Podiatry OSCE Exam Questions &
Answers (Grade A+)
DM Foot Examination -
correct answer ✅SUBJECTIVE:
- Diabetic patient presents to clinic for diabetic foot examination.
Patient states that they was referred by their primary care doctor.
Patient states that have diabetes for 1O years.
Patient states that the fasting blood glucose was 2OO mg/dL as of
this morning. Patient does not know most recent HbA1C. Patient
admits to having burning, tingling and numbness in both feet.
Patient visited primary care doctor approximately 1 month ago.
Patient denies having heat or cold intolerance or noticing recent
change in body weight.
- Do OLDCARTS & HIIMATESS
- * POLY - URIA, DIPSIA, PHAGIA
OBJECTIVE:
- Neuro: Protective sensation via monofilament 3/1O B/L; vibratory
sensation absent at 1st MTPJ B/L and present at medial malleolus
B/L
,Podiatry OSCE Exam Questions &
Answers (Grade A+)
- Derm: No interdigital maceration, no open lesion, no clinical signs
of infection, no erythema
- Msk: Muscle power 5/5 in all compartments B/L
- Vascular: DP & PT 2/4 B/L; CFT < 2 seconds x 1O; temperature
gradient WNL; no
ASSESSMENT (DDx):
- Peripheral Neuropathy secondary to uncontrolled DM
- Uremia (ESRD)
- B12 deficiency
PLAN:
- CBC w/diff, CMP, UA, HbA1C, Lipid Panel, Coags: PT/PTT, B12 Level,
-Electromyography (EMG)
- Gabapentin 100mg TID
- Capsacin 0.1% cream
- Patient education on diet, exercise and limiting sugar
- Diabetic shoes, stockings and sock ordered
,Podiatry OSCE Exam Questions &
Answers (Grade A+)
- Patient education on foot care, looking for scrapes or lesions on
foot, keep foot clean and dry, never go barefoot, change socks daily
Gout -
correct answer ✅SUBJECTIVE:
- Patient presents with sudden onset, red hot swollen,
asymmetrical monoarticular arthritis (joint sparing unless chronic),
attack at 1st MPJ (Podagra), pain out of proportion (10/10), Diet
usually red meats, cheese, wine.
- Do OLDCARTS & HIIMATESS
- Clue: If taking Diuretics (HCTZs)
OBJECTIVE:
- If XRAY given clue: "rate bite" Martel sign (overhanging margins)
- Derm: Erythema at the right 1st MTPJ, presence of tophi, No
interdigital maceration, no open lesion
- MSK: Pain on palpation on right 1st MTPJ active on passive range
of motion
- Vasc: DP and PT 2/4 B/L; CFT < 2 sec x 1O; temperature gradient
WNL on the left and warm to warm on the right; non-pitting edema
on the dorsal right forefoot and midfoot
- Neuro: Protective sensation via monofilament 1O/1O B/L
, Podiatry OSCE Exam Questions &
Answers (Grade A+)
ASSESSMENT (DDx):
- Gout
- Psuedogout
- Septic Arthritis
PLAN:
- Labs: Uric Acid Level (Chronic vs Acute), Uric Acid UA, CBC w/diff,
CMP, Lipid panel, STI panel.
- Joint Aspirate (Psuedo vs Gout vs Septic)
- Joint XRAY (if not presented with one)
- Indomethacin 50 mg QID x 1wk (Acute)
- Probenecid 250mg BID x 1wk (underproducer)
- Allopurionol 300mg QD (overproducer)
- Patient education: modified diet avoid high purine based foods,
organ meats, red meat, cheese, red wine
- Change medication to avoid flare ups
- RTC x 1wk
Answers (Grade A+)
DM Foot Examination -
correct answer ✅SUBJECTIVE:
- Diabetic patient presents to clinic for diabetic foot examination.
Patient states that they was referred by their primary care doctor.
Patient states that have diabetes for 1O years.
Patient states that the fasting blood glucose was 2OO mg/dL as of
this morning. Patient does not know most recent HbA1C. Patient
admits to having burning, tingling and numbness in both feet.
Patient visited primary care doctor approximately 1 month ago.
Patient denies having heat or cold intolerance or noticing recent
change in body weight.
- Do OLDCARTS & HIIMATESS
- * POLY - URIA, DIPSIA, PHAGIA
OBJECTIVE:
- Neuro: Protective sensation via monofilament 3/1O B/L; vibratory
sensation absent at 1st MTPJ B/L and present at medial malleolus
B/L
,Podiatry OSCE Exam Questions &
Answers (Grade A+)
- Derm: No interdigital maceration, no open lesion, no clinical signs
of infection, no erythema
- Msk: Muscle power 5/5 in all compartments B/L
- Vascular: DP & PT 2/4 B/L; CFT < 2 seconds x 1O; temperature
gradient WNL; no
ASSESSMENT (DDx):
- Peripheral Neuropathy secondary to uncontrolled DM
- Uremia (ESRD)
- B12 deficiency
PLAN:
- CBC w/diff, CMP, UA, HbA1C, Lipid Panel, Coags: PT/PTT, B12 Level,
-Electromyography (EMG)
- Gabapentin 100mg TID
- Capsacin 0.1% cream
- Patient education on diet, exercise and limiting sugar
- Diabetic shoes, stockings and sock ordered
,Podiatry OSCE Exam Questions &
Answers (Grade A+)
- Patient education on foot care, looking for scrapes or lesions on
foot, keep foot clean and dry, never go barefoot, change socks daily
Gout -
correct answer ✅SUBJECTIVE:
- Patient presents with sudden onset, red hot swollen,
asymmetrical monoarticular arthritis (joint sparing unless chronic),
attack at 1st MPJ (Podagra), pain out of proportion (10/10), Diet
usually red meats, cheese, wine.
- Do OLDCARTS & HIIMATESS
- Clue: If taking Diuretics (HCTZs)
OBJECTIVE:
- If XRAY given clue: "rate bite" Martel sign (overhanging margins)
- Derm: Erythema at the right 1st MTPJ, presence of tophi, No
interdigital maceration, no open lesion
- MSK: Pain on palpation on right 1st MTPJ active on passive range
of motion
- Vasc: DP and PT 2/4 B/L; CFT < 2 sec x 1O; temperature gradient
WNL on the left and warm to warm on the right; non-pitting edema
on the dorsal right forefoot and midfoot
- Neuro: Protective sensation via monofilament 1O/1O B/L
, Podiatry OSCE Exam Questions &
Answers (Grade A+)
ASSESSMENT (DDx):
- Gout
- Psuedogout
- Septic Arthritis
PLAN:
- Labs: Uric Acid Level (Chronic vs Acute), Uric Acid UA, CBC w/diff,
CMP, Lipid panel, STI panel.
- Joint Aspirate (Psuedo vs Gout vs Septic)
- Joint XRAY (if not presented with one)
- Indomethacin 50 mg QID x 1wk (Acute)
- Probenecid 250mg BID x 1wk (underproducer)
- Allopurionol 300mg QD (overproducer)
- Patient education: modified diet avoid high purine based foods,
organ meats, red meat, cheese, red wine
- Change medication to avoid flare ups
- RTC x 1wk
