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MEDICINE OSCE (drugs and
instruments)
by mohammad shahzeb
drugs
Atenolol(second-generation beta-1-selective
adrenergic antagonist)
• indication
• HTN
• ANGINA
• ACUTE MI
1. Side effects
• Bradycaria , syncope , headache ,dizziness and visual impairment
 Contraindications
• Bradycardia , second or third degree heart block , heart failure ,
pheochromocytoma
Atrovastatin(HMG-CoA) reductase inhibitor
1. Indications
• Adults with primary hyperlipidemia (heterozygous familial and
nonfamilial) and mixed dyslipidemia
• Hypertriglyceridemia
• Primary dysbetalipoproteinemia
• Homozygous familial hypercholesterolemia
2. Sideeffects
• arthralgia , pain in extremities , nasopharyngitis , insomnia
3. Contraindication
Pregnancy and liver diseases(active)
GTN ( cGMP activator and vasodilator)
• Indication
1. Coronary artery spasm / CHF
2. Angina
3. Htn urgency and emergency
4. In chronic anal fissure
• Side effects
1. Sweating , palpitations , vertigo , weakness
• Contraindications
• RT sided MI , raised ICP , anemia
Omeprazole(paritel cell H+/K+ ATP pump
inhibitor)
• Indications
• GERD
• Zollinger ellosin syndrome
• Gastric ulcer
• H pylori infection
1. Side effects
• Headache , increase chances of c difficle infection, vit B12 def
2. Contraindications
Hypersenstivity , not given with rilpivirin
Furosamide (inhibit Na/Cl co-tansporter)
• Indications
1. Volume overload secondary to heart failure, liver failure , acute
kidney injury , nephrotic
• Side effects
1. Hypokalemia , hyper glycemia uricemia triglyceridemia , tinnitus
• Contraindications
1. Complete anuria , acute urinary retention ( stones) , hepatic coma ,
dehydrtion
Monopty needle and trucut biopsy needle
monopty biopsy needle
• Indications
• When cause of nephrotic or nephritic syndrome is not known
• Renal cell carcinoma
Trucut biopsy needle
• benign breast disease
• Breast lump
• Breast cancer
• Liver cancer
CVL and SPIROMETER
Central venous line
• INDICATION
1. Placement of venous pacemaker
2. For fluid resuscitation
3. Cardiac catheterization
4. TPN
5. Measuring central venous pressure
6. Hemodialysis
Spirometer
• COPD
• SMOKER
• RESPONSE TO THERAPY
• PRE OP ACCESSMENT
Bone marrow aspiration needle
Bone marrow aspiration needle
• for diagnosis of Leukemias
• For diagnosis of polycythemia , myelofibrosis , aplastic anemia.
Insulin syringe
• for small subcutaneous injections
• For bcg vaccination
• When small amount of drug is to be given
• For insulin injection
cannula
• when repeatedly iv access is needed
• For iv resuscitation in giving blood and iv fluids .
• For collecting blood samples
LP needle
• for getting spinal fluid for labs (meningitis , encephalitis , GBS , MS ,
Spontaneous subarachnoid hemorrhage)
• For decreasing intracranial pressure
• For giving (analgesia , anasthesia , antibiotic , chemotherapy for
neoplasia)

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Instrument drugs medicine OSCE

  • 1. MEDICINE OSCE (drugs and instruments) by mohammad shahzeb
  • 3.
  • 4. Atenolol(second-generation beta-1-selective adrenergic antagonist) • indication • HTN • ANGINA • ACUTE MI 1. Side effects • Bradycaria , syncope , headache ,dizziness and visual impairment  Contraindications • Bradycardia , second or third degree heart block , heart failure , pheochromocytoma
  • 5. Atrovastatin(HMG-CoA) reductase inhibitor 1. Indications • Adults with primary hyperlipidemia (heterozygous familial and nonfamilial) and mixed dyslipidemia • Hypertriglyceridemia • Primary dysbetalipoproteinemia • Homozygous familial hypercholesterolemia 2. Sideeffects • arthralgia , pain in extremities , nasopharyngitis , insomnia 3. Contraindication Pregnancy and liver diseases(active)
  • 6. GTN ( cGMP activator and vasodilator) • Indication 1. Coronary artery spasm / CHF 2. Angina 3. Htn urgency and emergency 4. In chronic anal fissure • Side effects 1. Sweating , palpitations , vertigo , weakness • Contraindications • RT sided MI , raised ICP , anemia
  • 7. Omeprazole(paritel cell H+/K+ ATP pump inhibitor) • Indications • GERD • Zollinger ellosin syndrome • Gastric ulcer • H pylori infection 1. Side effects • Headache , increase chances of c difficle infection, vit B12 def 2. Contraindications Hypersenstivity , not given with rilpivirin
  • 8. Furosamide (inhibit Na/Cl co-tansporter) • Indications 1. Volume overload secondary to heart failure, liver failure , acute kidney injury , nephrotic • Side effects 1. Hypokalemia , hyper glycemia uricemia triglyceridemia , tinnitus • Contraindications 1. Complete anuria , acute urinary retention ( stones) , hepatic coma , dehydrtion
  • 9. Monopty needle and trucut biopsy needle
  • 10. monopty biopsy needle • Indications • When cause of nephrotic or nephritic syndrome is not known • Renal cell carcinoma
  • 11. Trucut biopsy needle • benign breast disease • Breast lump • Breast cancer • Liver cancer
  • 13. Central venous line • INDICATION 1. Placement of venous pacemaker 2. For fluid resuscitation 3. Cardiac catheterization 4. TPN 5. Measuring central venous pressure 6. Hemodialysis
  • 14. Spirometer • COPD • SMOKER • RESPONSE TO THERAPY • PRE OP ACCESSMENT
  • 16. Bone marrow aspiration needle • for diagnosis of Leukemias • For diagnosis of polycythemia , myelofibrosis , aplastic anemia.
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  • 18. Insulin syringe • for small subcutaneous injections • For bcg vaccination • When small amount of drug is to be given • For insulin injection
  • 19. cannula • when repeatedly iv access is needed • For iv resuscitation in giving blood and iv fluids . • For collecting blood samples
  • 20. LP needle • for getting spinal fluid for labs (meningitis , encephalitis , GBS , MS , Spontaneous subarachnoid hemorrhage) • For decreasing intracranial pressure • For giving (analgesia , anasthesia , antibiotic , chemotherapy for neoplasia)