OSCE exam 2023 with 100% correct answers

Alcoholism/substance abuse HX - correct answer HISTORY General Descriptors: refer to inside cover. Onset: age of onset of heavy alcohol intake. Does patient drink to quiet nerves; drinking on job; morning drinking; number of drinks per day; last drink taken; longest period without a drink. In what form is alcohol usually taken. Past Treatment or Evaluation: results of prior liver biopsy, upper GI series, or liver function tests. CAGE 1. Have you ever felt you have to cut down on drinking? 2. Have people annoyed you by criticizing your drinking? 3. Have you ever felt bad or guilty about your drinking? 4. Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (an "eye opener")? ASSOCIATED SYMPTOMS Shakiness; confusion; trouble walking; seizure; vomited blood; dark black bowel movements; abdominal swelling; jaundice. MEDICAL HISTORY Seizures; delirium tremens; jaundice; liver disease; gastrointestinal bleeding; depression.