OSCE Prep Flashcards

1
Q

When conducting a sexual history, what are the 5 Ps we need to use?

1 - Partners, Practices, Previous obstetric history, Pregnancy, Protection
2 - Partners, Practices, Previous STI history, Pregnancy, Protection
3 - Partners, Practices, Previous STI history, Personal, Protection
4 - Partners, Paternal, Previous STI history, Pregnancy, Protection

A

2 - Partners, Practices, Previous STI history, Pregnancy, Protection

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2
Q

When conducting a sexual history, we need to include the 5 Ps, which are Partners, Practices, Previous STI history, Pregnancy, Protection. What are we asking about in relation to Partners?

A
  • No.of partners in last 12 months
  • gender of partners
  • was sex consensual
  • casual/regular partner
  • risk factors (HIV, drugs)
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3
Q

When conducting a sexual history, we need to include the 5 Ps, which are Partners, Practices, Previous STI history, Pregnancy, Protection. What are we asking about in relation to Practices?

A
  • oral sex (hepatitis B, herpes, gonorrhoea)
  • anal sex (GI pathogens eg. Giardia)
  • vaginal sex
  • sex toys
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4
Q

When conducting a sexual history, we need to include the 5 Ps, which are Partners, Practices, Previous STI history, Pregnancy, Protection. What are we asking about in relation to Previous STI history?

A
  • previously been tested for HIV and other STIs
  • previously diagnoses or STIs
  • recurring symptoms of STI
  • current or former partner(s) have been tested or diagnosed with any STIs
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5
Q

When conducting a sexual history, we need to include the 5 Ps, which are Partners, Practices, Previous STI history, Pregnancy, Protection. What are we asking about in relation to Pregnancy?

A
  • do you have children
  • previous pregnancies (miscarriages, terminations)
  • future pregnancy planning
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6
Q

When conducting a sexual history, we need to include the 5 Ps, which are Partners, Practices, Previous STI history, Pregnancy, Protection. What are we asking about in relation to Protection?

A
  • oral contraception

- barrier protection

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7
Q

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first S stand for?

1 - sinister
2 - site
3 - symptoms
4 - sciatica

A

2 - site

- where is the pain at the moment

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8
Q

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first O stand for?

1 - onset
2 - outlook
3 - obstetrics
4 - onlooker

A

1 - onset

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9
Q

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first C stand for?

1 - chanter
2 - created
3 - character
4 - change

A

3 - character

- is it stabbing or a dull ache

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10
Q

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first R stand for?

1 - rubor
2 - rounded
3 - relationship
4 - radiates

A

4 - radiates

- is it isolated, or does it move to other areas

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11
Q

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first A stand for?

1 - associated symptoms
2 - accident
3 - associated history
4 - associated feelings

A

1 - associated symptoms

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12
Q

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first T stand for?

1 - terrible
2 - time
3 - tangible
4 - tourniquet

A

2 - time

- how long have you had the pain

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13
Q

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first E stand for?

1 - evaluate
2 - ending
3 - exacerbating / alleviating
4 - elevated

A

3 - exacerbating / alleviating

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14
Q

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first S stand for?

1 - sinister
2 - serious
3 - symptoms
4 - severity

A

4 - severity

- scale of 1-10 how bad is the pain

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15
Q

When we do a reproductive history, what does gynaecology relate to?

1 - sexual health
2 - reproductive health
3 - pregnancy/labour/post-natal
4 - cervical smear history

A

2 - reproductive health

- can include reproductive organs, breasts etc..

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16
Q

When we do a reproductive history, what does obstetrics relate to?

1 - sexual health
2 - reproductive health
3 - pregnancy/labour/post-natal
4 - cervical smear history

A

3 - pregnancy/labour/post-natal

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17
Q

How long does the average menstrual cycle last for?

1 - 1-15 days
2 - 15-30 days
3 - 10-28 days
4 - 24-28 days

A

4 - 24-28 days

- but can be anything from 21-40 days

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18
Q

What is the average time of menstruation?

1 - 1-3 days
2 - 4-8 days
3 - 4-10 days
4 - >10 days

A

2 - 4-8 days

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19
Q

With any presenting problem that is specific to reproductive and or sexual health, what must we ask that is directly related to the presenting problem and current symptoms?

1 - associated symptoms
2 - family history
3 - social history
4 - alcohol intake

A

1 - associated symptoms

  • vaginal/penile discharge
  • itching/redness etc…
20
Q

When conducting a thyroid examination, what is the first thing to look for, even before asking the patient any questions?

1 - are they dressed appropriately
2 - do they have any medication around the bed
3 - do they have any walking aids around the bed
4 - are they able to look at you

A

1 - are they dressed appropriately

  • could have lots of clothes for time of year (hypothyroidism)
  • could have very few clothes on for time of year (hyperthyroidism)
21
Q

When assessing shoulder abduction, what muscle, nerve and nerve root is this?

1 - deltoid muscle, axillary nerve, C5
2 - deltoid muscle, musculocutaneous nerve, C5/C6
3 - deltoid muscle, radial nerve, C7
4 - deltoid muscle, median nerve, C5/C6

A

1 - deltoid muscle, axillary nerve, C5

22
Q

When assessing arm flexion, what muscle, nerve and nerve root is this?

1 - biceps muscle, axillary nerve, C5
2 - biceps muscle, musculocutaneous nerve, C5/C6
3 - biceps muscle, radial nerve, C7
4 - biceps muscle, median nerve, C5/C6

A

2 - biceps muscle, musculocutaneous nerve, C5/C6

23
Q

When assessing arm extension, what muscle, nerve and nerve root is this?

1 - triceps muscle, axillary nerve, C5
2 - triceps muscle, musculocutaneous nerve, C5/C6
3 - triceps muscle, radial nerve, C7
4 - triceps muscle, median nerve, C5/C6

A

3 - triceps muscle, radial nerve, C7

24
Q

When assessing wrist flexion, what muscle, nerve and nerve root is this?

1 - flexor carpi ulnaris/radialis muscle, axillary nerve, C5
2 - flexor carpi ulnaris/radialis muscle, musculocutaneous nerve, C5/C6
3 - flexor carpi ulnaris/radialis muscle, radial nerve, C7
4 - flexor carpi ulnaris/radialis muscle, median nerve, C5/C6

A

4 - flexor carpi ulnaris/radialis muscle, median nerve, C5/C6

25
Q

When assessing wrist extension, what muscle, nerve and nerve root is this?

1 - extension carpi ulnaris/radialis muscle, axillary nerve, C5
2 - extension carpi ulnaris/radialis muscle, musculocutaneous nerve, C5/C6
3 - extension carpi ulnaris/radialis muscle, radial nerve, C6
4 - extension carpi ulnaris/radialis muscle, median nerve, C5/C6

A

3 - extension carpi ulnaris/radialis muscle, radial nerve, C6

26
Q

When assessing finger extension, what muscle, nerve and nerve root is this?

1 - extensor digitorum muscle, axillary nerve, C5
2 - extensor digitorum muscle, musculocutaneous nerve, C5/C6
3 - extensor digitorum muscle, radial nerve, C7
4 - extensor digitorum muscle, median nerve, C5/C6When assessing finger extension, what muscle, nerve and nerve root is this?

A

3 - extensor digitorum muscle, radial nerve, C7

27
Q

When assessing finger flexion, what muscle, nerve and nerve root is this?

1 - flexor digitorum profundus, axillary nerve, C5
2 - flexor digitorum profundus muscle, musculocutaneous nerve, C5/C6
3 - flexor digitorum profundus muscle, radial nerve, C7
4 - flexor digitorum profundus muscle, median nerve, C8

A

4 - flexor digitorum profundus muscle, median nerve, C8

28
Q

When assessing finger abduction/adduction, what muscle, nerve and nerve root is this?

1 - dorsal/palmer interossei, axillary nerve, C5
2 - dorsal/palmer interossei, musculocutaneous nerve, C5/C6
3 - dorsal/palmer interossei muscle, ulnar nerve, T1
4 - dorsal/palmer interossei muscle, median nerve, C8

A

3 - dorsal/palmer interossei muscle, ulnar nerve, T1

29
Q

When assessing thumb abduction, what muscle, nerve and nerve root is this?

1 - abductor pollicis brevis, axillary nerve, C5
2 - abductor pollicis brevis, musculocutaneous nerve, C5/C6
3 - abductor pollicis brevis, ulnar nerve, T1
4 - abductor pollicis brevis, median nerve, T1

A

4 - abductor pollicis brevis, median nerve, T1

30
Q

When assessing hip flexion, what muscle, nerve and nerve root is this?

1 - iliopsoas muscle, iliofemoral nerve, L1-2
2 - iliopsoas muscle, sciatic nerve, S1
3 - iliopsoas muscle, femoral nerve, L3-L4
4 - iliopsoas muscle, inferior gluteal nerve, L5-S1

A

1 - iliopsoas muscle, iliofemoral nerve, L1-2

31
Q

When assessing hip extension, what muscle, nerve and nerve root is this?

1 - gluteus maximum muscle, iliofemoral nerve, L1-2
2 - gluteus maximum muscle, sciatic nerve, S1
3 - gluteus maximum muscle, femoral nerve, L3-L4
4 - gluteus maximum muscle, inferior gluteal nerve, L5-S1

A

4 - gluteus maximum muscle, inferior gluteal nerve, L5-S1

32
Q

When assessing knee flexion, what muscle, nerve and nerve root is this?

1 - hamstrings muscle, iliofemoral nerve, L1-2
2 - hamstrings muscle, sciatic nerve, S1
3 - hamstrings muscle, femoral nerve, L3-L4
4 - hamstrings muscle, inferior gluteal nerve, L5-S1

A

2 - hamstrings muscle, sciatic nerve, S1

33
Q

When assessing knee extension, what muscle, nerve and nerve root is this?

1 - quadriceps muscle, iliofemoral nerve, L1-2
2 - quadriceps muscle, sciatic nerve, S1
3 - quadriceps muscle, femoral nerve, L3-L4
4 - quadriceps muscle, inferior gluteal nerve, L5-S1

A

3 - quadriceps muscle, femoral nerve, L3-L4

34
Q

When assessing ankle dorsi-flexion, what muscle, nerve and nerve root is this?

1 - tibialis anterior muscle, iliofemoral nerve, L1-2
2 - tibialis anterior muscle, sciatic nerve, S1
3 - tibialis anterior muscle, deep peroneal nerve, L4-L5
4 - tibialis anterior muscle, inferior gluteal nerve, L5-S1

A

3 - tibialis anterior muscle, deep peroneal nerve, L4-L5

35
Q

When assessing ankle plantar-flexion, what muscle, nerve and nerve root is this?

1 - gastrocnemius muscle, iliofemoral nerve, L1-2
2 - gastrocnemius muscle, sciatic nerve, S1
3 - gastrocnemius muscle, tibial nerve, S1-2
4 - gastrocnemius muscle, inferior gluteal nerve, L5-S1

A

3 - gastrocnemius muscle, tibial nerve, S1-2

36
Q

When assessing the great toe extension, what muscle, nerve and nerve root is this?

1 - extensor hallucis longus muscle, iliofemoral nerve, L1-2
2 - extensor hallucis longus muscle, deep peroneal nerve, L5
3 - extensor hallucis longus muscle, tibial nerve, S1-2
4 - extensor hallucis longus muscle, inferior gluteal nerve, L5-S1

A

2 - extensor hallucis longus muscle, deep peroneal nerve, L5

37
Q

When listening to the heart sounds on the chest, what does the S1 sounds refer to?

1 - mitral and tricuspid valves closing
2 - aortic and pulmonary valves closing
3 - aortic and mitral valves closing
4 - tricuspid and aortic valves closing

A

1 - mitral and tricuspid valves closing

38
Q

When listening to the heart sounds on the chest, what does the S2 sounds refer to?

1 - mitral and tricuspid valves closing
2 - aortic and pulmonary valves closing
3 - aortic and mitral valves closing
4 - tricuspid and aortic valves closing

A

2 - aortic and pulmonary valves closing

39
Q

When does systolic occur in relation to the heart sounds?

1 - between S1 and S2
2 - between S2 and S1
3 - straight after S2 but ends before S1

A

1 - between S1 and S2

  • tricuspid and mitral valves close
  • pulmonary and aortic valves open
  • ventricles contract and blood leaves via pulmonary and aortic valves
40
Q

When does diastolic occur in relation to the heart sounds?

1 - between S1 and S2
2 - between S2 and S1
3 - straight after S2 but ends before S1

A

2 - between S2 and S1

  • pulmonary and aortic valves close
  • tricuspid and mitral valves open
  • blood flow from atrium into ventricles
41
Q

When auscultating to the chest what is the 1st thing we are listening for?

1 - low pitched sound of S1 on apex beat
2 - high pitched sound of S1 on apex beat
3 - low pitched sound of S1 on 2nd left intercostal space
4 - low pitched sound of S1 on 4th right intercostal space

A

1 - low pitched sound of S1 on apex beat

42
Q

When auscultating to the chest we 1st listen to the low pitched sound of S1 on apex beat, which is the mitral and tricuspid valves closing. What do we then listen for?

1 - systolic murmur of mitral regurgitation
2 - low pitched sound of S1 on 2nd left intercostal space
3 - diastolic murmur of mitral stenosis
4 - systolic murmur of mitral stenosis

A

3 - diastolic murmur of mitral stenosis

  • the mitral valve should be open during diastole as the blood flows from the left atrium into the left ventricle
  • the murmur is caused by a narrowing of the valve, called stenosis (valve not fully open)
43
Q

When auscultating to the chest we 1st listen to the low pitched sound of S1 on apex beat, we listen for a diastolic murmur of mitral stenosis. The 3rd part is to use the diaphragm of the stethoscope and listen for what in the apex area?

1 - systolic murmur of mitral regurgitation
2 - low pitched sound of S1 on 2nd left intercostal space
3 - diastolic murmur of mitral stenosis
4 - systolic murmur of mitral regurgitation

A

4 - systolic murmur of mitral regurgitation

  • the mitral valve should be closed during systole to ensure aortic valve can open and pump blood out of the heart
  • the murmur is due to the mitral valve not closing properly and blood moving back through the mitral valve and into the right atrium
44
Q

When auscultating to the chest we 1st listen to the low pitched sound of S1 on apex beat, then for a diastolic murmur of mitral stenosis and finally a systolic mitral murmur caused by mitral regurgitation. Then we move to the 4th intercostal para-sternal space and listen over the tricuspid valve (between right atrium and ventricle). Using the diaphragm, what are we listening for here?

1 - systolic murmur of ventricular septal defect
2 - low pitched sound of S1 on 2nd left intercostal space
3 - diastolic murmur of mitral stenosis
4 - systolic murmur of mitral regurgitation

A

1 - systolic murmur of ventricular septal defect

  • ventricular septum between ventricles can become enlarged
  • enlarged ventricular septum blocks blood from leaving the left ventricle and out of the aortic valve during systole
45
Q

What are we listening for in the 2nd left intercostal space when we perform a cardiac examination?

1 - systolic murmur of ventricular septal defect
2 - 2nd heart sound
3 - diastolic murmur of mitral stenosis
4 - systolic murmur of mitral regurgitation

A

2 - 2nd heart sound

- linked with pulmonary hypertension

46
Q

What are we listening for in the 2nd right intercostal space when we perform a cardiac examination?

1 - systolic murmur of ventricular septal defect
2 - 2nd heart sound
3 - diastolic murmur of mitral stenosis
4 - systolic murmur of aortic stenosis

A

4 - systolic murmur of aortic stenosis

  • during systole the aortic valve should be completely open
  • if narrowed (stenosis) then the blood cannot leave properly and heard as a murmur