General Inspection and Integument OSCE

Question 1

Sweet and fruity (acetone) breath

Answer 1

DB

Question 2

Sweet/musty breath

Answer 2

fetor hepaticus (breath of dead)

Question 3

Fishy, urine odor (ammonia)

Answer 3

uremic fetor

Question 4

Leaning fwd could be indicaitve of

Answer 4

CHF

Question 5

shuffling feet can be indicative of

Answer 5

Parkinsons

Question 6

BMI

Answer 6

<18.5 underweight
normal is 18.5-24.9
overweight is  25-29.9
Obesity (I) 30-35
Obesity (II) 35-40

Extreme obesity >40

do not use for children, body builders, elderly and pg ppl

Question 7

Stance phase of GAIT

Answer 7

foot is on the ground and takes weight

60% of the gait cycle

Question 8

Swing phase of GAIT

Answer 8

foot moves forward and does not bear weight

40%

Question 9

normal gait

Answer 9

smooth
continuous
rhtmical

Question 10

Steps in GAIT

Answer 10

Stance phase

1. Initial contact
2. Load response
3. Heel off
4. Oppopsite initial contact
5. Toe off

Swing phase

6. Feet adjacent
7. tibia certical
8. Next initial contact

Question 11

lateral gravitational line

Answer 11

1. external auditory canal
2. lateral head of the humerus
3. third lumbar vertebra
4. anterior third of sacrum
5. greater trochanter of the femur
6. lateral condyle of the knee
7. lateral mallelous

Question 12

how do we maintain our posture

Answer 12

motion occurs in ALL three planes to keep our body balanced

Question 13

what helps keep eyes level

Answer 13

vision, propioception from tendons and muscles and vestibular inputs keep eyes level

Question 14

onchylysis

Answer 14

seperation of nail from nail bed.

Question 15

koilonychya

Answer 15

inverted finger nails

Question 16

Which of the following correctly represents a full gait
cycle?

a. From L heel strike to R toe off
b. From L toe off to L toe off
c. From R heel strike to R heel strike
d. From R heel strike to R toe off
e. From L heel strike to R terminal swing

Answer 16

C

know this! A full gait cycle is from heel strike to heel strike of the same leg

Question 17

The heart is _______ to the anterior chest wall

Answer 17

dorsal
deep
internal

Question 18

Mottling

Answer 18

Mottling -> spotted/speckled patches of color on skin

Question 19

Lanugo ->

Answer 19

fine, soft hair that covers the body of a newborn