OSCE 1

Question 1

anesthesia landmark

Answer 1

carotid tubercle, c6

Question 2

why do you palpate carotid tubercle and carotid pulse unilaterally

Answer 2

carotid sinus reflex

Question 3

when are the greater occipital nerves palpable

Answer 3

whiplash injury

Question 4

pain in PROM indicates _____ injury and therefore a _____

Answer 4

ligament

SPRAIN

Question 5

pain in AROM indicates ___ injury and therefore a ____

Answer 5

muscle

STRAIN

Question 6

muscle and degree FLEXION

Answer 6

SCM

50*

Question 7

muscle and degree EXT

Answer 7

paravertebral extensors and traps

60*

Question 8

muscle and degree LAT ROT

Answer 8

SCM

80

Question 9

muscle and degree LAT FLEX

Answer 9

ant/mid/post scalene

45

Question 10

with a R lateral bend tests VA on ___side and VA on the ___ is occluded

Answer 10

Lt VA tested
Rt VA occluded
-LAT BEND = SAME OCCL

Question 11

with a R rotation, tests ___ VA and ___ is occluded

Answer 11

Rt VA tested
Lt VA occluded
-ROT = OPP OCCL

Question 12

two VB circ assessments in which passive motion is used

Answer 12

VA (cervical quadrant) test

hallpikes

Question 13

pulses taken in george’s screening

Answer 13

radial

brachial

Question 14

positive george’s screening

Answer 14

difference in 10 mmHg in SYSTEMIC lt to rt

Question 15

if george’s is neg you would ______

and a positive would indicate ____

Answer 15

ausc SCA for bruits

stenosis/compression

Question 16

three compromises to SCA

Answer 16

atherosclerosis
pancoast tumor
anterior scalene spasm

Question 17

three cervical frx

Answer 17

spinal percussion
soto hall
rust sign

Question 18

three cervical instability

Answer 18

sharp purser
transverse lig
alar lig

Question 19

valsalva tests of an increase in

Answer 19

intrathecal pressure

Question 20

three SOL tests

Answer 20

valsalva
dejerine’s sign
swallowing -ant sol

Question 21

FOUR SOL

Answer 21

disc defect
osteophyte - MC
tumor
displaced frx

Question 22

4 HA types

Answer 22

vascular/neurogenic
tension/cervicogen
metab/toxic
misc - sinus

Question 23

referral type HA indicators

Answer 23

“worst HA of my life”
head trauma
new HA in older

Question 24

non referral tx

Answer 24

mgmt
behavior mod
^ chiro freq
supplements

Question 25

HA RED FLAGS

SSNOOPY

Answer 25

systemic - fever
secondary - HIV
neuro sx- confusion
onset - sudden
older - new/progressive > 50
previous - HA hx of progr - change in freq
younger - severe HA in child

Question 26

most characteristic finding of vasc exam

Answer 26

pain on palp of superior temporal artery - shouldnt transmit pain

Question 27

what you palp/auscultate for vasc exam

Answer 27

carotid a
temporal a
-for bruits

Question 28

corneal reflexes nerves tested

Answer 28

sensory- trigeminal

motor - facial

Question 29

jaw reflex nerves tested

Answer 29

sens and motor - trigeminal

Question 30

dif bt vestibular and cerebellar

Answer 30

eyes closed - v

eyes open - c

Question 31

what senses are tested in vestib and cereb?

Answer 31

sensory
proprio
vision
–balance - need 2/3 to fxn

Question 32

4 q to ask HA pt

Answer 32

• did you hit your head
• are you taking meds
• is this a new HA
• any d/o or dz you know about

Question 33

4 vestib tests

CLOSED EYES

Answer 33

veering
past pointing
point to movement eval alt
romberg’s

Question 34

3 cerebellar tests

OPEN EYES

Answer 34

finger-nose
pro-supination
rombergs