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236 > final osce > Flashcards

final osce Flashcards

1
Q

1 - ipc (2)

A
  • hh

- gloves

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2
Q

2 - intro (2)

A
  • name

- role

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3
Q

3 - collab + consent (3)

A
  • process: ab + mh assess > steth use, touching ab area, asking qs
  • right to refuse
  • permission to continue
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4
Q

4 - pt profile (4)

A
  • name
  • age
  • dob
  • emerg contact name + number
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5
Q

5 - reason for care (1)

A
  • pt own statement

- pqrs

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6
Q

6 - pqrst (2)

A
  • pt own statement

- assc sx > bloat, cramp, wt loss

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7
Q

7 - past hhx + screen (8)

A
  • chron illness
  • hosp
  • surg hx
  • commun disease > hep
  • meds
  • allergies
  • nutrition
  • obs hx
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8
Q

8 - fam hhx (5)

A
  • bowel habits
  • smoking > past, ct, amount
  • alc > amount, frq
  • drugs
  • rel fam hx
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9
Q

9 - review of sys (3 sys, 2 qs)

A
  • gu
  • mental
  • gi
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10
Q

10 - inspect (13)

A
  • FLAT BED
  • BED RAISED TO HIP
  • PT VOIDED????
  • contour
  • symmetry
  • umbilicus
  • pigment + texture
  • piercings
  • masses + nodules
  • vis peristalsis
  • vis pulsations
  • resp mvt
  • rect ab muscle
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11
Q

11 - auscultate (2)

A
  • bowel sounds

- vasc sounds

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12
Q

12 - percuss (3)

A
  • quads
  • liver
  • spleen
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13
Q

13 - palpation (4)

A
  • light
  • deep
  • liver
  • aorta
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14
Q

14 - speshal test (6)

A
  • rebound/blumberg: append
  • rovsing: append
  • iliopsoas: append
  • kidney percuss: kidney inflamm
  • murphy: liver
  • RAISE HEAD
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15
Q

meds

A
  • rx
  • otc
  • herbal
  • DOSE + FRQ
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16
Q

allergies

A
  • med
  • food
  • env
  • RXN??
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17
Q

nutrition (1 q, 2 options)

A
  • food intol

- 24h diet recall

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18
Q

obs hx (1 q, 3 options)

A
  • menstrual cycle > regular + lmp
  • past/current preg
  • abortion
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19
Q

rel fam hx (3ex)

A
  • colon cancer
  • crohns
  • ibs
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20
Q

gu rev sys - 2 req (4 options)

A
  • frequency (more than normal)
  • burning
  • urgency
  • foul smell
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21
Q

mh rev sys (2 req, 3 options)

A
  • fatigue
  • anxiety
  • excess sleep
22
Q

gi (2 req, 6 options)

A
  • n+v
  • diarrhea
  • constipation
  • cramps
  • food intol
  • wt loss
23
Q

insp umbilicus (2)

A
  • position

- inversion

24
Q

insp pigment + texture (5)

A
  • uniform
  • redness
  • jaundice
  • smooth
  • scars/striae
25
Q

insp rect ab muscle (2)

A
  • do situp!!!!
  • intact
  • hernia?
26
Q

ausc bowel sound (3)

A
  • start rlq, go clockwise
  • VERB normal range > 5-30/min/quad
  • VERB quality > pitch, type (gurgling, cascading)
27
Q

ausc vasc sounds (5)

A
  • aorta
  • l+r ren art
  • l+r iliac art
  • l+r fem art
  • VERB bruits
28
Q

ausc L+R renal art

A

midclav + 2 fingers above umb

29
Q

ausc iliac art

A

midclav + 2 fingers below umb

30
Q

percuss quads (5)

A
  • rlq, clockwise
  • 2-3 pts/quad
  • all quads tymp
  • VERB hyperres over gast bubble
  • VERB bladder tymp if voided, dull otherwise
31
Q

percuss liver (3)

A
  • VERB R midclav line
  • VERB lung res, ab tymp
  • VERB 6-12cm span
32
Q

percuss spleen (2)

A
  • VERB L midax line

- VERB dullness 9-11 rib

33
Q

light palp tech (6)

A
  • verify pain
  • rlq, clockwise
  • 1st 4 fingers of one hand, circ motion, lift before moving
  • 1cm deep
  • VERB presence/absence of masses
  • VERB painful quad last
34
Q

deep palp tech (3)

A
  • 5-8cm deep or biman (top hand press, bottom feel)
  • VERB enlargement, mass, tenderness
  • VERB no palp in painful quad
35
Q

liver palp (4)

A
  • L on back, R vertical on R cost margin
  • deep breath, push under
  • VERB presence/absence (both ok)
  • VERB pain - murph sign
36
Q

ab aorta palp (3)

A
  • above umbil, L of midline
  • ulnar surf of hands
  • VERB range 2.5-4cm
37
Q

rebound/blumberg (4)

A
  • pressure in one quad at 90deg
  • slow, deep press; quick rel
  • pain in ANY QUAD = pos peritonitis
  • VERB pos/neg
38
Q

rovsing (2)

A
  • llq palp = rlq pain

- VERB pos/neg + meaning

39
Q

iliopsoas (3)

A
  • pt is supine
  • raise R leg + apply pressure to lower thigh; pt resists
  • VERB result + meaning
40
Q

kidney percuss (3)

A
  • pt sits upright
  • one hand @ costovert angle; other hand thump w ulnar fist
  • VERB result + meaning
41
Q

H

A

Home

  • who lives w you at home
  • relationships describe
42
Q

E1

A

ed + employ

  • fav + least fav subject
  • weekly/daily hrs working or hw
43
Q

E2

A

eating

  • appetite in last 2 wks
  • recent body chgs + feelings abt them
44
Q

A

A

activities

  • school rel activities
  • close friends + activities
45
Q

D

A

drug

  • do ur friends use atod
  • do you and amount, frq
46
Q

S1

A

sexuality

  • who are you interested in romantically?
  • ever been in romantic rel?
47
Q

S2

A

suicide/depression

  • sad/down/crying more than normal
  • health risk behaviour/acting out
48
Q

S3

A

safety

  • serious injury + how
  • seatbelt in car
49
Q

S4

A

soc media

  • which sites
  • hrs/day
50
Q

S5

A

sleep

  • hrs/night
  • trouble falling asleep/waking up
51
Q

deep palp purpose (5)

A
  • organ size
  • location
  • consistency
  • abnormal mass
  • tenderness
52
Q

light palp purpose (2)

A
  • overall impression of skin surface + musc

- presence of pain

236 (3 decks)

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