OSCE EXAM 1

Question 1

What must you do before you leave the room?

Answer 1

Dispose of PPE AGGA

Question 2

What are the key things to check in urinalysis?

Answer 2

• Date
• Name and DOB of patient
• Smell
• Colour
• tap urine off the bottle
• Put lid back on ASAP
• Have tissue ready

Question 3

What are the things to check for the hands in cardio and rest

Answer 3

• temp
• radial pulse and RR
• Cap refill
• Finger clubbing
• Asteraxis
• Fine tremor

Question 4

How should use my hands for abdominal exam

Answer 4

• light and deep- front of hand and push
• palpate organs- side of hand
• remeber to percuss and check for X2 kidneys

Question 5

Red Flags: MSK

Answer 5

Night sweats
pain or stiffness- if stiffness is it neck?
fatigue
muscle wasting
muscle weakness 
recent accidents

Question 6

Red Flags: Respiratory

Answer 6

Haemoptysis
breathlessness
chest pain
cough- sputum? (colour)

Question 7

Red Flags: Cardiovascular

Answer 7

Palpatations
cough
heartburn
chest pain- stabbing, gripping, sharp

Question 8

Red Flags: Dizziness

Answer 8

Tinnitus 
discharge 
-Vertigo?? (room spinning) 
-sudden or gradual hearing loss
-recent infection/cold
-migraines
-headaches 
-facial palsies 
-feeling of "fullness"

Question 9

Red Flags: Rash

Answer 9

bleeding
rash 
skin lesions
Pain 
itch 
discharge 
blistering 

Examination: ABCDE

Question 10

Red Flags: Urinary Symptoms

Answer 10

• Oliguria or pyuria
• problem with waterworks
• nocturia
• bed wetting
• burning pain - UTI!
• Dribbling
• Vomiting, dizziness?

Question 11

Systemic:

Answer 11

• fever
• loss of appetite
• haemoptysis
• confusion
• mood
• blood diarrhoea
• melena

Question 12

What special tests must not be forgotten in cardio exam

Answer 12

-carotid pulse and bruit
-mitral stenosis
-aortic regurgitation
-collapsing pulse/galloping rhythm?
JVPPPPP

Question 13

WHAT IN NECK MUST CHECK FOR RESP and Cardio

Answer 13

JVP