE SEPSIS
●● Sepsis Interventions
Answer: Lactic acid, CBC, blood cultures, IV fluids (bolus), antibiotics,
vasopressors
●● Sepsis Key Thinking
Answer: Infection + organ dysfunction + unstable vitals
●● Respiratory Distress (Basic)
Answer: Clues: SOB, crackles, productive cough, thick yellow mucus
●● Respiratory Priority
Answer: Give oxygen immediately and raise head of bed
●● Respiratory Interventions
Answer: O2 titration (goal >94%), chest X-ray, sputum culture, ABG
●● Respiratory Key Thinking
Answer: High HR = compensation for low oxygen
ACTUAL QUESTIONS AND CORRECT
ANSWERS COMPREHENSIVE STUDY GUIDE
●● DVT Scenario (Suspected Clot)
Answer: Clues: absent pulse, poor circulation, leg incision, high HR
from pain
●● DVT Priority
Answer: Assess circulation (pulse, cap refill, color), do focused vascular
check
●● DVT Labs
Answer: D-dimer (detect clot), PT/INR (clotting time), ultrasound
(confirm clot)
●● DVT Key Thinking
Answer: Suspect clot when circulation is impaired in one limb
●● Sepsis Scenario
Answer: Clues: fever, low BP, lethargy, RR >20, HR >90, abnormal
WBC
, ●● Sepsis Priority
Answer: Recognize early and call CODE SEPSIS
●● Sepsis Interventions
Answer: Lactic acid, CBC, blood cultures, IV fluids (bolus), antibiotics,
vasopressors
●● Sepsis Key Thinking
Answer: Infection + organ dysfunction + unstable vitals
●● Respiratory Distress (Basic)
Answer: Clues: SOB, crackles, productive cough, thick yellow mucus
●● Respiratory Priority
Answer: Give oxygen immediately and raise head of bed
●● Respiratory Interventions
Answer: O2 titration (goal >94%), chest X-ray, sputum culture, ABG
●● Respiratory Key Thinking
Answer: High HR = compensation for low oxygen