Examinations

Question 1

Cerebellar

Answer 1

1. Gait
2. (Rombergs)
3. Vertigo
4. Eyes H I
5. BC/BH
6. Tone
7. Finger Nose
8. Dysdiadochokinesis
9. Knee
10. Heel Shin

Question 2

GALS

Answer 2

1. 3 Questions- Pain back, joints, muscles, dressed, stairs
2. Inspect
3. Gait
4. Head to side
5. Spine
6. Arms behind head
7. Hands both sides
8. Feel MCP
9. Full fist
10. Finger squeeze
11. Fine touch
12. Flex extend knee crepitus
13. Int/ext hip
14. Patellar tap
15. Inspect feet
16. MTP

Question 3

Hip

Answer 3

1. Inspect
2. Gait
3. Trendelenbergs
4. Inspect groin/ roll for glutes
5. Measure
6. Ask pain
7. Temperature
8. Palpate greater trochanter
9. Flexion, abduction, aduction
10. Int/ext rotation straight and bent
11. Young patient extension lying prone
12. Thomas

Question 4

1

Answer 4

Change to sense of smell? Smell substances

Question 5

2

Answer 5

1. Snellen/fingers
2. Peripheral vision
3. Inattention
4. Consticition
5. Accomodation

Question 6

3/4/6

Answer 6

H and I. Any double vision?

Question 7

5

Answer 7

1. Sensation face
2. Jaw/temple
3. Close Mouth
4. Jaw jerk

Question 8

7

Answer 8

1. Lift eyebrows
2. Close eyes
3. Cheeks
4. Purse
5. Teeth

Question 9

8

Answer 9

1. Each ear close then far
2. Rinne’s
3. Webers

Question 10

9/10

Answer 10

1. Ahhh
2. Swallowing problems?
3. Cough
   (Gag reflex)

Question 11

11

Answer 11

1. Shrug against resistance
2. Turn head against resistance

Question 12

12

Answer 12

1. Tongue in mouth
2. Tongue out
3. Tongue cheek

Question 13

Knee

Answer 13

1. Inspect
2. Gait
3. Temperature
4. Feel
5. Patellar tap
6. Bulge
7. Feel
8. ROM
9. Passive ROM
10. Hold up
11. Ant draw
12. Sag
13. Lateral
14. Medial

Question 14

Shoulder

Answer 14

1. Inspect
2. Temperature
3. Palpate
4. Hands behind head
5. Hands behind back
6. Ext/int rotation
7. Flex/extend
8. Abduction/adduction
9. Passive ROM
10. Dress?/ Wash hair?
11. Special ( resisted active abduction/ ext rotation/ int rotation/ acromioclavicular joint- scarf)

Question 15

Hand

Answer 15

1. Inspect
2. Elbow
3. Temperature
4. Palpate hand, MCP squeeze, rest
5. Sensation
6. Pulses- ulnar and radial
7. Allen’s test
8. Make fist
9. Extend and spread fingers
10. Thumb + to finger
11. Wrist (prayer + reverse)
12. Move against resistance
13. Stop pulling pen or fingers
14. Hold key or pen
15. Do and undo buttons
16. Tinels, Phalens, Compression
17. Special Tests

Question 16

DF

Answer 16

1. Gait
2. Shoes
3. Inspect
4. Feel
5. Cap
6. Pulses
7. Temperature
8. Ankle jerk
9. Sensation
10. Proprioception
11. Vibration
12. Pressure

Question 17

Thyroid

Answer 17

1. Inspect patient
2. Hands
3. Cap refill
4. Temperature
5. Tremor
6. Pulse
7. Forearm
8. Eyes- front, side, above
9. H I- ask for double vision
10. (Visual acuity/ fundoscopy)
11. Inspect neck
12. Swallow, tongue
13. Inspect tongue
14. Trachea
15. Anterior neck- tongue, swallow
16. Lymph nodes
17. Percuss
18. Auscultate
19. Get up arms crossed
20. Ankle reflexes
21. Inspect shins

Question 18

Spine

Answer 18

1. Inspect
2. Gait
3. Palpate
4. Cervical ROM- flexion, extension, lat flex, lat rotation
5. Lumbar ROM- Flex, Schober’s, Extension, Lat flex,
6. Thoracic rotation
7. Percuss spine
8. STs- Straight leg raise, Bowstring test, Femoral stretch test. Ank Spond- chest expansion

Question 19

Lump

Answer 19

1. Inspect
2. Temperature
3. Palpate- Measure
4. Move it
5. Transillumination
6. Auscletation
7. Check regional lymph nodes

Question 20

Ulcer

Answer 20

1. Inspect- number, site, size, shape, discharge, skin, whole limb (wasting)
2. Palpate- Tenderness, Temperature, edge of ulcer, does it bleed
3. Move base see if fixed
4. Regional lymphatic drainage
5. Palpate peripheral pulses
6. Light touch and pressure sensation
7. Evidence of bony involvement examine joints

Question 21

Varicose+ venous

Answer 21

1. Inspect
2. Identify SFJ and inspect for a saphenovarix
3. Palpate- Temperature, varicosities, cough test, tap test
4. Auscultate and varicosities with the bell
5. Examine abdomen
   (Trendelenberg’s and Perthe’s not required for the OSCE)

Question 22

Upper P Vasc

Answer 22

1. Inspect
2. Hands
3. Cap refill
4. Temp
5. Pulses- both radial, ulnar, Allen’s, brachial, carotid, BP in both arms, carotid pulses
6. Inspect- Eyes, Mouth, Abdomen
7. Palpate Aorta
8. Auscultate- Carotids, Subcalavian, Aortic Bruits, Renal Bruits
   ABPI

Question 23

Upper

Answer 23

1. Tremor
2. Pronator drift
3. Tone
4. Power
5. Reflexes
6. Finger N
7. Finger Finger
8. Fine touch
9. Dysdiadochokinesis
10. Sensation
11. Vibration
12. Proprioception
13. Cortical localisation
14. 2 point
15. Graphaesthesia
16. (Temp/Pain)

Question 24

Lower

Answer 24

1. Inspect
2. Gait
3. Rombergs
4. Tone
5. Power
6. Reflexes
7. Babinski
8. Ankle Clonus
9. Heel Shin
10. Sensation
11. Vibration
12. Proprioception
13. (Pain/Temp)

Question 25

Lower p vasc

Answer 25

1. Inspect 2. Eyes 3. Mouth 4. Abdomen 5. Legs, feet and toes 6. Temp 7. Cap refill 8. Pulses- Aorta, femoral and radio-femoral delay, popliteal, posterior tibial, dorsalis pedis 9. Sensation 10. Power- legs and foot 11. Auscultate- bruits above umbilicus and femoral arteries 12. Buegers angle ABPI

Question 26

Cardio

Answer 26

1

Question 27

Resp

Answer 27

1

Question 28

GI

Answer 28

1