Examinations

Question 1

What do you do before beginning a consultation?

Answer 1

Introduce yourself
Obtain consent from a patient to perform a physical exam
Demonstrate an efficient hand washing technique
Adequately expose the patient

Question 2

What are the headings used in a consultation?

Answer 2

Presenting complaint
History of presenting complaint
Past medical history
Drug history
Allergies
Social history
Family history
Drugs/alcohol?

Ideas
Concerns
Expectations

Summarise

Question 3

What systems are examined in the year 1 formative OSCE?

Answer 3

Respiratory
Cardiovascular
Gastrointestinal
Neurological
Musculoskeletal

Question 4

How do you carry out a respiratory exam?

Answer 4

45%

Inspect the chest wall for equal movement, depth and rate of breathing and for any deformity

• Examine from the end of the bed and the side of the bed
• Feel pulse whilst counting respiratory rate and tell the patient that is what you are doing
• Report the respiratory rate to demonstrate that they have counted correctly

Palpate to assess chest expansion
- Hand around chest front and back

Percuss anterior and posterior chest wall, three zones in sequence to detect resonance over the lungs
- Fingers parallel to ribs, 4 times on the anterior chest wall, 3 on the posterior wall

Auscultate anterior and posterior chest wall in the same zones as percussion in sequence, alternating left to right, to detect breath sound
- Should also listen over the apex of the lung above the clavicle on both sides