Exam Instructions
Format: This is a paper-based test consisting of 75 multiple-choice questions.
Time Allowed: 2 hours and 30 minutes (approximately 2 minutes per question).
Question Style: Each question pres
...
Exam Instructions
Format: This is a paper-based test consisting of 75 multiple-choice questions.
Time Allowed: 2 hours and 30 minutes (approximately 2 minutes per question).
Question Style: Each question presents a clinical vignette followed by several
possible answers. Select the one best answer.
Answer Sheet: Indicate your choice on a separate answer sheet by filling in the
corresponding bubble.
OSKE Practice Exam
1. A 65-year-old man with a history of hypertension and type 2 diabetes presents
to the emergency department with sudden, severe chest pain that radiates to his
back. His blood pressure is 210/120 mmHg in the right arm and 110/60 mmHg in
the left arm. A chest X-ray shows a widened mediastinum. What is the most
appropriate initial management step?
A. Administer sublingual nitroglycerin
B. Start an intravenous infusion of sodium nitroprusside
C. Order a high-resolution CT angiogram of the chest
D. Administer intravenous thrombolytics
E. Perform a pericardiocentesis
2. A 28-year-old woman presents with fatigue, weight gain, and constipation. On
physical examination, she has a delayed relaxation phase of deep tendon reflexes.
Laboratory studies show an elevated thyroid-stimulating hormone (TSH) and a low
free T4. Which of the following is the most likely finding on further physical
examination?
A. Exophthalmos
B. Fine resting tremor
C. Pretibial myxedema
D. Lid lag
E. Warm, moist skin
3. A 45-year-old male with a history of alcohol use disorder presents with
confusion, ataxia, and ophthalmoplegia. Which of the following medications
should be administered immediately before any glucose-containing solutions?
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