OSCE exams Flashcards
Suggest what can be used when counselling a patient on medication.
SPA WARDS MESS
Setting - have a leaflet ready
Perceptions/ prior knowledge - what do you already know AND want to know?
About the medication - how it works, dose
When to take/ when to start
Advantages
Risk
Disadvantages
Missing a dose
Safety netting
Supportive literature
How is the cerebellar exam conducted?
Today I am going to perform an exam which will involve looking at some movements
Inspection - check for any scarring, SWIFT
Gait
Romberg’s
Truncal ataxia
Eyes - nystagmus, saccades
Saturday - speech - “British constitution” “Baby hippopotamus”
Arms x 4 - pronator drift, rebound sign, tone, dysdiadokinesia, past pointing
Legs x 2 - co-ordination, knee jerk, tone
Outline how to conduct a hernia examination.
WIPE
Inspection - scars, drains, distension
Head at 45 degrees
Anatomical location
Reducibility
Direct vs indirect
Outline the stages of a scrotum or testicular exam.
WIPE - pain and chaperone
General inspection
Inspection - discharge, bleeding, balanitis
Move penis up
Inspect testes
Palpate testes
Cremasteric reflex
Phrens test
Standing upright for variocele or hernia
Illumination if lump
Outline how to examine a stoma.
