OSCE Prep

Question 1

When conducting a sexual history, what are the 5 Ps we need to use?

1 - Partners, Practices, Previous obstetric history, Pregnancy, Protection
2 - Partners, Practices, Previous STI history, Pregnancy, Protection
3 - Partners, Practices, Previous STI history, Personal, Protection
4 - Partners, Paternal, Previous STI history, Pregnancy, Protection

Answer 1

2 - Partners, Practices, Previous STI history, Pregnancy, Protection

Question 2

When conducting a sexual history, we need to include the 5 Ps, which are Partners, Practices, Previous STI history, Pregnancy, Protection. What are we asking about in relation to Partners?

Answer 2

• No.of partners in last 12 months
• gender of partners
• was sex consensual
• casual/regular partner
• risk factors (HIV, drugs)

Question 3

When conducting a sexual history, we need to include the 5 Ps, which are Partners, Practices, Previous STI history, Pregnancy, Protection. What are we asking about in relation to Practices?

Answer 3

• oral sex (hepatitis B, herpes, gonorrhoea)
• anal sex (GI pathogens eg. Giardia)
• vaginal sex
• sex toys

Question 4

When conducting a sexual history, we need to include the 5 Ps, which are Partners, Practices, Previous STI history, Pregnancy, Protection. What are we asking about in relation to Previous STI history?

Answer 4

• previously been tested for HIV and other STIs
• previously diagnoses or STIs
• recurring symptoms of STI
• current or former partner(s) have been tested or diagnosed with any STIs

Question 5

When conducting a sexual history, we need to include the 5 Ps, which are Partners, Practices, Previous STI history, Pregnancy, Protection. What are we asking about in relation to Pregnancy?

Answer 5

• do you have children
• previous pregnancies (miscarriages, terminations)
• future pregnancy planning

Question 6

When conducting a sexual history, we need to include the 5 Ps, which are Partners, Practices, Previous STI history, Pregnancy, Protection. What are we asking about in relation to Protection?

Answer 6

• oral contraception

- barrier protection

Question 7

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first S stand for?

1 - sinister
2 - site
3 - symptoms
4 - sciatica

Answer 7

2 - site

- where is the pain at the moment

Question 8

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first O stand for?

1 - onset
2 - outlook
3 - obstetrics
4 - onlooker

Answer 8

1 - onset

Question 9

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first C stand for?

1 - chanter
2 - created
3 - character
4 - change

Answer 9

3 - character

- is it stabbing or a dull ache

Question 10

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first R stand for?

1 - rubor
2 - rounded
3 - relationship
4 - radiates

Answer 10

4 - radiates

- is it isolated, or does it move to other areas

Question 11

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first A stand for?

1 - associated symptoms
2 - accident
3 - associated history
4 - associated feelings

Answer 11

1 - associated symptoms

Question 12

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first T stand for?

1 - terrible
2 - time
3 - tangible
4 - tourniquet

Answer 12

2 - time

- how long have you had the pain

Question 13

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first E stand for?

1 - evaluate
2 - ending
3 - exacerbating / alleviating
4 - elevated

Answer 13

3 - exacerbating / alleviating

Question 14

The mnemonic SOCRATES can be used to identify specific details relating to pain. What does the first S stand for?

1 - sinister
2 - serious
3 - symptoms
4 - severity

Answer 14

4 - severity

- scale of 1-10 how bad is the pain

Question 15

When we do a reproductive history, what does gynaecology relate to?

1 - sexual health
2 - reproductive health
3 - pregnancy/labour/post-natal
4 - cervical smear history

Answer 15

2 - reproductive health

- can include reproductive organs, breasts etc..

Question 16

When we do a reproductive history, what does obstetrics relate to?

1 - sexual health
2 - reproductive health
3 - pregnancy/labour/post-natal
4 - cervical smear history

Answer 16

3 - pregnancy/labour/post-natal

Question 17

How long does the average menstrual cycle last for?

1 - 1-15 days
2 - 15-30 days
3 - 10-28 days
4 - 24-28 days

Answer 17

4 - 24-28 days

- but can be anything from 21-40 days

Question 18

What is the average time of menstruation?

1 - 1-3 days
2 - 4-8 days
3 - 4-10 days
4 - >10 days

Answer 18

2 - 4-8 days

Question 19

With any presenting problem that is specific to reproductive and or sexual health, what must we ask that is directly related to the presenting problem and current symptoms?

1 - associated symptoms
2 - family history
3 - social history
4 - alcohol intake

Answer 19

1 - associated symptoms

• vaginal/penile discharge
• itching/redness etc…

Question 20

When conducting a thyroid examination, what is the first thing to look for, even before asking the patient any questions?

1 - are they dressed appropriately
2 - do they have any medication around the bed
3 - do they have any walking aids around the bed
4 - are they able to look at you

Answer 20

1 - are they dressed appropriately

• could have lots of clothes for time of year (hypothyroidism)
• could have very few clothes on for time of year (hyperthyroidism)

Question 21

When assessing shoulder abduction, what muscle, nerve and nerve root is this?

1 - deltoid muscle, axillary nerve, C5
2 - deltoid muscle, musculocutaneous nerve, C5/C6
3 - deltoid muscle, radial nerve, C7
4 - deltoid muscle, median nerve, C5/C6

Answer 21

1 - deltoid muscle, axillary nerve, C5

Question 22

When assessing arm flexion, what muscle, nerve and nerve root is this?

1 - biceps muscle, axillary nerve, C5
2 - biceps muscle, musculocutaneous nerve, C5/C6
3 - biceps muscle, radial nerve, C7
4 - biceps muscle, median nerve, C5/C6

Answer 22

2 - biceps muscle, musculocutaneous nerve, C5/C6

Question 23

When assessing arm extension, what muscle, nerve and nerve root is this?

1 - triceps muscle, axillary nerve, C5
2 - triceps muscle, musculocutaneous nerve, C5/C6
3 - triceps muscle, radial nerve, C7
4 - triceps muscle, median nerve, C5/C6

Answer 23

3 - triceps muscle, radial nerve, C7

Question 24

When assessing wrist flexion, what muscle, nerve and nerve root is this?

1 - flexor carpi ulnaris/radialis muscle, axillary nerve, C5
2 - flexor carpi ulnaris/radialis muscle, musculocutaneous nerve, C5/C6
3 - flexor carpi ulnaris/radialis muscle, radial nerve, C7
4 - flexor carpi ulnaris/radialis muscle, median nerve, C5/C6

Answer 24

4 - flexor carpi ulnaris/radialis muscle, median nerve, C5/C6

Question 25

When assessing wrist extension, what muscle, nerve and nerve root is this? 1 - extension carpi ulnaris/radialis muscle, axillary nerve, C5 2 - extension carpi ulnaris/radialis muscle, musculocutaneous nerve, C5/C6 3 - extension carpi ulnaris/radialis muscle, radial nerve, C6 4 - extension carpi ulnaris/radialis muscle, median nerve, C5/C6

Answer 25

3 - extension carpi ulnaris/radialis muscle, radial nerve, C6

Question 26

When assessing finger extension, what muscle, nerve and nerve root is this? 1 - extensor digitorum muscle, axillary nerve, C5 2 - extensor digitorum muscle, musculocutaneous nerve, C5/C6 3 - extensor digitorum muscle, radial nerve, C7 4 - extensor digitorum muscle, median nerve, C5/C6When assessing finger extension, what muscle, nerve and nerve root is this?

Answer 26

3 - extensor digitorum muscle, radial nerve, C7

Question 27

When assessing finger flexion, what muscle, nerve and nerve root is this? 1 - flexor digitorum profundus, axillary nerve, C5 2 - flexor digitorum profundus muscle, musculocutaneous nerve, C5/C6 3 - flexor digitorum profundus muscle, radial nerve, C7 4 - flexor digitorum profundus muscle, median nerve, C8

Answer 27

4 - flexor digitorum profundus muscle, median nerve, C8

Question 28

When assessing finger abduction/adduction, what muscle, nerve and nerve root is this? 1 - dorsal/palmer interossei, axillary nerve, C5 2 - dorsal/palmer interossei, musculocutaneous nerve, C5/C6 3 - dorsal/palmer interossei muscle, ulnar nerve, T1 4 - dorsal/palmer interossei muscle, median nerve, C8

Answer 28

3 - dorsal/palmer interossei muscle, ulnar nerve, T1

Question 29

When assessing thumb abduction, what muscle, nerve and nerve root is this? 1 - abductor pollicis brevis, axillary nerve, C5 2 - abductor pollicis brevis, musculocutaneous nerve, C5/C6 3 - abductor pollicis brevis, ulnar nerve, T1 4 - abductor pollicis brevis, median nerve, T1

Answer 29

4 - abductor pollicis brevis, median nerve, T1

Question 30

When assessing hip flexion, what muscle, nerve and nerve root is this? 1 - iliopsoas muscle, iliofemoral nerve, L1-2 2 - iliopsoas muscle, sciatic nerve, S1 3 - iliopsoas muscle, femoral nerve, L3-L4 4 - iliopsoas muscle, inferior gluteal nerve, L5-S1

Answer 30

1 - iliopsoas muscle, iliofemoral nerve, L1-2

Question 31

When assessing hip extension, what muscle, nerve and nerve root is this? 1 - gluteus maximum muscle, iliofemoral nerve, L1-2 2 - gluteus maximum muscle, sciatic nerve, S1 3 - gluteus maximum muscle, femoral nerve, L3-L4 4 - gluteus maximum muscle, inferior gluteal nerve, L5-S1

Answer 31

4 - gluteus maximum muscle, inferior gluteal nerve, L5-S1

Question 32

When assessing knee flexion, what muscle, nerve and nerve root is this? 1 - hamstrings muscle, iliofemoral nerve, L1-2 2 - hamstrings muscle, sciatic nerve, S1 3 - hamstrings muscle, femoral nerve, L3-L4 4 - hamstrings muscle, inferior gluteal nerve, L5-S1

Answer 32

2 - hamstrings muscle, sciatic nerve, S1

Question 33

When assessing knee extension, what muscle, nerve and nerve root is this? 1 - quadriceps muscle, iliofemoral nerve, L1-2 2 - quadriceps muscle, sciatic nerve, S1 3 - quadriceps muscle, femoral nerve, L3-L4 4 - quadriceps muscle, inferior gluteal nerve, L5-S1

Answer 33

3 - quadriceps muscle, femoral nerve, L3-L4

Question 34

When assessing ankle dorsi-flexion, what muscle, nerve and nerve root is this? 1 - tibialis anterior muscle, iliofemoral nerve, L1-2 2 - tibialis anterior muscle, sciatic nerve, S1 3 - tibialis anterior muscle, deep peroneal nerve, L4-L5 4 - tibialis anterior muscle, inferior gluteal nerve, L5-S1

Answer 34

3 - tibialis anterior muscle, deep peroneal nerve, L4-L5

Question 35

When assessing ankle plantar-flexion, what muscle, nerve and nerve root is this? 1 - gastrocnemius muscle, iliofemoral nerve, L1-2 2 - gastrocnemius muscle, sciatic nerve, S1 3 - gastrocnemius muscle, tibial nerve, S1-2 4 - gastrocnemius muscle, inferior gluteal nerve, L5-S1

Answer 35

3 - gastrocnemius muscle, tibial nerve, S1-2

Question 36

When assessing the great toe extension, what muscle, nerve and nerve root is this? 1 - extensor hallucis longus muscle, iliofemoral nerve, L1-2 2 - extensor hallucis longus muscle, deep peroneal nerve, L5 3 - extensor hallucis longus muscle, tibial nerve, S1-2 4 - extensor hallucis longus muscle, inferior gluteal nerve, L5-S1

Answer 36

2 - extensor hallucis longus muscle, deep peroneal nerve, L5

Question 37

When listening to the heart sounds on the chest, what does the S1 sounds refer to? 1 - mitral and tricuspid valves closing 2 - aortic and pulmonary valves closing 3 - aortic and mitral valves closing 4 - tricuspid and aortic valves closing

Answer 37

1 - mitral and tricuspid valves closing

Question 38

When listening to the heart sounds on the chest, what does the S2 sounds refer to? 1 - mitral and tricuspid valves closing 2 - aortic and pulmonary valves closing 3 - aortic and mitral valves closing 4 - tricuspid and aortic valves closing

Answer 38

2 - aortic and pulmonary valves closing

Question 39

When does systolic occur in relation to the heart sounds? 1 - between S1 and S2 2 - between S2 and S1 3 - straight after S2 but ends before S1

Answer 39

1 - between S1 and S2 - tricuspid and mitral valves close - pulmonary and aortic valves open - ventricles contract and blood leaves via pulmonary and aortic valves

Question 40

When does diastolic occur in relation to the heart sounds? 1 - between S1 and S2 2 - between S2 and S1 3 - straight after S2 but ends before S1

Answer 40

2 - between S2 and S1 - pulmonary and aortic valves close - tricuspid and mitral valves open - blood flow from atrium into ventricles

Question 41

When auscultating to the chest what is the 1st thing we are listening for? 1 - low pitched sound of S1 on apex beat 2 - high pitched sound of S1 on apex beat 3 - low pitched sound of S1 on 2nd left intercostal space 4 - low pitched sound of S1 on 4th right intercostal space

Answer 41

1 - low pitched sound of S1 on apex beat

Question 42

When auscultating to the chest we 1st listen to the low pitched sound of S1 on apex beat, which is the mitral and tricuspid valves closing. What do we then listen for? 1 - systolic murmur of mitral regurgitation 2 - low pitched sound of S1 on 2nd left intercostal space 3 - diastolic murmur of mitral stenosis 4 - systolic murmur of mitral stenosis

Answer 42

3 - diastolic murmur of mitral stenosis - the mitral valve should be open during diastole as the blood flows from the left atrium into the left ventricle - the murmur is caused by a narrowing of the valve, called stenosis (valve not fully open)

Question 43

When auscultating to the chest we 1st listen to the low pitched sound of S1 on apex beat, we listen for a diastolic murmur of mitral stenosis. The 3rd part is to use the diaphragm of the stethoscope and listen for what in the apex area? 1 - systolic murmur of mitral regurgitation 2 - low pitched sound of S1 on 2nd left intercostal space 3 - diastolic murmur of mitral stenosis 4 - systolic murmur of mitral regurgitation

Answer 43

4 - systolic murmur of mitral regurgitation - the mitral valve should be closed during systole to ensure aortic valve can open and pump blood out of the heart - the murmur is due to the mitral valve not closing properly and blood moving back through the mitral valve and into the right atrium

Question 44

When auscultating to the chest we 1st listen to the low pitched sound of S1 on apex beat, then for a diastolic murmur of mitral stenosis and finally a systolic mitral murmur caused by mitral regurgitation. Then we move to the 4th intercostal para-sternal space and listen over the tricuspid valve (between right atrium and ventricle). Using the diaphragm, what are we listening for here? 1 - systolic murmur of ventricular septal defect 2 - low pitched sound of S1 on 2nd left intercostal space 3 - diastolic murmur of mitral stenosis 4 - systolic murmur of mitral regurgitation

Answer 44

1 - systolic murmur of ventricular septal defect - ventricular septum between ventricles can become enlarged - enlarged ventricular septum blocks blood from leaving the left ventricle and out of the aortic valve during systole

Question 45

What are we listening for in the 2nd left intercostal space when we perform a cardiac examination? 1 - systolic murmur of ventricular septal defect 2 - 2nd heart sound 3 - diastolic murmur of mitral stenosis 4 - systolic murmur of mitral regurgitation

Answer 45

2 - 2nd heart sound | - linked with pulmonary hypertension

Question 46

What are we listening for in the 2nd right intercostal space when we perform a cardiac examination? 1 - systolic murmur of ventricular septal defect 2 - 2nd heart sound 3 - diastolic murmur of mitral stenosis 4 - systolic murmur of aortic stenosis

Answer 46

4 - systolic murmur of aortic stenosis - during systole the aortic valve should be completely open - if narrowed (stenosis) then the blood cannot leave properly and heard as a murmur