ALREADY GRADED A+
1. Please take a history from
Introduce yourself
this fit and healthy 40
Confirm details
year old lady who has been
PCO - in their own
suffering from fa-cial pain.
words HPC:
SOCRATES = site, onset, characteristics, radiation,
associated factors, alleviating factors (inc. previous tx)
time (duration), exacerbating factors, severity
2. What features would lead
Site - migrates, crosses anatomical boundaries
you to suspect a pt was
Onset - pt often links it to past tx, chronic - lasts for
suffering from atypical
years Characteristics - varies but mainly continuous,
facial pain?
sharp, throb-bing, aching
Radiation - radiates across anatomical boundaries
Associated factors - no local signs of inflammation
Alleviating factors - common analgesics have no
ettect, mul-tiple tx which hasn't relieved pain
Time - continuous in duration and
periodicity Exacerbating factors -
unusual stimuli Severity - "very severe"
Sleep - prevents sleep
Introduce yourself
3. Pt referred with pain and PCO, HPC - SOCRATES
click-ing of TMJ. Please briefly Extra-oral exam:
examine. -facial asymmetry, lip competence, abnormalities
-palpate lymph nodes
-palpate TMJ for pain and tenderness as pt
opens their mouth
-listen for any noises and note them
-check path of opening and closing
-palpate TMJ during lateral and protrusive excursion
-measure max opening (~45mm) and excursions
, OSCE QUESTIONS WITH ALL CORRECT & 100% VERIFIED ANSWERS |
ALREADY GRADED A+
(10mm)
, OSCE QUESTIONS WITH ALL CORRECT & 100% VERIFIED ANSWERS |
ALREADY GRADED A+
-palpate muscles of
mast. Intra-oral exam:
-chart teeth and their health
-tooth wear pattern?
-ICP and RCP
-group fn, guidance, excursions
-displacements
-frictional keratosis? From
grinding Comments:
-click implies displaced disc
-crepitus or grating noise implies degenerative
change with-in joint
-deviation of mandible caused by obstruction at the
joint
4. 44 y/o complains of
weakness on one side of Introduce
her face. Exam-ine cranial yourself Confirm
nerves. pt details
Explain
procedure 12
cranial nerves:
CN I - olfactory: test with aromatic substances, each side.
Ask pt if they ever have trouble smelling.
CN 2 - optic: Snellens chart, visual fields
CN 3 - occulomotor: extra ocular m., except superior
oblique and lateral rectus
CN 4 - trochlear: superior
oblique CN 6 - abducens:
lateral rectus
Test CN 3,4,6with light, H test, convergence, far and
near CN 5 - trigenimal: sensory to skin and mucosa,
motor to muscles of mast. Cotton roll and pin prick to