DSE OSCE - 2024
Clinical Scenarios and Answers
1. 41-Year-Old Pregnant Woman with History of Infective Endocarditis: - Need for pre-med? ️ Yes. - Pre-med options for penicillin allergy: - Amoxicillin - Not applicable. - Cephalexin - Possible depending on the patient's allergy specifics. - Cl...
- Drug Type: ✔️ Amlodipine (Calcium channel blocker).
19. White Lesion on Tongue Due to Trauma:
- Diagnosis: ✔️ Fibroma (history of trauma).
20. Multiple Odontomas History:
- Suspected Syndrome: ✔️ Gardner's syndrome.
21. Mucocele Treatment:
- Correct Approach: ✔️ Excision with removal of local glands.
22. Shallow Ulcerated Lip Lesion in Farmer:
- Likely Diagnosis: ✔️ Squamous cell carcinoma.
23. Treatment Timing for Hepatitis A:
- Wait Duration: ✔️ 1 week.
24. Causes of Jaundice:
- Possible Causes: ✔️
- Liver Cirrhosis
- Hepatitis A
, - Hepatitis C
Pt presents with missing teeth and no hair. What is the likely medical condition?
- Gardner's disease
- Ectodermal dysplasia
- Trisomy 21
- Paget's syndrome
Ectodermal dysplasia
Pernicious anemia is associated with:
- autoimmune destruction of parietal cells in stomach
- acute, chronic blood loss
- both
autoimmune destruction of parietal cells in stomach
- pernicious anemia = associated with intrinsic factor from parietal cells, which is required to absorb B12
from food
What does intrinsic factor do?
- allows iron to bind to hemoglobin
- prevents destruction on RBCs
- required for absorption of vit B12 from food
Required for the absorption of vitamin B12 from food
Another version Pernicious anemia is caused by:
- Decrease in intrinsic factor (required for absorption of B12)
- Chronic use of aspirin, NSAIDs, corticosteroids
- A variant of hemoglobin A (called hemoglobin S)
- Destruction of RBCs
decrease in intrinsic factor
- Schilling's test to evaluate B12 absorption; most commonly used to eval pts w/pernicious anemia
What is hemolytic anemia?
- autoimmune destruction of parietal cells in stomach
- genetic defect, includes variant of hemoglobin A (called hemoglobin S)
- RBCs destroyed, removed from bloodstream before normal lifespan is over
- Folic acid is deficient, patient presents w/neurologic symptoms
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