OSCE presentation Flashcards

1
Q

On auscultation of the lungs what would decreased air entry signify?

A

Emphysema, pneumothorax, pleural effusion

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2
Q

On auscultation of the lungs what would wheeze show?

A

COPD, asthma

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3
Q

On auscultation of the lungs what would coarse crepitations?

A

Bronchiectasis, consolidation

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4
Q

On auscultation of the lungs what would fine end-inspiratory crepitations (like Velcro) show?

A

Pulmonary fibrosis

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5
Q

On auscultation of the lungs what would fine inspiratory crepitations show?

A

pulmonary oedema

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6
Q

On auscultation of the lungs what would harsh breath sounds show?

A

Consolidation

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7
Q

Why does palmar erythema show in a GI exam?

A

Hyperdynamic circulation due to increased circulating oestrogen in liver disease

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8
Q

What might a fine tremor in a thyroid exam signify?

A

Thyrotoxicosis

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9
Q

What is thyroid acropachy?

A

Present in Graves disease - clubbing and swelling of fingers and toes, redness

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10
Q

Onycholysis in thyroid disease?

A

Thyrotoxicosis (hyper)

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11
Q

Lump in neck moves when swallowing in thyroid exam?

A

Thyroid and thyroglossal cysts both move

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12
Q

Lump in neck moves up when tongue sticks out?

A

Thyroglossal cyst

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13
Q

Pretibial myxoedema?

A

Skin manifestation in Graves disease

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14
Q

If the tongue deviates to the patients L, what side is the lesion?

A

L (tongue = towards)

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15
Q

causes of glove and stocking sensory loss? (peripheral neuropathy)

A

Diabetes, vitamin B12 deficiency, shingles, alcohol

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16
Q

Tenderness in the anatomical snuffbox would indicate?

A

Scaphoid fracture

17
Q

TIA management

A

ABCD2, 200mg aspirin loading dose for 2 weeks, clopidogrel 75mg long-term