Visible crew/equipment: On the bridge, Uhura tells Kirk that Outpost 4 reported they're under attack, and after Scott says, "I've talked to my engine room, sir. We'll get more speed out of her," we can see the movement of the overhead boom pole's shadow as Kirk walks toward Uhura.
Visible crew/equipment: As Kirk goes to talk to Uhura, the studio light is reflected of the second to left panel from Uhura.
Answer: Kirk was getting his physical and Dr. McCoy probably turned off communications, because if he hadn't, Kirk would have left and headed straight for the bridge, leaving McCoy irritated.