Stuff from OSCEs

Question 1

What are symptoms

Answer 1

• what the patient reports (subective)

- pain and stiffness

Question 2

What are signs

Answer 2

things the physician can assess (objective)

-warmth, redness, swelling, pain to touch or with motion

Question 3

c4 dermatome

Answer 3

top of shoulder

Question 4

c5 dermatome

Answer 4

radial aspect of forearm

Question 5

c8 dermatome

Answer 5

5th digit

Question 6

T4 dermatome

Answer 6

nipple line

Question 7

t10 dermatome

Answer 7

ublicicus

Question 8

L5 dermatome

Answer 8

great toe

Question 9

s1 dermatome

Answer 9

posterolateral calf/ little toe

Question 10

capillary refill

Answer 10

compress patients digit btween physican index and thumb to cause blanching: release pressure and note time to regain color.

normal time is 2 seconds or less

Question 11

What does capillary refill test?

Answer 11

digital perfusion (aterial occlusion, hypovolumic shock or hypothermia)

Question 12

edema examination

Answer 12

press for 5 seconds over the dorsum of foot, anterior tiba or behind medial malleolus!

Question 13

edema ratings

Answer 13

0: absent
1+ barley decteable (slight pittting) 2mm
2+ slight indentation (4mm) 10-15 seconds
3+ deeper indentation (6mm) > 1min
4+ very marked indendation 8mm, 2-5 mins

Question 14

What is the osteopathic strucrual exam (OSE)

Answer 14

TART