PARA OSCE SKILLS QUESTIONS AND ANSWERS LATEST UPDATE
A+ GRADED
cranial nerves
olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, acoustic,
glossopharyngeal, vagus, accessory, hypoglossal
olfactory nerve
smell
optic nerve
vision/eyes to brain
occulomotor
coordinate eye position during movement
trochlear
superior oblique movement of eye/up and down
trigeminal
motor and sensory info from face to brain
abducens
lateral eye movement
facial
innervation of facial symmetry
acoustic
hearing
glossopharyngeal
motor, sensory and parasympathetic info to mouth and throat
vagus
psns (mood, digestion, hr, immune)
accessory
movement of neck, head, shoulders
hypoglossal
tongue movement
components of neuro/nerve exam
ppe, muscle tone, muscle strength, coordination/control, touch/perception, pain,
oculomotor, pupils, extraocular movement, facial, glossopharyngeal/vagus/hypoglossal,
olfactory
nerve muscle tone assess
record flaccid, spasticity, rigid, normal
nerve muscle strength assess
squeeze hands, hold arms at 90 10secs, push up/down against resistance on forearms,
repeat with shoulder, elbow, wrist, hip, knee, ankle
nerve coordination/control assess
pt walk and observe gait/balance, hold finger up and get pt to touch then touch their
nose, repeat in different positions, pt touch their fingers to thumb quick
, nerve touch/perception assess
close pt eyes get them to identify where you touch with pen (forehead, hand, forearm,
thigh, foot)
nerve pain assess
if sensory perception is compromised - nailbed, trapezius, supraorbital notch
oculomotor assess
eyelid symmetry, pupil size, shape, position
pupillary reactivity assess
penlight both eyes
extraocular movement assess
finger 30cm away H test
facial assess
smile and raise eyebrows
glossopharyngeal, vagus, hypoglossal assess
open mouth say ahh, note elevation of palate and uvula deviation
olfactory, facial, glossopharyngeal assess
note alterations in smell or taste
v1 placement
4th ics right
v2 placement
4th ics left
v3 placement
midway v2 and v4
v4 placement
5th ics left midclavicular
v5 placement
midway v4 and v6
v6 placement
5th ics left midaxillary line
v4r placement
move v4 to 5th ics right midclavicular line
posterior placement
v4=v7 left posterior axillary, v5=v8 tip of left scapula, v6=v9 left paraspinal region - all
5th ics
laryngoscope indications
visual glottis for endotracheal tube or remove foreign body
laryngoscope contra
suspect/known epiglottitis
laryngoscope comps
laryngospasm, hypoxia, mouth/upper airway trauma, exacerbate c-spine injury, vomit
laryngoscope landmarks
triple airway, 45 angle = epiglottis, tip in vallecular groove, vocal folds, trachea
magill indication
remove pharyngeal obstruction
magill contra
effective cough
A+ GRADED
cranial nerves
olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, acoustic,
glossopharyngeal, vagus, accessory, hypoglossal
olfactory nerve
smell
optic nerve
vision/eyes to brain
occulomotor
coordinate eye position during movement
trochlear
superior oblique movement of eye/up and down
trigeminal
motor and sensory info from face to brain
abducens
lateral eye movement
facial
innervation of facial symmetry
acoustic
hearing
glossopharyngeal
motor, sensory and parasympathetic info to mouth and throat
vagus
psns (mood, digestion, hr, immune)
accessory
movement of neck, head, shoulders
hypoglossal
tongue movement
components of neuro/nerve exam
ppe, muscle tone, muscle strength, coordination/control, touch/perception, pain,
oculomotor, pupils, extraocular movement, facial, glossopharyngeal/vagus/hypoglossal,
olfactory
nerve muscle tone assess
record flaccid, spasticity, rigid, normal
nerve muscle strength assess
squeeze hands, hold arms at 90 10secs, push up/down against resistance on forearms,
repeat with shoulder, elbow, wrist, hip, knee, ankle
nerve coordination/control assess
pt walk and observe gait/balance, hold finger up and get pt to touch then touch their
nose, repeat in different positions, pt touch their fingers to thumb quick
, nerve touch/perception assess
close pt eyes get them to identify where you touch with pen (forehead, hand, forearm,
thigh, foot)
nerve pain assess
if sensory perception is compromised - nailbed, trapezius, supraorbital notch
oculomotor assess
eyelid symmetry, pupil size, shape, position
pupillary reactivity assess
penlight both eyes
extraocular movement assess
finger 30cm away H test
facial assess
smile and raise eyebrows
glossopharyngeal, vagus, hypoglossal assess
open mouth say ahh, note elevation of palate and uvula deviation
olfactory, facial, glossopharyngeal assess
note alterations in smell or taste
v1 placement
4th ics right
v2 placement
4th ics left
v3 placement
midway v2 and v4
v4 placement
5th ics left midclavicular
v5 placement
midway v4 and v6
v6 placement
5th ics left midaxillary line
v4r placement
move v4 to 5th ics right midclavicular line
posterior placement
v4=v7 left posterior axillary, v5=v8 tip of left scapula, v6=v9 left paraspinal region - all
5th ics
laryngoscope indications
visual glottis for endotracheal tube or remove foreign body
laryngoscope contra
suspect/known epiglottitis
laryngoscope comps
laryngospasm, hypoxia, mouth/upper airway trauma, exacerbate c-spine injury, vomit
laryngoscope landmarks
triple airway, 45 angle = epiglottis, tip in vallecular groove, vocal folds, trachea
magill indication
remove pharyngeal obstruction
magill contra
effective cough
