OSCE

Question 1

Patient had chest pain, radiates to neck and shoulder alleviated when leaning forward

Answer 1

pericarditis

Question 2

Patient has headache pain is worse by resting head on pillow, jaw hurts when eating food

plan

Answer 2

temporal arteritis

ESR, temporal artery biopsy CT or MRI of brain

Question 3

Chest pain with fever runny nose sore throat

Answer 3

acute chest syndrome ( due resp exam)

Question 4

painful sex, non odorous white clumpy vaginal discharge ( cottage cheese) constant itching and burning

Answer 4

vulvovaginitis

vaginal PH, endocervical or swab, KOW whiff

Question 5

painful sex worse on deep penetration, unprotected and cant get pregnant, period pain

Answer 5

endometriosis

endometrial biopsy, pelvic ultrasound, endocervical swab, PCR for chlamydia and gohnorrea

Question 6

Patient has knee pain, fever, and has unprotected sex

Answer 6

septic arthritis,

CBC, right and left knee MRI, arthrocentesis

Question 7

headache, cant stand anything loud, feels nausea

Answer 7

migrain

head CT, CBC, lumbar puncture to rule out meningitis

Question 8

shortness of breath, relieved with rest, sleeps on 3-4 pillows, shows and socks leave prints, palpitations, cough pink frothy sputum

Answer 8

CHF

ECG, cardiac troponin and CKMB metabolic panel liver fxn

Question 9

headache with no photophobia

Answer 9

tension headache

Question 10

cough up blood

Answer 10

lung cancer

Question 11

shortness of breath, cough, clear sputum, smoker

Answer 11

COPD

Question 12

knee pain, stiff cant bear weight, when playing sport

Answer 12

ACL

MRI of knee,

Question 13

Diarrhea right lower quadrant alot of weight loss, cut out milk egg flour and didnt get better,

Answer 13

Crohn’s

stool study, oral lactose load colonoscopy

Question 14

50 year old pain during sex pain during deep penetration, relieved with no sexual intercourse or lube, no discharge, no period for 6 months

Answer 14

atrophic vaginitis

Question 15

painful sex, pain in abdomen, vaginal discharge, thick off white to yellow with mild odor, painful urination
pmh= UTI

Answer 15

Pelvic inflammatory

endocervical swab, PCR chlamydia and Gonorrhea, Uranylisis, CBC

Question 16

thin stool, blood in stool, loss of appetite and fatigue, alot of weight loss, no ab pain or fever

Answer 16

Colon Cancer

conolohnscopt, ab CT, ANCA

Question 17

Vomiting, pregnant, dark yellow urine,

Answer 17

Vomiting Hyperemesis Gravidum

HCG blood, transvaginal/ trans abdominal CT, Metaboic Panel

Question 18

Chest pain, tightness, squeezing, hard to breath,

Answer 18

MI

ECG, troponin, CKMB, chest x ray

Question 19

knee pain, 55 years, hurts most when walking, stiffness gets better with 20 min of movement, nothing helps pain

Answer 19

osteoarthritis

CBC, right and left knee MRI, Rheumatoid factors and anti-CCP