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OSCE Exam Questions And Accurate Answers Latest Update
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OSCE Exam Questions And AccurateAnswers Latest Update
How do you test CN I (olfactory)? -Answer Ask patient if they have noticed any recent
changes to sense of smell
How do you test CNs III / IV / VII?
(Oculomotor/Trochlear/Abducens) -Answer 1. Inspect eyelids for ptosis (III) (1pt)
2. Assess eye movements and define the CN being tested SO4 LR6 AO3
III - directional gaze (all movements except those by IV and VI)
IV - Inferior-medial (down towards the nose)
VI - Lateral movement
How would you examine CN II?
(optic) - Discussion 1. Observe the pupils
2. Test visual acuity (state use of vision chart at appropriate distance - not "arm's
length") (1)
3. Test and describe direct and consensual pupillary reflexes (2)
4. Perform swinging light test (1)
5. Test accommodation reflex (1)
6. Assess visual field defects in four quadrants (For # 6 --> Test each eye separately with
opposite eye closed or covered)
how far away should the snellen chart be? - Answer 20 feet
how far away should the Rosenbaum chart be? - Answer 1.5 feet
, what is eye accommodation? - Answer ciliary muscles contract and relax to change the
shape of the lens
An increase or decrease in refraction through the lens changes the focal length to focus
near and far objects onto the retina.
CN V-test (trigeminal) how?
1. Test muscles of mastication
(For the patient: clench jaw; palpate both temporal and masseter mm)
2. Test lateral (side-to-side) jaw movement
3. Test facial sensation along 3 divisions
(The three divisions are: the forehead, cheek and lower jaw)
CN XI (accessory)-how would you test it? -Answer 1. Trapezius-testing: shrug shoulders
against resistance
2. SCM-testing: turn head against resistance and correctly identify which SCM is being
tested
How would you test the right sternocleidomastoid muscle? -Answer 1. start by facing
the patient and placing your right palm laterally on the patient's left cheek.
2. Ask the patient to turn the head to the left, resisting the pressure you are applying
opposite of the movement.
-do the opposite for left SCM-
How do you test CN VII? (facial) - Answer 1. Observe the face for rest asymmetry
2. Observe movements of the face (raise both brows, keep eyes closed against
resistance, show upper and lower teeth, smile, puff both cheeks)
3. What is the sensory function of CN7? (taste and sensation from the ear)
How do you test CN VIII? (Vestibular/acoustic) - Answer 1. Perform gross hearing
assessment with finger rub or whispered word
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