OSCE CHECKLIST

STATION 1
Introduce self Good day *insert proctor name*, I am
Dr. De Lara, I will be your physician for
today.
State purpose I will ask some questions regarding your
complaint. Please answer as honest as
possible so that we could give you the
proper care you need. All of these will
be confidential as part of the patient’s
confidentiality.
Identifying Let’s start with your full name, age,
data birthday, and address.
Chief Complain Ok, so what made you come here
today?
HPI Tell me, when did you start feeling
these symptoms or how long do you
feel these symptoms?
• Onset
• Location
• Duration
• Character
• Aggravating/ Alleviating Factor
• Radiation
• Timing
• Severity
PAIN
• Onset- when did you start
experiencing this pain.
• Provoking factors- are there any
activity related when the pain
appears?
• Quality- how would you describe
your pain?
• Radiating- does it radiate to any
body parts?
 • Severity- on a scale of 1-10
• Timing- when does the appear?
How long does it last?
Do you feel any other related symptoms
such as*
Did you take any medicine so far? If yes,
what are those?
How about any herbal medicine or
supplement?
Past Medical Does this happen to you before?
History Did you have other doctors check it for
you? If yes, what did they have said to
you?
Have you been confined in a hospital? If
yes, when was the recent… and what
complain did you have?
Do you have any other medical
condition or disease? Eg. Hypertension,
Diabetes
Do you have allergies to any food or
medications?
Family History Does any of your nearest family
member has the same complain as
yours?
Does your parents or siblings have any
medical condition or diseases including
allergies?
Personal and What is your job?
Social History Do you smoke? How many sticks per
day?
Do you drink alcohol? How often and
how many bottles do you drink?
Do you use any illicit drugs?
How many sexual partners do you
have?
How about exercise? How often do you
exercise
 How about diet? Do you have any
specification on your meals?
ROS We’re now down to last set of
questions…
• General: weight, fatigue, fever
• Skin: rashes, discoloration, hair,
moles
• Head: headache, head injury,
dizziness, lightheadedness
• Eyes: vision, eyewear, redness,
tearing, spots, specks
• Ear: hearing, tinnitus, vertigo,
earaches, discharge
• Nose: colds, nosebleeds,
• Throat/ Mouth: teeth and gums,
sore tongue, drying, sore throat,
hoarseness.
• Neck: swollen, stiffness
• Breast: lumps, pain, discharge
• Respiratory: cough, wheezing,
DOB
• Cardiovascular: BP, heart rate,
orthopnea, PND, edema
• GI: swallowing, heartburn,
appetite, BM, Jaundice
• Peripheral Vascular: Claudication,
cramps, fingertips, edema,
redness
• Urinary: urination
• Genital
o M: hernia, discharge
o F: menarche,
menstruation, discharge
• Musculoskeletal: stiffness,
arthritis, tophi, movement
tenderness
• Psychiatric: mood and tension
 • Neurologic: headaches,
weakness, paralysis, numbness
• Hematologic: anemia, pallor,
bruising, bleeding
• Endocrine: thyroid most common

STATION 2
Cardiovascular • Introduce self • Xanthomata-
*NO • Confirm details fat build up in
PERCUSSION • Inform what to do the skin
o Examine your heart
o Inspecting your body
o Feeling your pulse in the
neck and your wrist
o Listening to the heart
o Is that ok?
• Vital signs
• Inspection
o SOB • capillary refill
o Cyanosis time- less
o Pallor than 2
o Edema seconds
o Hands- peripheral cyanosis,
splinter hemorrhages,
Xanthomata, Osler’s nodes • Pulse rate-
and Janeway lesions, tar 60-100 bpm
lesions, finger clubbing,
temperature, capillary refill
time
o Pulse rate- must be same in
• JVP- 6-8cm
both hands
• 30-45 deg
o Collapsing pulse
bed
o Carotid arteries- bruit-
auscultate with bell then • Hepatojugular
palpate reflex-
sustained rise
>4cm
 o JVP- turn head to left; press
down on the liver
o Eyes- xanthelasma, corneal
arcus, conjunctival pallor
o Mouth- angular stomatitis,
central cyanosis, dental
hygiene, high arch palate
o Chest- deformities and
scars
• Palpation
o Apex beat- 5th intercoastal
space in midclavicular line
o Parasternal heave- use
bottom of palm,
hypertrophy
o Thrills- four valves, use top
of palm, palpable murmurs
• Auscultation
o APTM
o Carotid
o Lungs
• Edema
• Thanks px
• Summary
o CV exam was performed to
px kineme
o On inspections, no
peripheral stigmata for CV
dse, Reg pulse
o On Palpation, undisplaced
apex, no heaves or thrills
o On auscultation, normal
heart sounds with no
murmurs.
o Hence, this is a normal CV
exam
Thorax • Introduce self • RR- 12-20
I-PA-PE-A • Confirm details bpm/cpm
• Inform what to do
o Examine your chest
o Inspecting your body
o Feeling different parts of
your chest
o Listening with a
stethoscope
o Is that ok?
• Inspection
o Body
• Cricosternal
o Hands
distance-3-4
▪ Asterixis
fingers
o Pulse
o RR
o JVP
o Face
o Conjunctiva • Fremitus-
o Mouth symmetric
o Chest tactile
• Palpation fremitus
o Windpipe (Cricosternal • Along scapula
distance) • Ninety-nine
o Lymph nodes • Percussion-
o Apex beat resonant
o Chest expansion
• Liver must be
o Tactile Fremitus
dull
o
• Back ladder
• Percussion pattern
o Above clavicle
o Below clavicle
o Along intercostal spaces
o Below axilla
• Auscultation
o Take deep breaths
▪ Above clavicle
 ▪ Below clavicle
▪ Along intercostal
spaces
o Fremitus *same as
palpation- use bell @
supraclavicular
• Repeat at the posterior
• Summary
o Performed respiratory
exam on px
o No peripheral stigmata
o Regular pulse and normal
RR
o Normal and symmetrical
percussion note at back of
the chest
o Normal vesicular
breathings and no added
sounds
o This is a normal respiratory
exam
o To complete the exams I
would like to take his o2 sat
and have a sputum sample
Q • Introduce self
• Confirm details
• Inform what to do
o Examine your abdomen
o Inspecting your body
o Feeling various areas of the
abdomen
o Listening with a
stethoscope
o Is that ok?
• Inspection
o Body- notice any
discoloration
o Hand
▪ koilonychia and
leukonychia
▪ palmar erythema
Dupuytren’s
contracture
▪ finger clubbing
▪ Asterixis
o Armpit- acanthosis
nigricans
o Eyes
▪ Xanthelasma
▪ Conjunctiva
▪ Jaundice
o Mouth
▪ Angular stomatitis
▪ Oral candidiasis
▪ Mouth ulcers
▪ Glossitis
o Neck lymph nodes- left
supraclavicular assoc. with
gastric malignancy
o Chest
▪ spider naevi
▪ gynecomastia
o Abdomen- supine position
▪ Scars and striae
▪ Masses
▪ Distension
▪ Pulsation
▪ Stomas
o Auscultation
▪ Bowel sounds
▪ Aortic bruit
o Percussion
▪ Borders of the liver-
dull
 o Palpation
▪ Across 9 regions
▪ Note guarding, mass
or pain may incur
▪ Deep palpation after
▪ Deep breaths then
palpate the liver,
spleen
▪ Ballot the kidneys
▪ Abdominal aorta
• Summary
o Performed abdominal exam
on px kineme
o No peripheral stigmata of
GIT
o Abdomen is soft,
nontender with no
organomegaly
o Normal Bowel Sounds with
no bruits
o Examine the hernial orifices