OSCE Season!!

Skills

100

What is this patient's BMI?

Height: 1.82m

Weight: 100kg

30.2

200

Draw me a fishbone diagram!

Amazing work

300

List 5 of the general appearance checklist items. 50 extra points for any additional items (There's 10 items on this checklist believe it or not)

Let's look 

400

I'm 55 and F. What screening and vaccination questions do you have for me?

- Colonoscopy

- Shingles vaccine

- Mammogram

- Pap 

- Flu/Covid 

500

Take Dr. Bittner's Blood Pressure! You get your points if you're close 

Let's look at the checklist 

Pulm

100

What two things do you look for in someone's fingers?

Clubbing

Cyanosis

200

What are the two things to document about lung sounds?

- Clear with no wheezing/crackles

- Air movement: good or poor

300

How many posterior and anterior positions are there for auscultation?

7 posterior, 6 anterior

Thanks for showing the class!!

400

Name 3 differential for shortness of breath

Pneumonia

Heart Failure

COVID-19 

Pulmonary Embolism

Lung Cancer

Chest Wall Trauma

500

*****SKILLS FOR 600******

Take my blood pressure! Dr. Bittner will evaluate. Full points for within 4

Excellent!!

Cardio

100

Show us where the 5 pulses can be palpated?

+100 if you can name them all 

- DP

- PT

- Popliteal

- Radial

- Brachial?

200

Describe PMI

- Location

- Brisk

- Tapping

- Diameter

300

Show us how to find JVP

Good job!

400

What are the 4 things you should comment on when you hear heart sounds?

- Rate

- Rhythm

- S1, S2 

- No murmurs, rubs, S3 or S4

500

Show me how to drape for the femoral pulse palpation

Excellent

HEENT

100

What are the 4 characteristics to describe a lymph node?

- Size

- Firm/soft

- Mobile

- Tender

200

What are the 6 HEENT Categories?

- Head

- Eyes

- Ears

- Nose

- Mouth

- Neck 

300

There's 2 specific buzzwords to document when inspecting the mouth 

- Petechiae

- Tonsillar exudates

400

What are the 5 elements of inspecting the eyes that you should include in your documentation?

1. Corneal inflammation

2. Scleral jaundice

3. Corneal opacities

4. Iris shadowing 

5. Pupil size and symmetry 

500

You're looking in your patient's eye with the ophthalmoscope. Describe your findings

1. 

2.

3. 

Red reflex present and equal bilaterally

Optic disc with sharp margins bilat.

Fovea and Macula visualized without abnormality bilaterally

Other Skills

100

I'm 80 and M. What screenings and vaccines are you asking me?

- Colonoscopy

- Shingles

- Pneumonia (above what age do you get the pneumonia vaccine?)

- Flu/Covid

200

Name 5+ elements of the 8 needed for social history. 

:) 

300

Locate these things on the ophthalmoscope:

Diopter

Aperture

Filter Switch 

Good job!

400

Name the parts of the bp cuff

- Bladder

- Air release valve

- Manometer

- Bulb

500

How many times did Shannon have to remediate an OSCE station?

2