OSCE

Question 1

7 components of a VOMS?

Answer 1

1. Smooth pursuit

2/3.saccades

4. Convergence

5/6. VOR vertical and horizontal

7. VOR cancel

Question 2

Normal range for convergence?

Answer 2

6cm

Question 3

Good way to start chin tucks and progress?

Answer 3

Supine
Can progress to stand with head against wall

Also consider adding scap if relevant

Question 4

How to start with lower cervical extensors?

Answer 4

On face, small head lift, start with holds

Can go into adding scap from there and arm work?

Question 5

List 3 ways to sensitise or desensitise a squeeze cuff test for groin pain

Answer 5

1. Pelvic position
2. Cue TA or pelvic floor contraction
3. Add pelvic compression anteriorly

Question 6

Normal range for BKFO?

Answer 6

12-16cm

Question 7

List some tests for groin pain

Answer 7

1. Squeeze test
2. Sit up test
3. BKFO
4. PSST

Question 8

Good ways to work on abductors when hip lock might be needed?

Answer 8

1. Hip hitch against wall
2. SL to step + dowel OH
3. Side plank

Question 9

What might you work on in the saggital plane for groin pain?

Answer 9

1. HF STRENGTH
2. Hip thrust
3. Abs - ?deadbug variant

Question 10

What functional movements can you assess for groin pain (5)

Answer 10

1. Squat
2. Oh squat
3. Hip lock
4. Table top
5. Sit up

Question 11

For hip dysplasia, what is the posture to be mindful of?

Answer 11

Sway posture

Question 12

What is a normal LCEA?

Answer 12

25-40 degrees

Question 13

What is a normal AI?

Answer 13

0-10 degrees

Question 14

What is a normal anterior centre edge angle (ACeA)

Answer 14

25-40, less than 25 is dysplasia

Question 15

How can you progress a postural sway exercise ?

Answer 15

1. Correct sway (drinks tray)
2. Hold correct into weight transfer
3. Hold correct into sl stance

Question 16

List 4 early-mid stage exercises for hip dysplasia ?

Answer 16

1. Side lying hip abd - traction, c sign cue
2. Prone resisted ir and er
3. Standing hip hitch
4. Twisties

Question 17

What is a functional test that is important for QOL in dysplasia ?

Answer 17

SL rise test

Question 18

What is a Craig’s test for?

Answer 18

Assess femoral version, normal is 10-20 degrees

Useful in the context of a negative x ray for dysplasia

Question 19

What is a drehmann sign and what does it indicate ?

Answer 19

Hip going into er as you flex = retroversion

Question 20

Frontal plane squat, what’re you looking for ?

Answer 20

Pelvic position

Rib flare

Hyperextension

Question 21

Frontal plane testing in groin pain?

Answer 21

1. SL stance
2. Hip lock position

Question 22

Exercises for saggital plane in groin pain?

Answer 22

Deadbug variant

Table top position

Squat with dowel and cuing

HF STRENGTH

Hip thrust

Question 23

Exercises for coronal plane in groin pain?

Answer 23

Sl stance to hip lock on step

Side lying hip abduction

Standing hip push into wall

Side push always with band on ankle

Question 24

Components to teaching a calf raise ?

Answer 24

1. Straight knee
2. Top height - check calf lag?
3. Ankle jt should line with 2nd MT

Question 25

What could you give to achilles in prep for return to run energy storage and release

Answer 25

1. A skips 2. Pogoes

Question 26

For PT, what could be a good option for energy storage and release?

Answer 26

Split squat jumps Lunge catch and jump

Question 27

List some exercises for radial sides wrist pain?

Answer 27

1. Finger push ups 2. Dart thrower resisted 3. Isometric ECRL 4. Pro and sup with candybar

Question 28

List some exercises for ulnar sided wrist pain or DRUJ

Answer 28

1. Gripping dumbbell with 4th and 5th digit + WE 2. Pronation w water bottle 3. Twist and grip with 4th and 5th digit candybar

Question 29

Exercises for return to weight bearing wrist?

Answer 29

1. Plank taps 2. Push up on wall 3. Drop to floor catch 4. Wrist pulsing

Question 30

Exercise for PSI?

Answer 30

1 row variant 2. Horizontal abduction row 3. Maintain chest

Question 31

When doing a rotational PPIVM away to the L on C4/5 for example, what is your right hand on ?

Answer 31

C4

Question 32

For a PA manip on thoracic T5/6, what is your hand doing to stabilise?

Answer 32

The hand under the back, is aiming to have the SP of T6, to stabilise that and below

Question 33

For a R lumbar rotation manipulation, what side will the patient lie on?

Answer 33

Left, treating side on top

Question 34

For a lumbar rotation manipulation to the right L3/4, what level are you stabilising and how?

Answer 34

Stabilising L3 with thumb, moving L4 with fingers and body