OSCE practice questions with correct answers

Nasonex ( mometasone furoate) - Answer Steroid used to "shut off body's response to allergens", prevent allergy symptoms 2 sprays in each nostril OD; contralateral hand technique away from septum; priming; gently shake before using; blow nose before using; 30 seconds for next spray; don't inhale. Headache, nose bleeds if sprayed onto septum(center of nose), nasal irritation 2 weeks for benefit but may see results in 12 hours. Ask about allergy triggers. Paxil (paroxetine) - Answer SSRI: helps to increase the levels of a chemical known as serotonin in the brain. Serotonin is one of the chemicals in the brain that helps control mood and happiness. 20mg OD, preferably in the morning; not with alcohol(increase CNS depression), with/without food is ok Headache, dizziness, fatigue, insomnia. Decreased sexual function. Onset within a week but some may not see a full benefit for at least 8-12 weeks. MD if red flags: increased heart rate, tremor or twitching, increased