OSCE SCRIPT (from 2018)
FAMMED/IM/SURGERY Contraceptive History, Sexual History
Good morning/afternoon/evening po Ma’am/Sir, ako po si
______________, clinical clerk/2nd year medical student po
from FAMILY MEDICINE/INTERNAL MEDICINE/SURGERY
department.
Ano po ang pangalan niyo?
Ilang taon na po kayo?
Ano po ang relihiyon?
Kasal na po ba?
Kailan po ang birthday?
Saan po pinanganak?
Saan po kasalukuyang nakatira?
Pang-ilang beses niyo na pong nagpacheck-up dito?
May card po ba?
May doctor po ba dito?
CHIEF COMPLAINT:
Ano ang dahilan ng pagkonsulta?
HPI:
Ano ang dahlia ng pagkonsulta?
Fever - Onset, Highest temperature, Pattern of fever,
Treatment (Relieved/Unrelieved), Associated symptoms.
Pain - Location, Onset, Provoking/Palliating, Quality
Region/Radiation, Severity, Timing/Treatment, Associated
symptoms.
Cough - Onset, Productive/Non-productive, Color,
Quantity, Provoking/Palliating, Timing/Treatment,
Associated symptoms.
Vomiting - Onset, Quality, Quantity, Frequency,
Projectile/Non-projectile, Provoking/Palliating,
Timing/Treatment, Associated symptoms.
Diarrhea - Onset, Quality, Quantity, Frequency, Smell,
Provoking/Palliating, Timing/Treatment, Associated
symptoms.
Trauma: NOI/DOI/TOI/POI, been to previous hospital,
treatment given, identify injuries
hospital, Treatment given, Identify injuries
Medications/Maintenance
Allergies
Smoking, alcohol and drug use
• Check up with other doctor (Meds
given/Labs done)
• Last Meal/Last water intake
• Last Fever (Last time nag-take ng
para/antibiotic)
• Last BM
• Last UO
• Last vomit/seizure if applicable
Past Medical History
Childhood Illnesses:
Measles, Varicella, Mumps.
Medical: HPN, DM, PTB, Pneumonia, Asthma, Cancer,
Heart Disease, Stroke, Hepatitis, Thyroid Problem - if (+)
onset, maintenance medications,
controlled/uncontrolled, last attack
Surgical: Date, indication, type of operation
Obstetric: MIDAS, GPTPAL, Gyne History,
• Previous Hospitalizations
• Blood Transfusions
• Accidents/Injuries
• Immunization History
• Screenings (Papsmear, Magic 12 etc)
• Psychiatric History
• Travel History
Family History:
Meron po bang meron may HPN, DM, PTB, Pneumonia,
Asthma, Cancer, Heart Disease, Stroke, Hepatitis,
Thyroid Problem sa pamilya?
FOR FAMMED ONLY
For Genogram, APGAR & SCREEM: Ma’m/Sir dahil po
tayo ay nasa Family Medicine department, may ilang mga
katanungan po ako na maaring mapansin niyo na hindi
na kaugnay sa ipinunta niyo dito, pero kailangan po ito
dahil sa FM po ay wholistic ang approach ang ginagawa
natin.
Family genogram:
Ano ang pangalan ng mga magulang? Tatay? Ilang taon
na? Sakit? Buhay pa po ba? (If not, cause and year of
death)
Nanay? Ilang taon na? may Sakit? (If not, cause
and year of death)
May mga kapatid po ba kayo? Ano po mga
pangalan nila simula sa panganay at ilang taon
napo? May mga sakit po ba?
May asawa po ba? Edad/kasal/hiwalay/kasama
sa bahay/May alam po ba kayong sakit nya?
Ano po ang pangalan ng mga magulang ng
asawa niyo? Ilang taon na po sila? May alam po
ba kayong sakit nila?
May mga kapatid po ba ang inyong asawa? Ano
pangalan? Ilang taon? Pang ilan siya sa
magkakapatid? May mga sakit po ba sila?
APGAR
• Adaptation: Ako’y nasisiyahan dahil
nakakaasa ng tulong sa aking pamilya sa
oras ng problema (Pag nagkakaroon po ba
kayo ng mga problema or pinagdadaanan
sa buhay nakakahingi po ba kayo ng
tulong sa inyong pamilya?)
• Partnership: Ako’y nasisiyahan sa paraang
nakikipagtalakayan sa akin ang aking
pamilya tungkol sa aking problema. (Pag
nagkakaroon po ba ng problema sa pamilya sa tingin
niyo po ba ay napaguusapan ito ng maayos?)
• Growth: Ako’y nasisiyahan at ang aking
pamilya ay tinatanggap at sinusuportahan
ang aking mga nais na gawin patungo sa mg
bagong landas para sa aking ikauunlad.
(Kapag may mga bagay kayong gustong
gawin or subukan, sumusuporta po ba sa
inyo ng buong buo ang inyong mga
kapamilya?)
• Affection: Ako’y nasisiyahan sa paraang
pinadadama ng aking pamilya ang kanilang
pagmamahal at nauunawaan ang aking
damdamin katulad ng galit lungkot at pag
ibig. (Sa mga pagkakataon po na kayo ay
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OSCE SCRIPT (from 2018)
galit or masaya, naipaparamdam po ba ng
inyong mga kapamilya ang pagunawa at
pa pagmamahal nila sa inyo?)
• Resolve: Ako’y nasisiyahan na ang aking
pamilya at ako ay nagkakaroon ng panahon
sa isa’t isa. (May bonding time po ba kayo
ng inyong pamilya? Halimbawa, sabaysabay
kumaen, manuod ng tv, magsimba?)
SCREEM
• Social: Maayos po ba ang relasyon sa mga
kapitbahay? Nakikilahok sa mga activities
at organisasyon ng barangay?
• Cultural: Aktibong sumasali sa mga fiestas?
Naniniwala sa mga pamahiin?
• Religious: Nagsisimba po tuwing linggo?
Nagdadasal po ba gabi-gabi?
• Economic: Sino ang nagtatrabaho? Sapat ba
ang kinikita para sa pangagailangan ng pamilya?
• Educational: Ano ang natapos sa pag aaral?
Nagagamit po ba ito sa kasulukuyang
trabaho?
• Medical: May malapit n hospital? Health
center? Nagagamit ang mga health facilities sa oras ng
pangangailangang pangkalusugan?
Personal and Social History:
Ano po ang tinapos nyo? Anu po ang trabaho? Ano po ang
kadalasang pinagkakabalahan? Ano po ang kadalasang
kinakain sa bahay? Nageexercise po ba?
Environmental History:
Ano po ang inyong tinitirahan? May sarili po bang CR? De
flush po or de buhos? Maayos po ba ang ventilation at
lighting? May sarili po bang linya ng kuryente at tubig?
Ano pong gamit na tubig sa inumin? Ilang beses po
kinokolekta ang basura sa isang linggo?
Review of Systems:
May iba pa po bang kayong nararamdaman
maliban sa dahilan ng pagkonsulta?
General: Weight loss, weight gain, weakness,
fatigue, fever
Skin: Rashes, change in hari and nails, change in
size/color of moles
HEENT: Blurring of vision, ear pain, epistaxis,
sore throat, hoarseness.
CNS: Loss of consciousness, seizures, headache,
dizziness, fainting, vertigo, weakness/paralysis
CVS: Palpitations, chest pain, orthopnea
Breasts: Lumps, nipple discharge, pain or
discomfort
Resp: DOB, cough, colds, dyspnea, hemoptysis
GIT: Change in appetite, dysphagia, nausea,
vomiting, diarrhea, constipation, change in
bowel habits or stool caliber
GUT: Dysuria, hematuria, nocturia, frequency,
urgency, retention, hypogastric/flank pain,
abnormal genital discharge or itchiness/sores,
dyspareunia
Musculoskeletal: Limitation of movements, joint
pains
Hema: Bleeding tendencies/easy bruising
Endo: Cold/Heat intolerance, easy fatigability
PHYSICAL EXAM:
ALWAYS REMEMBER
INSPECTION-PALPATION-PERCUSSION- AUSCULTATION
SEQUENCE
(EXCEPT
ABDOMEN) ASK FOR CONSENT OR INFORM
THE PATIENT ABOUT THE PE PROCEDURE.
General Survey:
Patient is conscious coherent, cooperative,
ambulatory/stretcher or wheelchair borne, not in
cardiorespiratory distress.
TAKE VITAL SIGNS!!
BP, HR, RR, T
Skin is brown in color, smooth warm, with good
skin turgor. No pallor, no edema. No rashes and
petechiae. Nail beds are pinkish. No clubbing no
cyanosis.
HEENT: Hair is black, abundant well distributed, has
smooth texture. Scalp w/o lesions, no lice no scaling. No
masses no tenderness. Face is symmetrical, no abnormal
facies. No skin lesions and involuntary facial movements.
Eyebrows are thick, black well distributed, and
symmetrical. Eyelids are free from swelling and lesions.
Pink palpebral conjunctivae. No lesions, no edema, and no
eye discharges. Anicteric sclerae, transparent clear
cornea and iris is brown in color and round. Pupils are
equally reactive to light and accommodation. Lens is
transparent. Ears are symmetrical, no deformities, no
lesions, no tenderness, no lumps and no discharges.
External auditory canal is patent. Walls are pinkish in
color with small amount of cerumen, no swelling no
discharge, no foreign bodies.
Tympanic membrane is pearly white and showed a good
cone of light. Patient was able to hear spoken voice and
sound produce by rubbing fingers. Nose is symmetrical
and blunt. There is no flaring of ala nasi. Vestibule is
patent.
Mucosa is pinkish with no secretions, no bleeding. Nasal
septum is in midline in position. No perforation. No noted
tenderness. Lips are symmetrical, pink in color, moist,
smooth with no lesions. Buccal mucosa is pinkish in color,
moist smooth with no lesions and no swelling. Tongue is
in the midline, no deviation, no hypertrophy, no atrophy
and no lesions. Patient has complete set of teeth no dental
carries. Palate is pink with no lesions, uvula is in the
midline. Tonsils are small and pink with no secretions.
Neck: Skin is brown, symmetrical. No masses no scars
and no deformities. Trachea is in the midline. Thyroid
isthmus is palpable. No cervicolymphadenopathy.
Chest/Lungs
Inspection: Skin is fair in color, no subcutaneous
blood vessels, no lesions. Chest is symmetrical,
no visible deformities, there are no retractions,
nor bulging or widening of the intercostal space.
Palpation: there is equal tactile fremitus, no
tenderness.
Percussion: lungs are resonant on
both fields. No decreased intensity of breath
sounds,. No egophony no bronchophony and no
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OSCE SCRIPT (from 2018)

whisphered pectoriloquy. Auscultation. rubbing fingers. No lateralization upon Weber’s

test
Heart: IX, X – Uvula is in the midline (+) gag reflex
Inspection: Adynamic precordium, no bulging, XI – Can shrug shoulders, can laterally rotate his
no retractions noted. Apex beat is seen at the 5th head against resistance
interscostal space left midclavicular line. No XII – Tongue is in midline, no deviation, no
other visible pulsations, no neck vein hypertrophy
engorgement. Carotid pulsation is visible, no Motor:
bruit noted. Palpation: apex beat is at the 5th ICS 0 – no movement
LMCL. No other palpable pulsations. No thrills 1 – flicker or trace of mov’t
no lifts or heaves. Auscultation: patient has 2 – partially moves body part
normal rate, regular rhythm. No murmurs 3 – can move body part against gravity
Peripheral pulses are equal with strong 4 - can move against gravity but with some
Amplitude resistance
5 – can move w/o difficulty, normal
Abdomen: Inspection: the abdomen is
flat/flabby/globular, no lesions, no superficial Cerebellar Function
veins, no scars noted. There are no visible peristaltic Finger to nose test (dysmetria)
movements and no pulsations. Alternating supination and pronation
Auscultation: Normoactive bowel sounds. There (dysdiadochokinesia)
are no bruits, no friction rub. Heel to shin test (dysmetria)
Percussion: all
quadrants are tympanitic. liver span (6-12cm) at Sensory testing:
MCL (4-8cm) at MSL. No costovertebral angle Patient has intact pain on both upper and lower
tenderness. No noted change of resonance at the Extremities
Traube’s space.
Palpation: abdomen is soft, Reflexes:
nontender, no masses. Spleen and kidneys not Include biceps, triceps, brachioradialis,
palpable. Psoas sign, Obturator Sign, Rovsing’s patellar, Achilles deep tendon reflexes; also
sign, Blumberg sign, Murphy’s sign. Direct and plantar reflexes or Babinski reflex.
indirect tenderness. Rebound tenderness. +4 pathologic reflex (Babinski/clonus)
+3hyperreflexia
Genitalia: External genitalia without lesions. +2 normoflexia
Vaginal mucosa pink. Cervix pink, without +1 hyporeflexia
discharge. Uterus anterior, midline, smooth, not 0 areflexia
enlarged. No cervical or adnexal tenderness.
Rectovaginal wall intact. Meningeal Signs:
There is absence of nuchal rigidity. Patient is
Rectal: No lesions, skin tags, fissures or negative for Kernig’s test and Brudzinski’s
prolapse. Intact sphincter. Rectal vault without
masses. Brown stool on examining finger. ASSESMENT:
PLAN:
Extremities: No gross deformities, has
bilateral range of motion. Fingernails has no
clubbing, nail beds are pinkish in color. No
noted swelling. CRT<2S. Full and equal pulses.

Neurologic Exam:
Cerebral Exam: Patient is conscious and
coherent. No signs of babbled or slurred speech.
Able to follow simple commands, oriented to
time place and person and can do simple
calculations. Immediate recent and remote
memories are intact.

Cranial Nerves:
I - Patient’s olfactory nerve is intact. He can
distinguish smell of __ on both nostrils
II, III, IV - Patient was able to read the smallest
characters. No noted bilateral gross visual field
defects. Pupils equally round and symmetrical,
constricts at 2-3mm equally reactive to light and
accommodation, intact EOM
V – Patient able to clench teeth
VII – (+) corneal reflex, muscles of upper and
lower face are symmetric. No atrophy.
VIII - Patient can localize sound produced by

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OSCE SCRIPT (from 2018)

4
OSCE SCRIPT (from 2018)

OB-GYNE

Good morning/afternoon/evening po Ma’am/Sir, ako po si Sexual History:

______________, clinical clerk/2nd year medical student po Coitarche. Single or Multiple sexual partners?
from OB GYNE department. Post-coital bleeding? Dyspareunia?

Ano po ang pangalan niyo?

Ilang taon na po kayo? Contraceptive History:
Ano po ang relihiyon? History of contraceptive use: What contraceptive?
Kasal na po ba? How long? Stopped due to?
Kailan po ang birthday?
Saan po pinanganak?
Saan po kasalukuyang nakatira? Gynecologic History:
Pang-ilang beses niyo na pong nagpacheck-up dito? Leukorrhea. Vaginal Pruritus. Abnormal vaginal
May card po ba? bleeding. Papsmear/Gramstain?
May doctor po ba dito?

Obstetric History:
CHIEF COMPLAINT: GP(TPAL), LMP, PMP, AOG, EDC
Ano ang dahilan ng pagkonsulta? Gravida
• Good Fetal Movement (>20weeks) Year
• Hypogastric Pain Gender
• Low Back Pain Term
• Watery Vaginal Discharge Indication for CS
• Vaginal Bleeding/Spotting Place of Delivery
• Bloody Mucoid Discharge Delivered by?
• Uterine Contractions BW
Headache/Nausea/Vomiting/Blurring of Feto-Maternal CX?
vision/Edema
• Vaginal Pruritus
Prenatal History:
Ilang weeks/days delayed? Nag pregnancy test po b?
Past Medical History May morning sickness po bang naramdaman? Kelan
Childhood Illnesses: unang nagpacheck up? Nag multivitamins? Ferrous
Measles, Varicella, Mumps. sulfate (>14wks)? Folic acid (<14wks)? Kelan unang
Medical: HPN, DM, PTB, Pneumonia, Asthma, Cancer, naramdaman ang pag galaw ni baby? Wala po bang
Heart Disease, Stroke, Hepatitis, Thyroid Problem - if (+) nainom na kahit anong antibiotic or pampalaglag?
onset, maintenance medications, Nexpose po ba sa xray/radiation? May naipagawa na po
controlled/uncontrolled, last attack bang mga laboratory? Initial: Urinalysis, CBCPC, HbsAg,
Surgical: Date, indication, type of operation VDRL, Rubella Titers, BT with Rh, FBS or 2H OGTT 75 g (24-
• Previous Hospitalizations 28wks), Gram stain, Papsmear, TransV/Pelvic UTZ c/o OB-
• Blood Transfusions Sono GDM - for BPS with fetal biometry every 2 weeks
• Accidents/Injuries starting 28 weeks then weekly at 36 weeks.
• Immunization History
• Screenings (Papsmear, Magic 12 etc)
• Psychiatric History HPI or Pregnancy:
In relation to CC, time of onsent. Other s/sx.
Check up with other doctor (Meds given/Labs
Family History: done)
Meron po bang meron may HPN, DM, PTB, Pneumonia, Last Meal/Last water intake
Asthma, Cancer, Heart Disease, Stroke, Hepatitis, Last UO
Thyroid Problem sa pamilya? Last Vomit/seizure if applicable

Personal and Social History: Review of Systems:

Trabaho? Kasal or Single? Ilang taon na ang
kasama, gano na katagal ang relasyon? Smoker?
Alcoholic beverage drinker? Use of illicit drugs?
Allergies to food or drugs
Menstrual History:
Menarche, lasting for how many days. Interval
(If regular 28-32 days). Duration. Amount
(Pads/day, soaked, mod soaked, fully soaked).
Signs ans symptoms (Medications taken).
LMP:
PMP:
May iba pa po bang kayong nararamdaman
maliban sa dahilan ng pagkonsulta?
General: weight loss, fever, chHEENT: headache, blurring
of vision, dizziness
Respiratory: DOB, cough, colds
CVS: palpitations, SOB, chest pain, edema
GI: diarrhea, constipation, abdominal pain,
change in bowel habits
GU: polyuria, incontinence
Endo: polyphagia, polydipsia
Musculoskeletal: weakness, limitation of
movement.ills

5
OSCE SCRIPT (from 2018)
PHYSICAL EXAM:
ALWAYS REMEMBER
INSPECTION-PALPATION-PERCUSSIONAUSCULTATION
SEQUENCE (EXCEPT
ABDOMEN) ASK FOR CONSENT OR INFORM THE PATIENT
ABOUT THE PE PROCEDURE.
General Survey: Patient is conscious coherent,
cooperative, ambulatory/stretcher or wheelchair
borne, not in cardiorespiratory distress
TAKE VITAL SIGNS!!! BP HR RR T, BMI
Skin is brown in color, smooth warm, with good
skin turgor. No pallor, no edema. No rashes and
petechiae. No cyanosis.
HEENT: Pink palpebral conjunctivae. Anicteric
sclerae. Pupils are equally reactive to light and
accommodation. Ears are symmetrical, no
deformities, no lesions, no tenderness, no lumps
and no discharges. There is no flaring of ala nasi.
Nasal septum is in midline in position. Lips are
symmetrical, pink in color, moist, smooth with
no lesions. Buccal mucosa is pinkish in color,
moist smooth with no lesions and no swelling.
Tongue is in the midline, no deviation. Patient
has complete set of teeth no dental carries.
Palate is pink with no lesions, uvula is in the
midline. Tonsils are small and pink with no
secretions,
Neck: No masses no scars and no deformities.
Trachea is in the midline. No
cervicolymphadenopathy.
Chest/Lungs
Inspection: Chest is symmetrical, no visible
deformities, there are no retractions Palpation:
there is equal tactile fremitus Percussion: lungs
are resonant on both fields. Auscultation.
Heart:
Inspection: Adynamic precordium. Apex beat is
seen at the 5th interscostal space left
midclavicular line. No other visible pulsations,
no neck vein engorgement. Carotid pulsation is
visible, no bruit noted. Palpation: apex beat is at
the 5th ICS LMCL. Auscultation: patient has
normal rate, regular rhythm. No murmurs. Peripheral
pulses are equal with strong amplitude.
Abdomen:
Fundic Height
Leopold’s Maneuver: Fundal grip: ___ fetal
part is at the fundus. Umbilical grip: Fetal
back is at the __ maternal side and fetal
extremities is at the __maternal side.
Pawlicks grip: fetal descent. Pelvic grip:
Cephalic or Breech presentation.
FHT: 110-160s, 12-18wks (heard at midline
in lower abdomen); after 28wks (fetal back
or chest)
EFW: Johnsons rule: wt in grams = FH in
cm –N x 155; n= 12 unengaged, n= 11
engaged
Contractions: Duration/Interval/Quality
Inspection: the abdomen is flabby/globular (>20
weeks), striae gravidarum / linea nigra present.
Auscultation: Normoactive bowel sounds. FHT.
Palpations: Leopold’s maneuver. Contractions.
Pelvic Exam:
Inspection: Grossly normal external genitalia
without lesions. Nulli/parous introitus.
Speculum Exam: Vaginal mucosa pink,
smooth, no lesions present. Cervix
pink/violaceous, with minimal (color) discharge.
Internal Exam: Dilatation, Effacement,
Presentation, Bow, Station.
Bimanual Exam: No cervical
motion/wriggling or adnexal tenderness.
Rectovaginal wall intact. Uterus enlarged to
AOG. No cervical or adnexal tenderness.
Rectovaginal Exam: Rectovaginal wall intact.
No masses.
Rectal: No lesions, skin tags, fissures or
prolapse. Intact sphincter. Rectal vault without
masses. Brown stool on examining finger.
Extremities: No gross deformities, has
bilateral range of motion. CRT<2S. Full and
equal pulses.
Neurologic Exam:
Cerebral Exam: Patient is conscious and
coherent. No signs of babbled or slurred speech.
Able to follow simple commands, oriented to
time place and person and can do simple
calculations. Immediate recent and remote
memories are intact.
Cranial Nerves:
I - Patient’s olfactory nerve is intact. He can
distinguish smell of __ on both nostrils
II, III, IV - Patient was able to read the smallest
characters. No noted bilateral gross visual field
constricts at 2-3mm equally reactive to light and
accommodation, intact EOM
V – Patient able to clench teeth
VII – (+) corneal reflex, muscles of upper and
lower face are symmetric. No atrophy.
VIII - Patient can localize sound produced by
rubbing fingers. No lateralization upon Weber’s
test
IX, X – Uvula is in the midline (+) gag reflex
XI – Can shrug shoulders, can laterally rotate his
head against resistance
XII – Tongue is in midline, no deviation, no
Hypertrophy
Motor:
0 – no movement
1 – flicker or trace of mov’t
2 – partially moves body part
3 – can move body part against gravity
4 - can move against gravity but with some
resistance
5 – can move w/o difficulty, normal
Cerebellar Function
Finger to nose test (dysmetria)
Alternating supination and pronation
(dysdiadochokinesia) Heel to shin test
(dysmetria)
Sensory testing:
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OSCE SCRIPT (from 2018)

Patient has intact pain on both upper and lower

Extremities

Reflexes
Include biceps, triceps, brachioradialis,
patellar, Achilles deep tendon reflexes; also
plantar reflexes or Babinski reflex.
+4 pathologic reflex (Babinski/clonus)
+3hyperreflexia
+2 normoflexia
+1 hyporeflexia
0 areflexia

Meningeal Signs:
There is absence of nuchal rigidity. Patient is
negative for Kernig’s test and Brudzinski’s

ASSESSMENT:
OB SCORE, Pregnancy Location, AOG,
Presentation, Previous CS/Operations, Other comorbids
PLAN:
LABS
<14wks TVS
>14 wks pelvic ultrasound
Initial: Urinalysis, CBCPC, HbsAg,
VDRL, Rubella Titers, BT with Rh, FBS
or 2H OGTT 75 g (24-28wks), Gram
stain, Papsmear, Congenital Anomaly
Scan
GDM: For fetal surveillance (BPS/NST)
every 2 weeks at 28 weeks then weekly
at 36 weeks.
CHVD work up: CXR-PA with
abdominal shield, 12L ECG, FBS, Lipid
profile (TC, TG, HDL, LDL, VLDL)
Toxemia work up: AST, ALT, BUN,
BUA, Crea, CT, BT, PT, PTT, LDH

Meds:
Multivitamins OD
Folic Acid OD (<14wks)
Ferrous Sulfate OD(>14wks)
For GHPN/Preeclampsia: Calcium tab
OD, Aspirin 80mg 13-35 weeks.
Strict fetal movement counting
Inc OFI
Drink 1 glass of milk BID
Daily perineal hygiene
WOF: 10 danger signs of pregnancy
Vaginal bleeding
Swelling of the face and extremities
Headache
Blurring of vision
Abdominal pain
Vomiting
Fever
Dysuria
Escape of fluid from the vagina
Changes in fetal movement: (1 hr after
meals) abn if <3 movts/hr
Daily BP monitoring if >35y/o
Secure blood donors

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OSCE SCRIPT (from 2018)
PEDIATRICS
Good morning/afternoon/evening po Ma’am/Sir, ako po si
______________, clinical clerk/2nd year medical student po
from PEDIATRICS department.
Ano po ang pangalan niyo?
Ilang taon na po kayo?
Ano po ang relihiyon?
Kasal na po ba?
Kailan po ang birthday?
Saan po pinanganak?
Saan po kasalukuyang nakatira?
Pang-ilang beses niyo na pong nagpacheck-up dito?
May card po ba?
May doctor po ba dito?
Informant/Reliability:
Chief complaint: Ano ang dahilan ng pagkonsulta?
HPI:
Fever, Treatment (Relieved/Unrelieved),
Associated symptoms.
Pain - Location, Onset, Provoking/Palliating,
Quality Region/Radiation, Severity,
Timing/Treatment, Associated symptoms.
Cough - Onset, Productive/Non-productive,
Color, Quantity, Provoking/Palliating,
Timing/Treatment, Associated symptoms.
Vomiting - Onset, Quality, Quantity, Frequency,
Projectile/Non-projectile, Provoking/Palliating,
Timing/Treatment, Associated symptoms.
Diarrhea - Onset, Quality, Quantity, Frequency,
Smell, Provoking/Palliating, Timing/Treatment,
Associated symptoms.
Seizures: Associated with fever? Meningeal
Signs present? Timing(Duration of fever)? Aura?
Check up with other doctor (Meds
given/Labs done)
Last Meal/Last water intake
Last Fever (Last time ngtake ng
para/antibiotic)
Last BM
Last UO
Last vomit/seizure if applicable
Review of Systems:
May iba pa po bang kayong nararamdaman
maliban sa dahilan ng pagkonsulta? On this
part, remember to ask only the systems missed
from the HPI.
General: Weight loss, weight gain, weakness,
fatigue, fever
Skin: Rashes, change in hair and nails, change in
size/color of moles
HEENT: Blurring of vision, ear pain, epistaxis, sore
throat, hoarseness.
CNS: Loss of consciousness, seizures, headache,
dizziness, fainting, vertigo, weakness/paralysis
CVS: Palpitations, chest pain, orthopnea
Breasts: Lumps, nipple discharge, pain or
discomfort
Resp: DOB, cough, colds, dyspnea, hemoptysis
GIT: Change in appetite, dysphagia, nausea,
vomiting, diarrhea, constipation, change in
bowel habits or stool caliber
GUT: Dysuria, hematuria, nocturia, frequency,
urgency, retention, hypogastric/flank pain,
abnormal genital discharge or itchiness/sores,
dyspareunia
Muskuloskeletal: Limitation of movements, joint
pains
Hema: Bleeding tendencies/easy bruising
Endo: Cold/Heat intolerance, easy fatigability
Maternal History:
Ilang taon nung pinagbuntis/pinanganak? OB
SCORE? Kumpleto ba sa prenatal checkup?
Nagmultivitamins/ folic acid/ferrous sulfate?
My history of exposure to
radiation/antibiotics/teratogenic drugs? History
of maternal illness? Any meds taken? History of
smoking, drinking alcohol use of illicit drugs?
Maternal/Paternal Blood type?
Birth History:
Term, Preterm, Posterm (Umabot po ba sa
kabuwanan?)
Manner of Delivery (Normal po o CS if CS
ano reason)
APGAR score (spontaneous
respiration/good cry/color of baby at birth)
Person who attended the delivery (OB,
midwife o hilot po?)
Birthweight/length, especially if pertinent
Cord coil/Meconium staining (Hindi po ba
napuluputant ng cord/nakakaen ng dumi?)
Routin NB care done? Nabigyan po ba ng
BCG/Hepa B at Vitamin K pagkapanganak
Neonatal History:
Nakadumi at nakaihi po ba si baby sa loob ng 24
oras pagkapanganak? Maganda po ba ang suck
nya sa inyong suso? Na-NBS po ba? Alam niyo
po resulta? Nakauwe po ba si baby kasabay niyo
nung ipinanganak or ngstay pa sa nursery/nicu?
Hindi po ba nanilaw si baby? Wala po bang
naging sakit si baby nung unang buwan ng
pagkapanganak?
Nutritional History:
Type of feeding: breastfed, bottle fed, mixed?
When started and stopped.
Complimentary feeding started when?
Appetite, likes and dislikes, preferred food
Vitamins
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OSCE SCRIPT (from 2018)

Growth and Development: Immunization History:

Patient was able to lift head at 2 months For BCG - ask location of scar
old. Was able to sit at 5 months, stand without
support at 7 months, say mama/papa at 9
months. Walk with support at 11 months and
walk without support at 1 year and 2 months.
Patient is at __ grade in school, no academic
deficiencies. Developmental milestones were at
par with age.

HiB IM 6wks 10wks 14wks

Rotavirus PO 6wks
MMR SC 12mos
Hepa A IM 12mos
PCV IM 6wks
Influenza SC/IM 6mos
Varicella SC 12mos
HPV IM 10yrs
Booster doses: Hepa B, DPT, Tdap, HiB, Polio,
MMR, PCV, Varicella
ADOLESCENT: HEADSSS

Past Medical History

Childhood Ilnesses: Measles, Varicella, Mumps,
Pertussis
Medical:Pneumonia, Asthma, Congenital Heart
Disease - if (+) onset, maintennance medications,
controlled/uncontrolled, last attack
Surgical: Date, indication, type of operation
Obstetric (if applicable): MIDAS
Previous Hospitalizations
Blood Transfusions
Accidents/Injuries
Allergies to food or drugs

Family History
Meron po bang meron may HPN, DM, PTB,
Pneumonia, Asthma, Cancer, Heart Disease,
Stroke, Hepatitis, Thyroid Problem sa pamilya?
Sa mga kasama po ba sa bahay meron
nagkasakit netong nakaraang 6 na buwan?

Environmental History:
Place and nature of dwelling, number of persons
living together. For dengue suspects, ask if there
are dengue cases within the vicinity.
Ventilation/Lighting. Number of bedrooms and
comfort rooms. Type of toilet. Water and
drinking water source. Source of electricity.
Garbage collection.

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OSCE SCRIPT (from 2018)
Physical Exam:
General Survey: Patient is conscious coherent,
cooperative, ambulatory/stretcher or wheelchair
borne, not in cardiorespiratory distress
VITAL SIGNS: BP HR RR T
ROS
Skin is brown in color, smooth warm, with good
skin turgor. No pallor, no edema. No rashes and
petechiae. Nail beds are pinkish. No clubbing
nocyanosis.
HEENT: Hair is black, abundant well
distributed, has smooth texture. Scalp w/o
lesions, no lice no scaling. No masses no
tenderness. Face is symmetrical, no abnormal
facies. No skin lesions and involuntary facial
movements. Eyebrows are thick, black well
distributed, and symmetrical. Eyelids are free
from swelling and lesions. Pink palpebral
conjunctivae. No lesions, no edema, and no eye
discharges. Anicteric sclerae, transparent clear
cornea and iris is brown in color and round.
Pupils are equally reactive to light and
accommodation. Lens is transparent. Ears are
symmetrical, no deformities, no lesions, no
tenderness, no lumps and no discharges.
External auditory canal is patent. Walls are
pinkish in color with small amount of cerumen,
no swelling no discharge, no foreign bodies.
Tympanic membrane is pearly white and showed
a good cone of light. Patient was able to hear
spoken voice and sound produce by rubbing
fingers. Nose is symmetrical and blunt. There is
no flaring of ala nasi. Vestibule is patent.
Mucosa is pinkish with no secretions, no
bleeding. Nasal septum is in midline in position.
No perforation. No noted tenderness. Lips are
symmetrical, pink in color, moist, smooth with
no lesions. Buccal mucosa is pinkish in color,
moist smooth with no lesions and no swelling.
Tongue is in the midline, no deviation, no
hypertrophy, no atrophy and no lesions. Patient
has complete set of teeth no dental carries.
Palate is pink with no lesions, uvula is in the
midline. Tonsils are small and pink with no
secretions,
Neck: Skin is brown, symmetrical. No masses
no scars and no deformities. Trachea is in the
midline. Thyroid isthmus is palpable. No
cervicolymphadenopathy.
Chest/Lungs
Inspection: Skin is fair in color, no subcutaneous
blood vessels, no lesions. Chest is symmetrical,
no visible deformities, there are no retractions,
nor bulging or widening of the intercostal space.
Palpation: there is equal tactile fremitus, no
tenderness. Percussion: lungs are resonant on
both fields. No decreased intensity of breath
sounds,. No egophony no bronchophony and no
whisphered pectoriloquy. Auscultation.
Heart:
Inspection: Adynamic precordium, no bulging,
no retractions noted. Apex beat is seen at the 5th
interscostal space left midclavicular line. No
other visible pulsations, no neck vein
engorgement. Carotid pulsation is visible, no
bruit noted. Palpation: apex beat is at the 5th ICS
LMCL. No other palpable pulsations. No thrills
no lifts or heaves. Auscultation: patient has
normal rate, regular rhythm. No murmurs
Peripheral pulses are equal with strong
Amplitude
Abdomen: Inspection: the abdomen is
flat/flabby/globular, no lesions, no superficial
veins, no scars noted. There are no visible
peristaltic movements and no pulsations.
Auscultation: Normoactive bowel sounds. There
are no bruits, no friction rub. Percussion: all
quadrants are tympanitic. liver span (6-12cm) at
MCL (4-8cm) at MSL. No costovertebral angle
tenderness. No noted change of resonance at the
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OSCE SCRIPT (from 2018)

Traube’s space. Palpation: abdomen is soft, +1 hyporeflexia

nontender, no masse 0 areflexia
s. Spleen and kidneys not Onset Disappearance
palpable. Moro birth 5mos
Anus or Rectal: No lesions, skin tags, fissures Grasp birth 6-10mos
or prolapse. Intact sphincter. Rectal vault Rooting&sucking birth 8mos
without masses. Brown stool on examining Tonic Neck birth 5-6mos
finger. Parachute 8-9mos persist
Genitalia: External genitalia without lesions. Babinski - present normally in 1 to 2/12 years old.
Vaginal mucosa pink. Cervix pink, without
discharge. Uterus anterior, midline, smooth, not
enlarged. No cervical or adnexal tenderness.
Rectovaginal wall intact
Extremities: No gross deformities, has
bilateral range of motion. Fingernails has no
clubbing, nail beds are pinkish in color. No
noted swelling. CRT<2S. Full and equal pulses.

Neurologic Exam:
Cerebral Exam: Patient is conscious and
coherent. No signs of babbled or slurred speech.
Able to follow simple commands, oriented to
time place and person and can do simple
calculations. Immediate recent and remote
Meningeal Signs:
memories are intact.
There is absence of nuchal rigidity. Patient is
negative for Kernig’s test and Brudzinski’s

Autonomics:
No abnormal sweat pattern, no excessive
lacrimation, no irregular bladder and bowel
function

Motor:
A. Expected motor development depending on
age
B. Symmetry of movement
C. Handedness
D. Posture
E. Muscle tone
F. Muscle bulk
G. Gait
H. Fine motor control
I. Abnormal movements and positions
0 – no movement
1 – flicker or trace of mov’t
2 – partially moves body part
3 – can move body part against gravity
4 - can move against gravity but with
some resistance
5 – can move w/o difficulty, normal

Cerebellar Function
Posture. Tremors. Head tilt. Nystagmus. Finger
to nose test (dysmetria). Alternating supination
and pronation (dysdiadochokinesia). Heel to
shin test (dysmetria). Gait.
Sensory testing:
Light touch. Crude touch. Deep pressure. Patient
has intact pain on both upper and lower
extremities

Reflexes:
+4 pathologic reflex (Babinski/clonus)
+3hyperreflexia
+2 normoflexia
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