OSCE

Question 1

First part of exam

Answer 1

Wash hands. General appearance. Pulse. RR. Palpate brachial artery for BP.

Question 2

Second part of exam

Answer 2

Inspect chest and back. Excursion. Fremitus. Percuss posterior lung. Auscultate (open mouth) esp R mid-axillary. Percuss and auscultate anterior.

Question 3

Third part of exam

Answer 3

Put table at 30*. JVP. Carotid arteries w/ bell (hold breath). Heave. PMI. Auscultate APTM. T,M w/ bell, LLDecub. A,P w/ diaphragm leaning forward. PT,DP pulses. Edema

Question 4

Fourth part of exam

Answer 4

Lay down table. Inspect abdomen. Auscultate. Percuss 4 quadrants and for liver,spleen. Palpate light then deep (look at face). Palpate liver and spleen (lift up from back and breath in)

Question 5

Is inhalation or exhalation louder in bronchial sounds? vesicular?

Answer 5

exhalation. inhalation

Question 6

what causes third and fourth heart sounds

Answer 6

3-dilation. 4-hypertrophy

Question 7

what is the order of the write up?

Answer 7

GVN CLAE. General, vital, neck, cardiac, lung, abdomen, extremities