OSCE Patient Assessment and Evaluation 2

Question 1

During an OSCE station, a patient presents with asymmetric facial drooping, arm drift, and slurred speech. What is the most appropriate immediate action?

Accepted Answer

Activate stroke protocol and note time of symptom onset

Answer

Activating the stroke protocol and documenting symptom onset time is critical because thrombolytics have a narrow treatment window.

Question 2

When assessing a patient's jugular venous pressure (JVP), at what angle is the patient typically positioned?

Accepted Answer

45 degrees

Answer

JVP is best assessed with the patient at 45 degrees, where the meniscus of the internal jugular vein is most visible in the neck.

Question 3

A 68-year-old patient reports exertional chest pain that radiates to the left arm and resolves with rest. Which OPQRST component does 'resolves with rest' best represent?

Accepted Answer

Provocation/Palliation

Answer

Palliation refers to what makes the symptom better or worse, and rest relieving chest pain is a classic palliating factor for angina.

Question 4

On abdominal examination, dullness that shifts when the patient rolls to one side is called:

Accepted Answer

Shifting dullness

Answer

Shifting dullness indicates ascites, as free fluid redistributes with position changes.

Question 5

In a cardiovascular OSCE station, which finding on auscultation is most consistent with aortic stenosis?

Accepted Answer

Harsh systolic ejection murmur at the right upper sternal border radiating to the carotids

Answer

Aortic stenosis produces a harsh crescendo-decrescendo systolic ejection murmur heard best at the right upper sternal border with radiation to the carotids.

OSCE Practice Test

OSCE Practice Test

OSCE Patient Assessment and Evaluation 2