OSCE EXAM 2026 STUDY GUIDE
COMPREHENSIVE QUESTIONS
ANSWERS GRADED A+
◉ Ear Exam (3). Answer: Otoscope, Weber test (head), Rinne test
(bone)
◉ HEENT exam:. Answer: Lymph nodes, eye exam, ear exam, nose,
inspect mouth/throat
◉ Respiratory exam (4). Answer: Breath sounds, vocal resonance,
egophany, tactile fremitus, percussion
◉ What is Egophany, how do you test for it, and what does a positive
result indicate?. Answer: Change in vocal resonance where "E" sounds
like "A"
Positive test indicates consolidation - Pneumonia, Edema, Abscess
◉ What is Tactile Fremitus, how do you test for it, and what does a
positive result indicate?. Answer: Palpate and ask pt to say "toy boat/99"
Increased Fremitus: Increased sound transmission - Pneumonia, edema
Decreased Fremitus: Decreased sound transmission - Effusion,
Pneumothorax
, ◉ Cardiovascular exam (3). Answer: Palpate (max impulse),
Auscultation (4), Peripheral pulses
◉ Abdominal Exam (4). Answer: Inspect --> Listen --> Palpate (shallow
then deep) --> liver/spleen
◉ Special maneuvers for abdominal exam. Answer: Murphy's sign
(Cholecystitis): Push down along right midclavicular line on inhale
McBurneys point (Appendicitis): Midpoint between ASIS and belly
button
CVA tenderness (pyelonephritis): area between lower rib border and
sline
◉ MSK Spine (3). Answer: Palpate
Straight leg test (passive): Disc herniation L4-S2
Faber test (figure 4): Sacroiliac Joint Dysfunction
◉ MSK shoulder (4). Answer: Hawkins: Have arm up (bent 90°) and
rotate forearm downwards
Neer: Raise and lower arm
Empty Can: Thumbs down and push up on resistance
Infraspinatus: Push arms apart with resistance
◉ MSK Wrist and Hand. Answer: Pronation/supination
Range of motion
COMPREHENSIVE QUESTIONS
ANSWERS GRADED A+
◉ Ear Exam (3). Answer: Otoscope, Weber test (head), Rinne test
(bone)
◉ HEENT exam:. Answer: Lymph nodes, eye exam, ear exam, nose,
inspect mouth/throat
◉ Respiratory exam (4). Answer: Breath sounds, vocal resonance,
egophany, tactile fremitus, percussion
◉ What is Egophany, how do you test for it, and what does a positive
result indicate?. Answer: Change in vocal resonance where "E" sounds
like "A"
Positive test indicates consolidation - Pneumonia, Edema, Abscess
◉ What is Tactile Fremitus, how do you test for it, and what does a
positive result indicate?. Answer: Palpate and ask pt to say "toy boat/99"
Increased Fremitus: Increased sound transmission - Pneumonia, edema
Decreased Fremitus: Decreased sound transmission - Effusion,
Pneumothorax
, ◉ Cardiovascular exam (3). Answer: Palpate (max impulse),
Auscultation (4), Peripheral pulses
◉ Abdominal Exam (4). Answer: Inspect --> Listen --> Palpate (shallow
then deep) --> liver/spleen
◉ Special maneuvers for abdominal exam. Answer: Murphy's sign
(Cholecystitis): Push down along right midclavicular line on inhale
McBurneys point (Appendicitis): Midpoint between ASIS and belly
button
CVA tenderness (pyelonephritis): area between lower rib border and
sline
◉ MSK Spine (3). Answer: Palpate
Straight leg test (passive): Disc herniation L4-S2
Faber test (figure 4): Sacroiliac Joint Dysfunction
◉ MSK shoulder (4). Answer: Hawkins: Have arm up (bent 90°) and
rotate forearm downwards
Neer: Raise and lower arm
Empty Can: Thumbs down and push up on resistance
Infraspinatus: Push arms apart with resistance
◉ MSK Wrist and Hand. Answer: Pronation/supination
Range of motion
