CLINICAL SKILLS: OSCE QUESTIONS AND ANSWERS LATEST
UPDATE A+ GRADED
History
Biodata
Chief Complaint - Set agenda
History of presenting Illness (SOCRATES)
Past medical history
Family History
Social history
Sexual History
Review of Systems
WIIPEEP
Wash hands
Introduce yourself
Identify pt
Permission
Explain procedure
Expose pt
Position pt
Vitals
Temp (mention)
Pulse - radial + Carotid, RF delay (mention)
Respiratory rate
BP - both arms, 3 positions, osler's
Head and Neck - inspection
Hair - distribution and texture
Scalp - scales, dandruff, swellings
Face - 5S', color, facial expression, eyebrows
Mouth - lips, teeth, buccal mucosa, tongue, gums, palate, tonsils, uvula, salivary ducts
Lymphatics
Head and Neck - occipital, pre/post auricular, tonsilar, submandibular, submental,
sup/deep/post cervical, supraclavicular
Epitrochlear
Axillary
Inguinal
Peripheral Signs of Thyroid Disease
general - weight loss
head - hair thin/coarse, eyebrows, lid lag/retraction, exopthalmos, test extraocular
muscles (H, corneal reflect, convergence
Hands - tremors, sweating
Cardio - murmurs, HR
Lower limbs - pre-tibial myxedema, DTR
Thyroid examination
, Inspect - 5 S', movement with swallowing
Palpate - landmark, swallow, lateral lobes, sup/deep cervical nodes
Auscultation
Ears - inspect + palpate
Inspect - discharge, inflammation, tophi, appendages
Palpate - pre/post auricular lymph nodes, tragus, tug, press mastoid
Speculum - swellings/discharge in canal, handle of malleus, umbo, cone of light,
tympanic membrane (pearly gray)
Ears - Special tests - CN VIII
Whisper
Weber's (top of head) + Rinne's (AC vs. BC)
Nose - CN I
inspect - 5S', deformity, discharge
Palpate - patency
Speculum - color of mucosa, septum intact, vessels, inf. concha
Sniff test (one nostril at a time)
Sinuses
inspect - swelling, redness
palpate - tenderness (gentle pressure)
Transillumination - turn off lights, DENTURES
Eye - Inspection + Palpation
Inspection - alignment, eyebrows, eyelids (ectropion/entropion), xanthelasma, sty,
chalazion, pupils, conjunctiva, icterus/anemia, pingueculum, pterygium, crescentic
shadow/anterior chamber, see puncta
Palpate - lacrimal apparatus
Eyes - CN II
Pupils - direct, consensual, convergence
Visual feilds
Visual acuity
Fundoscopy - LIGHTS - vessels, optic disc, macula/fovea -
Eyes - CN III, IV, VI
Pupils - direct, consensual, convergence
Extra-ocular muscles - H test/convergence, corneal reflect, cover-uncover (20s)
Heart - Peripheral signs
Head - anemia/jaundice in eyes, fundoscopy (HTN, roth), Malar flush, central cyanosis
(mouth)
Hands - cyanosis, clubbing, splinter hemorrhages, Osler's nodes, Janeway lesions
Tracheal deviation
JVP + HJ reflux
AUSCULTATE POSTERIOR LUNG BASES
Pedal edema
Heart Exam
Inspect - 5S, apical impulse, AA pulse, other pulsations in valve areas
Palpation - Tenderness, JVP, tracheal deviation, apical impulse, AA pulse, other
pulsations in cardiac areas, heave
UPDATE A+ GRADED
History
Biodata
Chief Complaint - Set agenda
History of presenting Illness (SOCRATES)
Past medical history
Family History
Social history
Sexual History
Review of Systems
WIIPEEP
Wash hands
Introduce yourself
Identify pt
Permission
Explain procedure
Expose pt
Position pt
Vitals
Temp (mention)
Pulse - radial + Carotid, RF delay (mention)
Respiratory rate
BP - both arms, 3 positions, osler's
Head and Neck - inspection
Hair - distribution and texture
Scalp - scales, dandruff, swellings
Face - 5S', color, facial expression, eyebrows
Mouth - lips, teeth, buccal mucosa, tongue, gums, palate, tonsils, uvula, salivary ducts
Lymphatics
Head and Neck - occipital, pre/post auricular, tonsilar, submandibular, submental,
sup/deep/post cervical, supraclavicular
Epitrochlear
Axillary
Inguinal
Peripheral Signs of Thyroid Disease
general - weight loss
head - hair thin/coarse, eyebrows, lid lag/retraction, exopthalmos, test extraocular
muscles (H, corneal reflect, convergence
Hands - tremors, sweating
Cardio - murmurs, HR
Lower limbs - pre-tibial myxedema, DTR
Thyroid examination
, Inspect - 5 S', movement with swallowing
Palpate - landmark, swallow, lateral lobes, sup/deep cervical nodes
Auscultation
Ears - inspect + palpate
Inspect - discharge, inflammation, tophi, appendages
Palpate - pre/post auricular lymph nodes, tragus, tug, press mastoid
Speculum - swellings/discharge in canal, handle of malleus, umbo, cone of light,
tympanic membrane (pearly gray)
Ears - Special tests - CN VIII
Whisper
Weber's (top of head) + Rinne's (AC vs. BC)
Nose - CN I
inspect - 5S', deformity, discharge
Palpate - patency
Speculum - color of mucosa, septum intact, vessels, inf. concha
Sniff test (one nostril at a time)
Sinuses
inspect - swelling, redness
palpate - tenderness (gentle pressure)
Transillumination - turn off lights, DENTURES
Eye - Inspection + Palpation
Inspection - alignment, eyebrows, eyelids (ectropion/entropion), xanthelasma, sty,
chalazion, pupils, conjunctiva, icterus/anemia, pingueculum, pterygium, crescentic
shadow/anterior chamber, see puncta
Palpate - lacrimal apparatus
Eyes - CN II
Pupils - direct, consensual, convergence
Visual feilds
Visual acuity
Fundoscopy - LIGHTS - vessels, optic disc, macula/fovea -
Eyes - CN III, IV, VI
Pupils - direct, consensual, convergence
Extra-ocular muscles - H test/convergence, corneal reflect, cover-uncover (20s)
Heart - Peripheral signs
Head - anemia/jaundice in eyes, fundoscopy (HTN, roth), Malar flush, central cyanosis
(mouth)
Hands - cyanosis, clubbing, splinter hemorrhages, Osler's nodes, Janeway lesions
Tracheal deviation
JVP + HJ reflux
AUSCULTATE POSTERIOR LUNG BASES
Pedal edema
Heart Exam
Inspect - 5S, apical impulse, AA pulse, other pulsations in valve areas
Palpation - Tenderness, JVP, tracheal deviation, apical impulse, AA pulse, other
pulsations in cardiac areas, heave
