OSCE

Question 1

PV Exam

Answer 1

1. Pain? Pregnant? Need wee?
2. Brief abdo exam
3. Vulval inspection
4. One hand
5. Bimanual
6. Check glove

Question 2

Hernia

Answer 2

Standing - cough and palpate

Laying - location, reduction, ring, ascultate

Question 3

Pregnant abdomen

Answer 3

1. Look - hands, face, abdo
2. Brief abdo exam
   3, Foetal HELP (heartbeat, engagement, lie, presentation)

Question 4

Vascular - arterial

Answer 4

1. Inspect hands, face and temp
2. Upper limb - pulses, bp, Allen’s, auscultate
3. Middle - aorta and auscultate
4. Lower - pulses, neuro, Buerger’s, ABPI

Question 5

Breast

Answer 5

Look - 3 positions
Feel - quads, axilla, fossa, nipple
Liver and spine

Question 6

Ulcers

Answer 6

1. Look - type, BEDS, whole limb
2. Feel - pain, temp, contact bleeding, induration
3. Move - fixation
4. Special - LN, pulses, sensation, joint RoM

Question 7

Thyroid

Answer 7

Look - voice quality, appearance, face, neck, eyes
Neck - trachea, lump, LN, auscultate
Legs - weakness, reflexes, pretibial oedema

Question 8

Scrotum

Answer 8

1. Look - abdo, groin, penis, scrotum, perineum
2. Feel - testicles, epididymis, spermatic cord, Phren’s, cremasteric
3. Special - transilluminate, posterior scrotum on standing

Question 9

PR exam

Answer 9

Look
cough
feel - 360, tone, prostate
glove

Question 10

MSE

Answer 10

Appearance and behaviour
Speech
Emotion
Perception
Thought
Insight and judgment
Cognition

Question 11

Vertigo

Answer 11

neuro
cardio
ear
HURDS - head impulse, Unterberg’s, Romberg’s, Dix Hallpike, Skew

Question 12

Stoma

Answer 12

Pain or recent problems?

Inspect BASOPHILS - bleeding, area, site, output, prolapse/retraction, hernia, infarction, lumens, spout

Question 13

Fluid status

Answer 13

Look - hands, face, chart
Hands
Chest
Abdo
Legs

Question 14

Lump

Answer 14

Measure landmark
Look
Feel
Move - tether and tense
Special - transilluminate, auscultate, LN

Question 15

Verifying death

Answer 15

1. Check DNAR and circumstances
2. Identify
3. verbal
4. Pain
5. Pupils
6. Pulse- 1 min
7. Heart sounds - 2 min
8. Resp sounds - 3 min
9. Document and inform

Question 16

Vascular - venous

Answer 16

Inspect

Tap test at SFJ

Question 17

Diabetic foot

Answer 17

Look (inc shoes)
feel bones
Neuro - sensation and reflex
Vascular - temp, pulses, CRT

Question 18

Eyes

Answer 18

I’M AFONIC

1. I have ….. glasses
2. Movements H
3. Acuity - near and far
4. Fields
5. Ophthalmoscopic - front and offer back
6. Neglect
7. Ishihara plates
8. Cover test