OSCE I- problems

Question 1

What are the possible problems if you find something wrong when you observe the nose?

Answer 1

trauma or disease

Question 2

What are the possible problems if you find something wrong when you test smell on both sides?

Answer 2

cortical lesion (decreased smell)
viral infection, allergic rhinitis, tumor, etc.

Question 3

What are the possible problems if you find something wrong when you observe the internal nose?

Answer 3

trauma or disease

Question 4

What are the possible problems if you find something wrong when you test visual acuity?

Answer 4

Foster Kennedy syndrome
Tay Sachs
Optic Atrophy
Primary optic atrophy

Question 5

What are the possible problems if you find something wrong when you observe the eyes

Answer 5

trauma
sty
lack of sleep
lazy eye

Question 6

What are the possible problems if you find something wrong when you do confrontation?

Answer 6

tunnel vision

Question 7

What are the possible problems if you find something wrong when you test pupillary light reflex?

Answer 7

Holmes-Adie syndrome
Argyll Robertson pupil
optic nerve damage

Question 8

What are the possible problems if you find something wrong when you do an opthalmoscopic exam?

Answer 8

tay sachs

papilledema

Question 9

What are the possible problems if you find something wrong when you perform the 6 cardinal fields of gaze?

Answer 9

medial longitudinal fasciculus lesion
nystagmus
disease of CN III, IV, VI

Question 10

What are the possible problems if you find something wrong when you perform the corneal light reflex

Answer 10

medial longitudinal fasciculus lesion

Question 11

What are the possible problems if you find something wrong when you perform accommodation?

Answer 11

medial longitudinal fasciculus lesion

CN III lesion

Question 12

What are the possible problems if you find something wrong when you inspect muscle volume and strength associated with CN V?

Answer 12

LMN lesion

corticobulbar lesion

Question 13

What are the possible problems if you find something wrong when you perform the corneal blink reflex?

Answer 13

neuroparalytic keratitis

Question 14

What are the possible problems if you find something wrong when you perform a sensory exam of the face?

Answer 14

trigeminal neuralgia

TMJ syndrome

Question 15

What are the possible problems if you find something wrong when you perform jaw jerk reflex

Answer 15

TMJ syndrome

Question 16

What are the possible problems if you find something wrong when you check musculature of the face?

Answer 16

corticobulbar lesion

Question 17

What are the possible problems if you find something wrong when you check taste of anterior 2/3 of the tongue?

Answer 17

corticobulbar lesion

Question 18

What are the possible problems if you find something wrong when you observe the external ears?

Answer 18

trauma, cancerous lesion

Question 19

What are the possible problems if you find something wrong when you perform Weber test?

Answer 19

auditory canal obstruction
tympanic membrane trauma
ossicle trauma
accumulation of fluid in the middle ear

Question 20

What are the possible problems if you find something wrong when you perform Rinne test?

Answer 20

auditory canal obstruction
tympanic membrane trauma
ossicle trauma
accumulation of fluid in the middle ear
air conduction/sensorineural problem

Question 21

If Weber lateralized to the right and Rinne was 10/10 on right and 10/20 on the left?

Answer 21

air conduction problem on the right

Question 22

What are the possible problems if you find something wrong when you perform an otoscope exam?

Answer 22

auditory canal obstruction
tympanic membrane trauma
ossicle trauma
accumulation of fluid in middle ear

Question 23

What are the possible problems if you find something wrong when you rotate the head for dizziness?

Answer 23

vestibular disease

Question 24

What are the possible problems if you find something wrong when you perform caloric irrigation?

Answer 24

nystagmus

Question 25

What are the possible problems if you find something wrong when you perform swivel chair test?

Answer 25

cervicogenic dizziness

Question 26

What are the possible problems if you find something wrong when you have the patient say ahh?

Answer 26

paralysis of CN X unilaterally

Question 27

What are the possible problems if you find something wrong when you perform the gag reflex?

Answer 27

paralysis of CN X unilaterally

Question 28

What are the possible problems if you find something wrong when you check phonation?

Answer 28

paralysis of CN X unilaterally

Question 29

What are the possible problems if you find something wrong when you check taste of posterior tongue?

Answer 29

paralysis of CN X unilaterally

Question 30

What are the possible problems if you find something wrong when you perform shoulder elevation?

Answer 30

unilateral UMN lesion

Question 31

What are the possible problems if you find something wrong when you check muscle strength of SCM and trapezius?

Answer 31

unilateral UMN lesion

Question 32

What are the possible problems if you find something wrong when you stick out tongue?

Answer 32

bilateral cerebral lesions

Question 33

What are the possible problems if you find something wrong when you do tongue in cheek test?

Answer 33

bilateral cerebral lesion

Question 34

What are the possible problems if you find something wrong when you perform the Romberg test?

Answer 34

open and closed: cerebellar or vestibular mechanism lesion | closed: dorsal column pathology

Question 35

What are the possible problems if you find something wrong when you can't hop on one foot?

Answer 35

open and closed: cerebellar or vestibular mechanism lesion | closed: dorsal column pathology

Question 36

What are the possible problems if you find something wrong when you can't squat on one foot?

Answer 36

open and closed: cerebellar or vestibular mechanism lesion | closed: dorsal column pathology

Question 37

What are the possible problems if you find something wrong when you can't do finger to nose?

Answer 37

dyssynergia | dysmetria

Question 38

What are the possible problems if you find something wrong when you can't do finger to finger?

Answer 38

dyssynergia | dysmetria

Question 39

What are the possible problems if you find something wrong when you can't do finger to nose to finger?

Answer 39

dyssynergia | dysmetria

Question 40

What are the possible problems if you find something wrong when you can't do heel to shin?

Answer 40

dyssynergia | dysmetria

Question 41

What are the possible problems if you find something wrong when you have trouble with diadokinesia?

Answer 41

dysdiadokinesia | cerebellar dysfunction

Question 42

What are the possible problems if you find something wrong when you can't do Holmes Rebound Phenomenon?

Answer 42

dyssynergia | dysmetria

Question 43

What are the possible problems if you find something wrong when you can't do tandem gait?

Answer 43

dyssynergia | dysmetria

Question 44

What are the possible problems if you find something wrong when you can't tell where your joint is?

Answer 44

posterior column disease

Question 45

What are the possible problems if you find something wrong when you can't feel Abadie's sign?

Answer 45

dorsal column lesion

Question 46

What are the possible problems if you find something wrong when you can't feel Pitre's sign?

Answer 46

dorsal column lesion

Question 47

What are the possible problems if you find something wrong when you can't feel Biernacki's sign?

Answer 47

dorsal column lesion

Question 48

What are the possible problems if you find something wrong when you can't feel 2 point discrimination?

Answer 48

posterior column medial lemniscal pathway lesion

Question 49

What are the possible problems if you find something wrong when you can't do sterognosis?

Answer 49

association cortex problem | opposite parietal lobe

Question 50

What are the possible problems if you find something wrong when you can't do barognosis?

Answer 50

association cortex problem | opposite parietal lobe

Question 51

What are the possible problems if you find something wrong when you can't do topognosis?

Answer 51

association cortex problem | opposite parietal lobe

Question 52

What are the possible problems if you find something wrong when you can't do graphognosis?

Answer 52

association cortex problem | opposite parietal lobe

Question 53

What are the possible problems if you find something wrong when you can't feel light touch?

Answer 53

anterior spinothalamic lesion

Question 54

What are the possible problems if you find something wrong when you can't feel vibration?

Answer 54

anterior spinothalamic lesion

Question 55

What are the possible problems if you find something wrong when you can't feel pain?

Answer 55

lateral spinothalamic lesion

Question 56

What are the possible problems if you find something wrong when you can't feel temperature?

Answer 56

lateral spinothalamic lesion

Question 57

What are the possible problems if you find something wrong when supraspinatus is weak?

Answer 57

nerve compresson at C5 NR

Question 58

What are the possible problems if you find something wrong when deltoid is weak?

Answer 58

nerve compression at C5 NR

Question 59

What are the possible problems if you find something wrong when biceps are weak?

Answer 59

nerve compression at C5/6 NR

Question 60

What are the possible problems if you find something wrong when brachioradialis is weak?

Answer 60

nerve compression at C5,6 NR

Question 61

What are the possible problems if you find something wrong when triceps are weak?

Answer 61

nerve compression at C7 NR

Question 62

What are the possible problems if you find something wrong when wrist extension is weak?

Answer 62

nerve compression at C6 NR

Question 63

What are the possible problems if you find something wrong when finger extension is weak?

Answer 63

nerve compression at C7 NR

Question 64

What are the possible problems if you find something wrong when finger flexion is weak?

Answer 64

nerve compression at C8 NR

Question 65

What are the possible problems if you find something wrong when finger abduction is weak?

Answer 65

nerve compression at T1 NR

Question 66

What are the possible problems if you find something wrong when finger adduction is weak?

Answer 66

nerve compression at T1 NR

Question 67

What are the possible problems if you find something wrong when biceps reflex is diminished?

Answer 67

nerve compression at C5 NR

Question 68

What are the possible problems if you find something wrong when brachioradialis reflex is diminished?

Answer 68

nerve compression at C6

Question 69

What are the possible problems if you find something wrong when triceps reflex is diminished?

Answer 69

nerve compression at C7

Question 70

What are the possible problems if you find something wrong when finger flexion reflex is diminished?

Answer 70

nerve compression at C8