osces

Question 1

give the structure of a history

Answer 1

introduce self
ask for name and D.O.B.
wash hands
presenting complaint
history of presenting complaint (SOCRATES)
PMH - ALLERGIES
DH
SH
red flags
ICE
close consultation

Question 2

what specific questions should you ask in a renal history

Answer 2

pain on peeing
frequency
urgency
peeing at night
blood in urine
fever
nausea/vomiting
weight loss

Question 3

outline thyroid exam

Answer 3

> introduce self
ask name and D.O.B
WASH HANDS
look - hair, skin, sweaty
hands - tremor, nails
ask to stand from seating without using hands
inspect neck from sides and front
check if thyroid moves when swallowing water
palpate thyroid and cervical lymph nodes
auscultate for Bruits

Question 4

what is involved in the feel aspect of hand exam

Answer 4

feel temperature of wrist and MCP

squeeze MCP together

palpate the wrist joints

run hand up the forearm

Question 5

what is involved in the move aspect of hand exam

Answer 5

prayer sign with hand and other way around

make a fist

pincer grip of all fingers

ask to squeeze your fingers

ask patient to pick up a coin and a pen

Question 6

outline cardiac exam

Answer 6

introduce
wash hands
hands
pulse and resp rate (both radial and raise)
blood pressure
JVP
palpate - hand over apex and valves
auscultate 4 valves and carotid
auscultate lung bases
look at legs and feel temp.
pulses: top of foot, behind M.M., popliteal, femoral

Question 7

outline resp exam

Answer 7

introduce
WASH HANDS
hands
pulse and resp rate
face
neck
feel trachea for deviation
hands on chest to asses expansion
percuss - front, back and side
auscultation - front back sides
thanks patient

Question 8

what to include in EVERY OSCE

Answer 8

introduce yourself

ask name and DOB

WASH HANDS

ICE

RED FLAGS