I guess it depends on the company. In our company they look at the obstacles within the MSA-sector.
If our EO procedures says straight ahead, it means you will always reach MSA before the end of the MSA sector (25NM).
If the above is not possible, our engine out procedure will include turns to remain within the MSA-sector and ends in a holding where we can climb to the MSA.
There are exceptions to deal with airports like INN but this requires training prior to operating in those airports.
I like this procedure as it is always the same:
Do the Engine failure procedure
climb to MSA