MSK/Ortho OSCE Exam with all Correct & 100% Verified Answers |Actual
Complete Exam |Already Graded A+
Important History Points - (ANSWER)Stiffness (worse in morning, gets better with movement or not)
Clicking, crunching, giving way
Systemic infection
Red flags (back pain, weight loss)
Fasted??
Past surgical history
Activities of daily living (ADLs)
Hand dominance
OSCE instructions - (ANSWER)"Look Feel Move" (*remember Feel - TEMPERATURE)
Special Tests
NV assessment
Examine affected side only
Do not narrate
PMSSSS (for every LOOK section) - (ANSWER)Posture
Muscle Wasting
Skin Changes
Scars (surgeries)
Swelling (inflammation)
Symmetry (compare sides)
Active vs Passive ROM - (ANSWER)Do Active first, if diminished then do Passive
If you CAN'T correct diminished ROM (can't physically move) = ortho joint problem
,MSK/Ortho OSCE Exam with all Correct & 100% Verified Answers |Actual
Complete Exam |Already Graded A+
If you CAN correct diminished ROM, it's usually pain or can't generate power or signal can't get there
(rheum/neuro)
Hip - Look (standing up) - (ANSWER)"Which hip is sore? Where is it sore?"
Age, BMI, frailty
Mobility aids
Posture
Muscle Wasting
Skin Changes (erythema, inflammation)
Scars (arthroscopy, arthroplasty, DHS)
Swelling (inflammation, effusion)
Symmetry
Fixed flexion (look from side = OA)
External rotation of leg (look at foot hip fracture)
Measure leg length with tape measure
True: ASIS to medial maleolus
Apparent: Umbilicus to medial maleolus
Hips - Gait - (ANSWER)Ask pt to walk across room and back
Symmetry & smoothness
Normal heel strike, toe off & step height
, MSK/Ortho OSCE Exam with all Correct & 100% Verified Answers |Actual
Complete Exam |Already Graded A+
Antalgic gait (limp)
Wobbling Trendelenburg Gait (common in OA hips)
Hips - Standing Special Test - (ANSWER)Trendelenburg Test (ABductor instability)
- Pain (OA)
- Weakness (e.g. nerve root lesion)
- Developmental dysplasia (DDH)
- Slipped upper femoral epiphysis (SUFE)
1. Sit on chair in front of pt
2. Place hands on their iliac crests with your thumbs over ASISs (anterior superior iliac spine)
3. "Put your hands on my shoulders or hold my arms and support yourself"
4. Ask pt to stand on one leg at a time - the 'good leg' first
Normal: pelvis tilts upwards on unsupported side
Positive: Pelvis tilts downwards, trunk leans in opposite direction to maintain balance
Hips - Bed Position - (ANSWER)Supine position
Hip needs to be totally flat
Do PMSSSS again
Hips - Feel - (ANSWER)"Tell me if I cause you any discomfort"
Temperature (use back of hands and compare sides)
Complete Exam |Already Graded A+
Important History Points - (ANSWER)Stiffness (worse in morning, gets better with movement or not)
Clicking, crunching, giving way
Systemic infection
Red flags (back pain, weight loss)
Fasted??
Past surgical history
Activities of daily living (ADLs)
Hand dominance
OSCE instructions - (ANSWER)"Look Feel Move" (*remember Feel - TEMPERATURE)
Special Tests
NV assessment
Examine affected side only
Do not narrate
PMSSSS (for every LOOK section) - (ANSWER)Posture
Muscle Wasting
Skin Changes
Scars (surgeries)
Swelling (inflammation)
Symmetry (compare sides)
Active vs Passive ROM - (ANSWER)Do Active first, if diminished then do Passive
If you CAN'T correct diminished ROM (can't physically move) = ortho joint problem
,MSK/Ortho OSCE Exam with all Correct & 100% Verified Answers |Actual
Complete Exam |Already Graded A+
If you CAN correct diminished ROM, it's usually pain or can't generate power or signal can't get there
(rheum/neuro)
Hip - Look (standing up) - (ANSWER)"Which hip is sore? Where is it sore?"
Age, BMI, frailty
Mobility aids
Posture
Muscle Wasting
Skin Changes (erythema, inflammation)
Scars (arthroscopy, arthroplasty, DHS)
Swelling (inflammation, effusion)
Symmetry
Fixed flexion (look from side = OA)
External rotation of leg (look at foot hip fracture)
Measure leg length with tape measure
True: ASIS to medial maleolus
Apparent: Umbilicus to medial maleolus
Hips - Gait - (ANSWER)Ask pt to walk across room and back
Symmetry & smoothness
Normal heel strike, toe off & step height
, MSK/Ortho OSCE Exam with all Correct & 100% Verified Answers |Actual
Complete Exam |Already Graded A+
Antalgic gait (limp)
Wobbling Trendelenburg Gait (common in OA hips)
Hips - Standing Special Test - (ANSWER)Trendelenburg Test (ABductor instability)
- Pain (OA)
- Weakness (e.g. nerve root lesion)
- Developmental dysplasia (DDH)
- Slipped upper femoral epiphysis (SUFE)
1. Sit on chair in front of pt
2. Place hands on their iliac crests with your thumbs over ASISs (anterior superior iliac spine)
3. "Put your hands on my shoulders or hold my arms and support yourself"
4. Ask pt to stand on one leg at a time - the 'good leg' first
Normal: pelvis tilts upwards on unsupported side
Positive: Pelvis tilts downwards, trunk leans in opposite direction to maintain balance
Hips - Bed Position - (ANSWER)Supine position
Hip needs to be totally flat
Do PMSSSS again
Hips - Feel - (ANSWER)"Tell me if I cause you any discomfort"
Temperature (use back of hands and compare sides)
