OSCE Physical Examination 2

Question 1

When assessing jugular venous pressure (JVP), at what angle should the patient be positioned?

Accepted Answer

30-45 degrees

Answer

JVP is assessed with the patient at 30-45 degrees so the meniscus of the internal jugular vein is visible in the neck.

Question 2

During abdominal examination, in which quadrant would you expect to find Murphy's sign positive?

Accepted Answer

Right upper quadrant

Answer

Murphy's sign (inspiratory arrest on deep palpation) is elicited in the right upper quadrant over the gallbladder.

Question 3

Which finding on fundoscopy is most indicative of raised intracranial pressure?

Accepted Answer

Papilledema

Answer

Papilledema (blurring and elevation of the optic disc margins) is the classic sign of raised intracranial pressure on fundoscopy.

Question 4

When testing the patellar reflex, which nerve root is primarily being assessed?

Accepted Answer

L3-L4

Answer

The patellar (knee jerk) reflex tests the L3-L4 nerve root via the femoral nerve.

Question 5

A patient has a positive Romberg test. This indicates impairment of which sensory modality?

Accepted Answer

Proprioception

Answer

Romberg test becomes positive when proprioceptive input is impaired, as the patient relies on vision to compensate and falls when eyes are closed.

OSCE Practice Test