OSCE

Question 1

ankle and foot structure

Answer 1

remove shoes and socks

INSPECT + shoes +gait

FEEL + achilles tendon standing

MOVE (A+P)
(Ankle big toe)

Question 2

GALS structure

Answer 2

Screening Qs
GAIT
LOOK
MOVE

Question 3

GALS MOVE

Answer 3

SPINE
(C L TMJ)
SHOULDERS
HANDS (Look feel move)
KNEE (LFM)
HIP
FEET (LF)

Question 4

SPINE structure

Answer 4

Remove shirt
(any pain nceck/back)

LOOK+gait
FEEL (+percuss)
ACTIVE ROM
SPECIAL TESTS

Question 5

SPINE FEEL

Answer 5

temp
supravclavic nodes
spinous processes +SJ
paraspinal muscles

percuss

Question 6

SPINE ROM

Answer 6

CERVICAL (3)
THORACIC
LUMBAR (3)

Question 7

SPINE SPECIAL TESTS

Answer 7

straight leg raise
fem stretch test
bowstring

Question 8

Shoulder structure

Answer 8

Qs

Look + scap wing
Feel
MOVE

Special tests

Question 9

Shoulder special tests

Answer 9

Empty can
painful arc
lift off
resist ext.rot
scarf test

Question 10

Elbow structure

Answer 10

LOOK
FEEL
MOVE

finger to nose
Special tests

Question 11

Elbow special tests

Answer 11

Golfers (sup &flex)
tennis (Pro & ext)

Question 12

Knee structure

Answer 12

LOOK
FEEL+ Effusion
MOVE
Special tests

Question 13

Knee feel

Answer 13

measure quad bulk
temp
pat border, tendon insertion, tibial tubersity
pop fossa

effusion
buldge test, pateller tap

Question 14

Knee special tests

Answer 14

Posterior sag PCL
Anterior draw (ACL)

valgus stress (MCL)
Varus Stress (LCL)

Question 15

death confirmation assessment

Answer 15

indentity confirmed by wristband
pt in bed eyes closed no signs of life od resp effort
no palpable carotid pulse 5 mins
no heart or resp sounds for 5 mins
pupils fixed and dilated
no corneal reflex
no response to supra-orbital pressure

Question 16

Neuro structure

Answer 16

Inspection + Gait
Tone
Power
reflexes
coordination
sensation

Question 17

MRC power scale 0

Answer 17

no contraction

Question 18

MRC power scale 1

Answer 18

flicker/trace of contraction

Question 19

MRC power scale 2

Answer 19

active movement with no gravity

Question 20

MRC power scale 3

Answer 20

active movement against gravity

Question 21

MRC power scale 4

Answer 21

active movement against gravity and resistance

Question 22

MRC power scale 5

Answer 22

normal power

Question 23

parkinsonian gait

Answer 23

shuffling loss of arm swing

Question 24

high stepping gait

Answer 24

peripheral neuropathy

Question 25

knee jerk tests

Answer 25

nerve roots L3/L4

Question 26

bicep reflex tests

Answer 26

nerve roots c5, c6