FAQs
What red‑flag symptoms must I look for in a headache OSCE?
Key red‑flags include sudden “thunderclap” onset, fever, neck stiffness, focal neurological deficits, visual changes, recent head trauma, and systemic signs such as weight loss.
How many minutes should I spend on the physical exam during the station?
Allocate roughly 5–7 minutes: vitals (1 min), scalp and sinus exam (2 min), neck flexion/extension (1 min), and a rapid neuro screen (1–2 min).
Which neurological components are essential for a quick headache exam?
Perform a brief cranial nerve check (II–XII), test motor strength in both limbs, assess sensation, and, if possible, look for papilledema with an ophthalmoscope.
Can I skip the fundoscopic exam if I don’t have an ophthalmoscope?
No. State that you would perform fundoscopy if equipment were available, and focus on other red‑flag signs; examiners value verbalisation of the missed step.
How should I document my findings to maximize OSCE marks?
Use a structured format: introduce yourself, record vitals aloud, list each exam component, note any positive or negative findings, highlight red‑flags, and end with a concise management plan.
