Interpretation of Blood Results: Acute Kidney Injury and Hyperkalaemia in a Patient on Ramipril and Spironolactone
A timed 10-minute data interpretation OSCE station with reading time, a warning bell and an examiner-style weighted checklist including critical items, marked the way a real examiner would mark it.
Data interpretation10 min13 checklist items
- Station type
- Data interpretation
- Time
- 10 minutes, after 60s reading
- Total marks
- 27
- Critical items
- 5 (missing one fails the station)
Candidate instructions
You are a Foundation Year 1 doctor on a medical ward. You are asked to review the blood results of a 78-year-old man admitted with vomiting and diarrhoea for 3 days. He has a background of heart failure and hypertension. His regular medications include ramipril 10mg once daily, spironolactone 25mg once daily, and furosemide 40mg once daily. His blood results are shown below. Interpret the results, identify the most likely cause of these abnormalities, and state the immediate actions you would take. You have 10 minutes.
How the station runs
- 60 seconds of reading time with the instructions above, and nothing else.
- 10 minutes on the clock, with a warning bell before the end.
- The examiner's checklist, 13 weighted items worth 27 marks, revealed only when the station ends.
- Your score, with a critical-fail flag if a safety-critical item was missed.
The checklist stays hidden until the station is over, exactly as it would outside the exam room.
Log in to run "Interpretation of Blood Results: Acute Kidney Injury and Hyperkalaemia in a Patient on Ramipril and Spironolactone"
A free account starts the clock: reading time, the station itself with a warning bell, then the examiner's checklist and your score.
Taught in
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.