OSCE

Question 1

GENERAL

Answer 1

Sanitize hands JUST PRIOR to starting the PE

Verbalize what you are doing

Question 2

VITALS

Answer 2

Recheck any abnormal vital signs (EXCEPT TEMPERATURE)

FOR GIBSON

• check pulse (118)
• check RR (24)

FOR TELEMANN
-RR slightly on the higher end (18)

Question 3

HEENT

Answer 3

Check oral pharynx with a light source

Question 4

NECK

Answer 4

Check for anterior/posterior cervical lymph nodes

Question 5

PULMONARY

Answer 5

Auscultate - 6 posterior and 2 anterior areas of lung

Percuss - 6 posterior and 2 anterior areas of lung

Question 6

CV

Answer 6

Palpate the PMI

Auscultate all 4 major cardiac listening areas (bell and diaphragm)

Check at least 1 peripheral pulse (Bilat)

Check for lower extremity edema (Bilat)

Question 7

ADBOMEN

Answer 7

Auscultate Bowel Sounds in 4 Quadrants

Auscultate at least 1 Abdominal Vascular structure(s) (Aorta, Iliacs, Renals) for bruits

Palpate Abdomen in 4 Quads (light and deep palpation)

Palpate/Percuss for CVA tenderness

Question 8

COMMUNICATION

Answer 8

Summarize your findings to the patient

Provide an Assessment of your findings to the patient

Ask if patient has any questions or concerns

Use language that the patient understands

Treat the patient with respect

Dress professionally