CLINICAL SKILLS OSCE S5 - SENSORY EXAM

Question 1

Light touch

Answer 1

*repeat on both sides
- Touch on hand, does this feel normal?
- Close eyes, say yes if you feel the cotton wool touch you

UL:
- thumb C6
- middle finger C7
- pinky C8
- middle forearm C5
- inner bicep area/armpit area T1

LL:
- big toe L5
- lateral foot S1
- inner calf L4
- inner thigh L3
- outer thigh L2

• “Felt any difference on either side?”
• “I would do vibration testing with a tuning fork at the DIP joints, reduced in peripheral neuropathy”

-“I would do pain perception with a toothpick”

• ” I would do temperature perception with something hot and cold”

Question 2

History

Answer 2

Positive symptoms: - pins and needles, prickling feeling, lightning shooting down limbs

Negative symptoms: numb, limbs asleep

Question 3

Proprioception

Answer 3

• Close your eyes, tell me if I’m moving your finger/toe up or down
• do both sides
• index finger DIP and big toe DIP

Question 4

Romberg’s test

Answer 4

• stand feet together eyes closed for 30 seconds
• stand nearby
• if stance cannot be maintained, indicates positive test, proprioceptive dysfunction (e.g. cerebellar lesion)