Intro to PE and Instruments Lab OSCE

Question 1

Left lateral recumbent

Answer 1

patient’s LEFT side is down

Question 2

Right lateral recumbent

Answer 2

the patient’s RIGHT side is down

Question 3

4 techniques of examination

Answer 3

1. Inspection
2. Auscultation
3. Percussion (perform with hands)
4. Palpation

Question 4

Percussion
Dull sounding=
Flat sounding=
Tympanic sounding=

Answer 4

Dull sounding= fluid
Flat sounding= solid
Tympanic sounding= air

Question 5

OSE goals

Answer 5

1. Integrate info about the MSK system even when dealing with NON MSK compains.
2. Body is a unit and structure and fx are reciprolcillay related
3. Rational therapy is based upon an understanding of body unity, self-regulatory
   mechanism and inter-relationship of structure and function

Question 6

USe of opthalamascope

Answer 6

used to examine fundus, retina, posterior chamber

1. have pt look over shoulder
2. place hand not used on forehead
3. hold device in right hand and use right eue to examine pts right eye
   switch for other eye.
4. move light LATERAL - MEDIAL until over iris and then move toward pt
5. idenfity light reflex and red reflex

Question 7

Direct pupillary light reflex-

Answer 7

when light shined in eye, that pupil constricts

Question 8

Consensual pupillary light reflex

Answer 8

when light shined in eye, pupil of the other

eye also constricts

Question 9

SNELLEN EYE CHART:

Answer 9

Assess visual acuity

Question 10

20/40 vision

Answer 10

means that the test subject

sees at 20 feet what normal person sees at 40 feet

Question 11

OTOSCOPE

Answer 11

Gently grasp auricle. For children >12 months and adults, pull UP, OUT, and BACK.

For children <12 months, pull DOWN, out, and back.

Question 12

what to identify in ear

Answer 12

canal, tympanic membrane, and reflected cone of light

Question 13

air conduction via tuning fork

Answer 13

lasts longer, hold fork at external auditory meatus

Question 14

Bone conduction via tuning fork

Answer 14

less than air conduction, hold handle at mastoid process

posterior to the ear

Question 15

Vibratory sense

Answer 15

place handle on patella (knee cap) and compare left and right
for duration.

Question 16

with reflex hammer; for bicep reflex, what does the hammer strike?

Answer 16

thumb

Question 17

Stethoscope

diapragm

Answer 17

Diaphragm = larger circle, for higher frequency sounds such as breath sounds
and heart sounds

Question 18

Stethoscope

bell

Answer 18

Bell = smaller circle, for lower frequency sounds such as bruits

Question 19

Universal Precautions.

Answer 19

1. Protect the patient and provider from spread of infectious disease
   2, Gloves used in presence of blood or other bodily fluids
2. Hand washing before and after wearing gloves

Question 20

. Proper Glove Use.

Answer 20

a. Wash and dry hands
b. Remove glove and hold it at open end
c. Pull cuff over hand and encase the gloves
d. Dispose in proper container (Red bags are for supplies contaminated with body fluid or
potentially infectious debris)