OSKE Practice Exam: 75 Questions
Exam Instructions (For Candidates)
This examination consists of 10 stations. You will have a limited time at each station to
review the clinical scenario and answer all associated q
...
OSKE Practice Exam: 75 Questions
Exam Instructions (For Candidates)
This examination consists of 10 stations. You will have a limited time at each station to
review the clinical scenario and answer all associated questions. Answers should be
concise and demonstrate your clinical reasoning. No external resources or collaboration
are permitted.
Station 1: Cardiology – Chest Pain
Scenario: A 58-year-old male presents to the emergency department with substernal
chest pain that began 2 hours ago. He describes it as "heavy" and radiating to his left
arm. He is diaphoretic and nauseous.
1. Question: Based on the initial presentation, list three most likely differential
diagnoses.
o Answer: Acute Myocardial Infarction (STEMI/NSTEMI), Unstable Angina, Aortic
Dissection.
2. Question: What is the single most important diagnostic test to perform
immediately?
o *Answer: 12-lead Electrocardiogram (ECG).*
3. Question: The ECG shows >2mm ST-segment elevation in leads V2-V4. What is
your diagnosis and immediate next step in management?
o Answer: Diagnosis: Anteroseptal ST-Elevation Myocardial Infarction (STEMI).
Immediate next step: Activate the cath lab for primary Percutaneous Coronary
Intervention (PCI) or administer thrombolytics if PCI is not available.
4. Question: List two cardiac enzymes used to confirm myocardial necrosis and their
typical peak timing.
o *Answer: 1. Troponin I/T (peaks at 12-24 hours). 2. CK-MB (peaks at 24 hours).*
5. Question: Name two antiplatelet medications that should be administered
immediately in the emergency setting for suspected MI.
o Answer: 1. Aspirin. 2. A P2Y12 inhibitor (e.g., Ticagrelor, Clopidogrel).
Station 2: Respiratory – Breathlessness
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