OSCE Signs

Question 1

Tension Pneumothorax

Answer 1

Trachea deviates away from affected side

Reduced breath sounds on affected side

Hyper resonance on affected side

Tachypnoea

Tachycardia

Hypoxia

Question 2

Pleural Effusion

Answer 2

Reduced chest expansion on affected side

Tracheal deviation away from affected side

Reduced or absent breath sounds on affected side

Stony dull percussion

Dyspnoea

Cough

Pleuritic chest pain

Question 3

Bronchiectasis

Answer 3

Rhonchi

Course crackles

High pitched inspiratory squeak

Clubbing

Cough

Heavy sputum production

Question 4

Lung Cancer

Answer 4

Dull percussion

Wheeze

Lymphadenopathy

Clubbing

Cachexia

Haemoptysis

Weight loss

Question 5

PE

Answer 5

Evidence of a DVT

Pleural rub

Hypotension

Tachycardia

Tachypnoea

Cyanosis

SOB

Question 6

Pulmonary oedema

Answer 6

Tachypnoea 
Reduced sats 
Raised JVP
SOB
Pink frothy sputum

Question 7

Aortic Stenosis

Answer 7

Crescendo systolic murmur between S1-S2
Radiation to carotids
Loudest on expiration

Question 8

Mitral Regurgitation

Answer 8

Pan-systolic murmur between S1-S2
May radiate to axilla
Heard best on side with bell
Displaced apex beat

Question 9

Aortic Regurgitation

Answer 9

Early diastolic murmur between S2-S1
Heard best on left sternal edge
Collapsing pulse

Question 10

Mitral Stenosis

Answer 10

Mid-diastolic murmur between S2-S1
Loudest whilst on side during expiration
Low volume pulse

Question 11

Tricuspid Regurgitation

Answer 11

Pan-systolic murmur between S1-S2

Heard best in tricuspid area during inspiration