You are a junior doctor working in the emergency department. Sore throat this video format is designed to help you prepare for objective structured clinical examinations, or osces. Check the patient is not in any pain or discomfort and ensure heshe is positioned correctly, ideally with the chest fully exposed this may cause. Download the eye examination pdf checklist, or use our interactive checklist. Introduce yourself to the patient and obtain informed consent. Inability to get air out, barrel chested, hypertrophic accessory respiratory muscles emphysema ae complains of worse than normal cough with sputum production and dyspnea. Dec 23, 2015 respiratory diseases with a genetic component eg, cystic fibrosis, emphysema alpha1antitrypsin deficiency. Your exam prep questions were almost identical to the registry exam. In order to draw the childs attention away from breathing, you may palpate the radial pulse. Assessment of colour vision using ishihara plates can sometimes appear in osces. Respiratory exam includes examination of the hands, face, neck, chest, back, lymph nodes and periphery. It is one of the key clinical examinations of osce finals. Physical examination of the respiratory system request pdf. A respiratory examination, or lung examination, is performed as part of a physical examination, in response to respiratory symptoms such as shortness of breath, cough, or chest pain, and is often carried out with a cardiac examination.
Usually best with chest exposed tachypnoea respiratory distress. You can practice all the rrt questions youll see on upcoming exams beforehand, then there wont be any huge surprises in store. Bradypnoea final stages of respiratory failure prolonged expiration bronchoconstriction in bronchiolitis or asthma chest deformities barrel chest asthma. The respiratory examination introduction introduce yourself wash hands briefly explain to the patient what the examination involves position the patient at 45 degrees general inspection respiratory distress pain cachetic the hand and arm tar staining clubbing radial pulse respiratory rate the neck and face. This guide provides a brief stepbystep guide to using ishihara plates to assess colour vision, with an included video demonstration. Checklist for respiratory examination undergraduate guide ones in black must do or comment on, ones in blue must comment on only if present or applicable to patient. Louie examination osce items general inspection abcs. Integrated parts of a cardiovascular examination learn with flashcards, games, and more for free. Osce example scenarios this document provides example scenarios for skills described in the applied examination objective structured clinical examination osce content outline. Content in blue should be in back of your mind so say when you are practicing but not during exam unless seen on the patient in the exam. Check the mouth and tongue for creamy white plaques. Respiratory examination guide mrcpch clinical exam revision.
Check out the geeky medics quiz platform, with over 700 free medical mcqs. At the end of the examination, wash hands once more, and thank. Developing a bank of osce stations before the stations are added to the bank they need to go clinical examination objective. Hand and wrist examination musculoskeletal osce skills. Everything you need to help you pass your paediatric membership exams. Osce examiner checklist developed by faculty members during the pgy 4 academic day 20152016 in family medicine residency program, phcc. Respiratory examination osce guide new release youtube. Ability to speak if the patient cannot sleep due to respiratory distress, it. If youre a student respiratory therapist, you can either sign up or try a free exam respiratory therapy students are saying. Objectives common signs common conditions that present investigations management 3. Sep 22, 2015 osce stations examination mbbs3 respiratory rotation c respiratory exam respiratory exam september 22, 2015 examination mbbs3 respiratory rotation c print pdf. Anatomy surface landmarks ribs 17 articulate with sternum ribs 810 articulate with cartilage above oblique fissure. Obvious signs of respiratory distress, wellunwell etc.
Jan 26, 2016 respiratory osce station by jemima robinson st4 respiratory derriford hospital slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. This information compliments the candidate information booklet and nile material and will be updated regularly to ensure candidates receive the most current information. Please examine mr phillips respiratory system and comment on your findings. Mr chevnet has attended the outpatient department, complaining of a dry cough and shortness of breath. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf. We also have a comprehensive guide to eye examination and visual assessment. Nov 30, 2011 full respiratory exam see also pdf resources. Because respiratory failure is the consequence of many other primary conditions, its cure or elimination depends on more effective therapies for the primary conditions. Every effort has been made to ensure data is correct and robust. Simple osce is designed to help students with their osce examinations, providing highquality markschemes. Common conditions include chest infections, asthma and chronic obstructive pulmonary disease copd. Learn how to perform a structured respiratory system examination for your osce exam. Respiratory examination and questions for medical student exams, finals, osces and mrcp paces. Respiratory examination checklist university of british.
Level of consciousness if the patient is not alert, it could suggest significant oxygen deprivation. Respiratory system history and examination patient. If you continue browsing the site, you agree to the use of cookies on this website. Respiratory osce station by jemima robinson st4 respiratory derriford hospital 2. You are a junior doctor working on the general medical ward. Respiratory osce stations the medical textbook free. For example, as treatments improve for the therapy of ards, pneumonia or als, respiratory failure as a consequence of these illnesses will diminish. Respiratory examination inspection palpation percussion auscultation 4.
Room medications maskso2 sputum potles drains patient comfort. Therefore its important to have a slick and thorough approach. Common osce exam cases that have been seen in usmle step 2 cs, mccqe ii, plab 2, osces for medical students and medical school clinical finals, clinical skills assessment for international medical graduates are. Respiratory diseases with a genetic component eg, cystic fibrosis, emphysema alpha1antitrypsin deficiency. For usmle step 2 cs, there is no examiner in the room. Osce content outline american board of anesthesiology. Ask for consent, and once given, proceed to wash hands. Respiratory examination osce exam demonstration youtube. In this video we will look at the key elements of a slick respiratory exam. Preparing for your osce examination part 2 nmc test of.
Unauthorised reproduction of any osce notes or other content from oscestop is strictly prohibited. Preparing for your osce examination part 2 nmc test of competence this booklet has been produced to support candidates preparing for part 2 of the test of competence. This video aims to give you an idea of whats required in the respiratory examination osce. When inspecting the patient for respiratory anomalies, you should be looking for the following things. All exam pages have indepth pathology explanations to ensure a thorough understanding of topics. You are going to observe and participate in the clinical encounter of a 17. Like most examination, it is a systemic examination that looks for signs of respiratory compromise such as breathlessness, chest pain, haemoptysis or wheeze. Jan 18, 2015 learn how to perform a structured respiratory system examination for your osce exam. Atopic diseases such as asthma, hay fever and eczema. The flow of air from the upper to lower respiratory tracts is relatively quiet in the normal patient at rest. Each example consists of the materials that will be given to the candidate prior to entering the exam room for that skill.
Mr singh is a 61 yearold man who has presented with dizziness and an abnormal gait. The cardiovascular examination introduction introduce yourself wash hands briefly explain to the patient what the examination involves general inspection evidence of distress or breathlessness the hands and arms nails and finger tips clubbing peripheral stigmata of infective endocarditis tar staining. Pdf sample mcqs for part i examination sample mcqs for part i examination ear pain 1. However, abnormal sounds may result from obstructive upper airway disease. Osce stations examination mbbs3 respiratory rotation c respiratory exam respiratory exam september 22, 2015 examination mbbs3 respiratory rotation c print pdf. Respiratory exam detailed oxford medical education. Chronic respiratory conditions can cause signs and stigmata that may be picked up in an osce examination. The respiratory examination aims to pick up on any respiratory breathing pathology that may be causing a patients symptoms, such as shortness of breath, coughing, and wheezing. Objective structured clinical examination osce content outline expanded each osce scenario will address one of the following skills. A collection of respiratory osce guides, such as respiratory examination, with included video demonstrations. Neurology exam osce stations free medical student osce.
Developing a bank of osce stations before the stations are added to the bank they need to go clinical examination objective structured clinical examination. An illustrated guide for respiratory system examination. The objective structured clinical examination osce. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes. This video provides a guide to respiratory examination, including realtime auscultation sounds of common pathology such as.
Youll be expected to pick up the relevant clinical signs using your examination skills. Inspect the eyes for pallor anaemia and look for features of horners syndrome ptosis, miosis, anhydrosis. Print pdf if theres any errors just leave a comment and it will be fixed asap. All bedside examinations are performed from the right side of the patient. I spend ages writing each station and updating the website. Respiratory examination frequently appears in osces. Tell the patient how much time the exam will take, and if required, also obtain a chaperone. See the article the dos and donts of examining the respiratory system. Determine the respiratory rate and compare it with the normal values for. Respiratory exam midterm, final and licensing exam. Expect colored sputum as a result of an infection causing the exacerbation, but not required. A reasonable approach to taking the respiratory rate is the number of breaths in 15 seconds multiplied by 4.
Respiratory exam checklist respiratory video script. Infectious diseases such as tuberculosis remember highrisk groups. The term refers to the inability to perform adequately the fundamental functions of respiration. Discussion of treatment options and informed consent obtain informed consent from a patient the successful candidate will demonstrate the following behaviors. Central cyanosis can be observed on the lips or the underside of the tongue.
P ermission consent and explain examination p osition at 45 e xpose chest fully. Osce examiner checklist developed by faculty members during the pgy 4 academic day 20152016 in family medicine residency program, phcchmc, qatar. Any paediatric osce will also be testing your communication skills with children, and your ability to adapt your examination to the childs understanding and. Respiratory osces exam objective structured clinical. Full text the full text of this article is available as a pdf 98k. Inspect the face in general for plethora, which can be due to carbon dioxide retention. Free revision guides, examination videos and common cases for the mrcpch clinical exam from the london school of paediatrics trainees committee.
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