OSCE

Question 1

GCS- eyes

Answer 1

Out of 4

1- No response
2- Opens to pain
3- Opens to voice
4- Spontaneously open

Question 2

GCS- speech

Answer 2

Out of 5:
1- No response
2- Incoherent sounds
3- Confused words
4- Confused conversation: not orientated to space, time and people
5- Orientated to space, time and people.

Question 3

GCS- motor

Answer 3

Out of 6:
1- No response to pain
2- Decerebrate response to pain (abnormal extension)
3- Decorticate response to pain (abnormal flexion)
4- Withdrawal from pain
5- Localises to pain
6- Follows commands/ moving spontaneously

Question 4

Myotome and nerve root for Hip Flexion

Answer 4

Iliopsoas

- L2

Question 5

Myotome and nerve root for hip extension

Answer 5

Glutes

- L5/S1/S2 (inferior gluteal nerve)

Question 6

Myotome and nerve root for knee extension

Answer 6

Quadriceps

- L3

Question 7

Myotome and nerve root for knee flexion

Answer 7

Hamstrings

- S1 (sciatic nerve)

Question 8

Myotome and nerve root for plantar flexion

Answer 8

Soleus, gastrocnemius

- S1/S2 (tibial nerve)

Question 9

Myotome and nerve root for dorsiflexion

Answer 9

Tibialis anterior

- L4/5 (deep peroneal nerve)

Question 10

Myotome and nerve root for shoulder abduction

Answer 10

Deltoid

- C5 (axillary nerve)

Question 11

Myotome and nerve root for shoulder adduction

Answer 11

Latissimus dorsi, pectoralis major and teres major

- C6/7 (thoracodorsal nerve)

Question 12

Myotome and nerve root for elbow flexion

Answer 12

Biceps

- C5/6 (musculocutaenous and radial nerve)

Question 13

Myotome and nerve root for elbow extension

Answer 13

Triceps

- C7 (radial nerve)

Question 14

Myotome and nerve root for wrist extension

Answer 14

Wrist extensors

- C6 (radial nerve)

Question 15

Myotome and nerve root for wrist flexion

Answer 15

Wrist flexors

- C6/7 (median nerve)

Question 16

Myotome and nerve root for finger abduction

Answer 16

First dorsal interosseous (FDI), Abductor digiti minimi (ADM)
- T1 (ulnar nerve)

Question 17

Myotome and nerve root for finger extension

Answer 17

Extensor digitorium

- C7 (radial nerve)

Question 18

Myotome and nerve root for thumb abduction

Answer 18

Abductor pollicis brevis

- T1 (median nerve)

Question 19

Dermatomes- arms

Answer 19

C5- shoulder
C6- lateral forearm, first and second digit
C7- 3rd and 4th digit
C8- 5th digit, inner forearm
T1- inner arm

Question 20

Dermatomes- lower limb

Answer 20

L1- Inguinal/ top of middle thigh
L2- Upper anterior thigh
L3- Medial knee
L4- calf 
L5- Dorsum, medial big toes
S1- Sole of foot

Question 21

S3 dermatome

Answer 21

Buttock

Question 22

L4