CLINICAL SKILLS OSCE S5 - CEREBELLAR EXAM

Question 1

Inspection

Answer 1

• wheelchair
• posture
• signs of neglect

Question 2

Nystagmus

Answer 2

• follow my finger horizontally
• nystagmus is an involuntary jerky movement of the eye, potentially due to cerebellar lesion

Question 3

Speech

Answer 3

• PPP, TTT, KKK, PTK
• slurring of speech in cerebellar lesion

Question 4

Finger-nose test

Answer 4

• touch your nose, turn finger around and touch mine
• intention tremor - tremor as target approach
• past pointing - overshooting target

Question 5

Dysdiadochokinesia

Answer 5

• slap hands, alternating face of hand, normal rhythm then quicker
• do both sides
• inability occurs in cerebellar disfunction

Question 6

Heel-shin test

Answer 6

• stroke heel from knee down shin, both sides
• slipping off indicates cerebellar lesion

Question 7

Walk/gait

Answer 7

• walk a few steps naturally
• observe stance and stability for cerebellar ataxia
• walk a few steps heel to toe (tandem walk)
• loss of balance in cerebellar vermis lesion