Medical OSCE Quiz - glucose, bisphosphonates, INR

You must make sure you carry out ICE for all patients. What does ICE stand for?

I -
C -
E -

You are gaining consent to take someone's blood glucose measurement.

1. yourself
2. Explain you are going to take a measurement
3. Explain that you do this to ensure the of blood glucose are so as to prevent during treatment
4. This will also give a better of how well your blood glucose is
5. Can I ?

The stages of carrying out a blood glucose measurement are as follows:

1. ICE (, , )
2. Cross infection - hands
3. Prepare equipment - device, strip (check expiry date), and the .
4. Place in the machine - do not touch area where will be placed.
5. Ask patient to their hands - so their finger is
6. Place device at chosen site and click
7. Dispose of device in the
8. the finger to get a of blood
9. Place test strip on blood droplet. Do not or the blood
10. Glucometer will generate a reading
11. Press on to puncture wound until bleeding has - possibly place a
12. hands, tidy up
13. Check patient is
14. Write of measurement in notes.

What is the correct term for BRONJ now?

Answer:

What does the acronym MRONJ stand for?

of the

During a medical history, you should ensure you ask about , current, or possible use of bisphosphonates.

Bisphosphonates are often prescribed for non-malignant conditions such as:
- O
- P disease
- O imperfect
- F d

and some malignant conditions such as:

- myeloma
- B cancer
- P cancer
- Metastatis bony lesions

Symptoms of MRONJ often include:

- healing following extraction or oral surgery
- P
- Soft tissue
- Sw
- P
- bone
- N

Patients at high risk of developing MRONJ have one or more of the following factors

− previous of BONJ;
− taking a bisphosphonate as part of the management of a condition;
− other non- systemic condition affecting (e.g. Paget’s disease);
− under the care of a for a medical condition (e.g. imperfecta); − concurrent use of systemic or other ;
− coagulopathy, chemotherapy or radiotherapy.

You are seeing a lady who is about to have dental treatment. She is on warfarin therapy.

- You should ask she was warfarin
- You should look at their anticoagulant therapy record ( book)
- You need to ensure her has been measured and that measurements are under control with no
- can be taken for pain relief
- You can place to control bleeding if necessary
- She should stop taking her warfarin before treatment
- Risk of is greater than the risk of