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Flashcards in OSCE I- problems Deck (70)
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1

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

trauma or disease

2

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

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

3

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

trauma or disease

4

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

Foster Kennedy syndrome
Tay Sachs
Optic Atrophy
Primary optic atrophy

5

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

trauma
sty
lack of sleep
lazy eye

6

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

tunnel vision

7

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

Holmes-Adie syndrome
Argyll Robertson pupil
optic nerve damage

8

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

tay sachs
papilledema

9

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

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

10

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

medial longitudinal fasciculus lesion

11

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

medial longitudinal fasciculus lesion
CN III lesion

12

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

LMN lesion
corticobulbar lesion

13

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

neuroparalytic keratitis

14

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

trigeminal neuralgia
TMJ syndrome

15

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

TMJ syndrome

16

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

corticobulbar lesion

17

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

corticobulbar lesion

18

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

trauma, cancerous lesion

19

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

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

20

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

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

21

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

air conduction problem on the right

22

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

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

23

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

vestibular disease

24

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

nystagmus

25

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

cervicogenic dizziness

26

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

paralysis of CN X unilaterally

27

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

paralysis of CN X unilaterally

28

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

paralysis of CN X unilaterally

29

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

paralysis of CN X unilaterally

30

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

unilateral UMN lesion