Final OSCE

Question 1

calf circumference test

Answer 1

Measure 4 in below patella

Increased sized= acute compartment syndrome

Decreased size= muscle atrophy

Question 2

Claudication test patient walks for 1 minute

Answer 2

Intermittent vascular cladication
Peripheral vascular weakness
Atherosclerosis
Popliteal artery entrapment syndrome

Question 3

Homans sign

Answer 3

Looking for thrombophlebitis or Gastric/soleus strain

Question 4

Moses test- doc squeezes calf quickly

Answer 4

Arteriosclerosis obliterans
Lower extremity vascular insufficiency
Thrombophlebitis
Gastroc/Soleus strain

Question 5

Thompson Test-

Answer 5

Ruptured Achilles’ tendon

Gastroc/Soleus strain

Thrombophlebitis

Question 6

Duchenes sign-

Answer 6

Looking for superficial Peroneal nerve lesion L4-S1

Question 7

Helbings sign

Answer 7

Looking for overpronation syndrome (common in Cerebral Palsy)

Question 8

Mortons test

Answer 8

Looking for Morton’s neuroma

Arthritis
Stress fracture of metatarsal heads
Metatarsalgia

Question 9

Strunskys sign

Answer 9

Looking for metatarsalgia or OA

Question 10

Tinels foot sign

Answer 10

Looking for nerve compression syndrome ( Posterior Tibial nerve, Medial Plantar nerve, Deep peroneal nerve)

Tarsal Tunnel Syndrome