OSCE Physical Examination Techniques Flashcards

In an OSCE physical exam station, what is the correct sequence for abdominal examination?

Answer: Inspection, auscultation, percussion, palpation

The abdomen is assessed in the order of inspection, auscultation, percussion, then palpation to avoid altering bowel sounds before listening.

During an OSCE respiratory exam, where should you place your stethoscope to best auscultate the right middle lobe?

Answer: Right lateral chest at the level of the nipple anteriorly

The right middle lobe is best auscultated at the right anterior lateral chest at approximately the nipple level.

An OSCE candidate performs the Romberg test. What does a positive result indicate?

Answer: Proprioceptive or vestibular dysfunction

A positive Romberg test (swaying with eyes closed) indicates impaired proprioception or vestibular function, not cerebellar disease.

In an OSCE cardiovascular exam station, which area of the chest is the best location to auscultate the aortic valve?

Answer: Right second intercostal space at the sternal border

The aortic valve is classically auscultated at the right second intercostal space along the sternal border.

During an OSCE neurological exam, you test the patellar reflex and find it hyperreflexic. This finding most likely indicates which type of lesion?

Answer: Upper motor neuron lesion

Hyperreflexia indicates loss of inhibitory control from the corticospinal tract, which is characteristic of an upper motor neuron lesion.

In an OSCE physical exam station, a positive Kernig's sign is demonstrated by which finding?

Answer: Inability to extend the knee when the hip is flexed to 90 degrees

Kernig's sign is positive when the patient cannot fully extend the knee with the hip flexed, indicating meningeal irritation.