Introduce yourself to the patient and obtain informed consent. Click here for medical student osce and paces questions about respiratory examination common respiratory examination exam questions for medical students, finals, osces and mrcp paces. Respiratory examination checklist university of british. Respiratory examination respiratory osce skills medistudents. 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 information compliments the candidate information booklet and nile material and will be updated regularly to ensure candidates receive the most current information. Objective structured clinical exam ination osces is a form of performancebased testing used to measure candidates clinical competence.
Body habitus well vs unwell looking deptheffort breathing quality of voice hoarse, stridor, wheeze vital signs blood pressure. Click here to download free teaching notes on respiratory examination. You are a junior doctor working on the general medical ward. Please examine mr phillips respiratory system and comment on your findings. Respiratory examination and questions for medical student exams, finals, osces. New version 2016 macleods clinical examination osce. Respiratory examination perfect revision for medical students, finals, osces and mrcp paces. An illustrated guide for respiratory system examination.
The examination of all joints follows the general pattern of look, feel, move and occasionally some special tests. A stepbystep guide to performing a respiratory examination in an osce setting, with an included video demonstration. Pdf sample mcqs for part i examination sample mcqs for part i examination ear pain 1. Child will be in respiratory distress early onset tachypnea, may have indrawing, grunting, cyanosis relieved by minimal oxygenations pdf free. They are not creps or crepitations, they are crackles. 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. Briefly explain to the patient what the examination involves. Preparing for your osce examination part 2 nmc test of.
All the essential info you need at the medical textbook. The objective structured clinical examination osce. Mr chevnet has attended the outpatient department, complaining of a dry cough and shortness of breath. Clinical skills assessment medical osce exam osce home what is objective structured clinical examination, osces. The respiratory examination involves an assessment of how a patients lungs are functioning. Objective structured clinical examinations osces stations in usmle step 2 cs, mccqe ii, plab part 2 and medical school clinical exams are differently designed to assess one or more of your clinical skills depending on the purpose of that exam. Flapping tremor co2 retention often seen in patients with type 2 respiratory failure e.
Chronic respiratory conditions can cause signs and stigmata that may be picked up in an osce examination. Everything you need to help you pass your paediatric membership exams. 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. Respiratory examination osce guide new release youtube. 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. Check out the geeky medics quiz platform, with over 700 free medical mcqs. Respiratory examination frequently appears in osces. Respiratory examination and questions for medical student exams, finals, osces and mrcp paces. Respiratory osce station by jemima robinson st4 respiratory derriford hospital. Guidelines for the development of objective structured. Dec 23, 2015 respiratory problems may be caused by disorders of other symptoms and so it may be appropriate to refer to respiratory system history and examination.
Complete and sign the electronic recording release form, before you participate in any osce. It is one of the key clinical examinations of osce finals. Respiratory examination guide mrcpch clinical exam revision. Print pdf if theres any errors just leave a comment and it will be fixed asap. Respiratory examination inspection palpation percussion auscultation.
Respiratory exam detailed oxford medical education. Respiratory problems may be caused by disorders of other symptoms and so it may be appropriate to refer to respiratory system history and examination. Respiratory examination osce guide old version youtube. Respiratory exam includes examination of the hands. Free revision guides, examination videos and common cases for the mrcpch clinical exam from the london school of paediatrics trainees committee. If you continue browsing the site, you agree to the use of cookies on this website. Anatomy surface landmarks ribs 17 articulate with sternum ribs 810 articulate with cartilage above oblique fissure. Respiratory exam checklist respiratory video script. 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. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes. We have uploaded the internal medicine osce book 20 pdf to our online repository to ensure easeofaccess and safety. This video aims to give you an idea of whats required in the respiratory examination osce.
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. Clerkship student acknowledgement form complete the fields below. Body habitus well vs unwell looking deptheffort breathing quality of voice. Copd fine tremor can be a side effect of beta 2 agonist use e. Child will be in respiratory distress early onset tachypnea, may have indrawing, grunting, cyanosis relieved by minimal oxygenations exam thank patient and cover them to complete my exam, i would like to see an observations chart and do a peak flow summarise and suggest further investigations you would do after a full history. May 25, 2014 this video aims to give you an idea of whats required in the respiratory examination osce. Like most examination, it is a systemic examination that looks for signs of respiratory compromise such as breathlessness, chest pain, haemoptysis or wheeze. Objective structured clinical examination nurse practitioners bc college of nursing professionals 3 introduction the clinical examination component of the registration process for nurse practitioners in british columbia is an objective structured clinical examination osce. A reasonable approach to taking the respiratory rate is the number of breaths in 15 seconds multiplied by 4. Hand and wrist examination musculoskeletal osce skills. Any paediatric osce will also be testing your communication skills with children, and your ability to adapt your examination to the childs understanding and. In this part of the article, you will be able to access the.
To print or pdf mark sheets click the title to view and click on. There are however thoughts that phrases such as toy boat or blue balloon which may be more appropriate. To complete exam thank patient and cover them to complete my exam, i would like to see an observations chart and do a peak flow summarise and suggest further investigations you would do after a. Determine the respiratory rate and compare it with the normal values for. You should ensure you are able to perform this confidently. In an osce you should finish by addressing the examiner, stethoscope behind. New version 2016 macleods clinical examination osce guide 2016 full. Sep 22, 2015 osce stations examination mbbs3 respiratory rotation c respiratory exam respiratory exam. Shifting dullness especially in hydro pneumothorax. A collection of respiratory osce guides, such as respiratory examination, with included video demonstrations. Inability to get air out, barrel chested, hypertrophic accessory respiratory muscles emphysema ae complains of worse than normal cough with sputum production and dyspnea. To complete exam thank patient and cover them to complete my examination, i would examine for peripheral pulses, feel for hepatomegaly rvf, look at observation charts and dipstick the urine haematuria in ie summary and suggest further investigations you would so after a full history. Bates visual guide features headtotoe and systems physical exam videos completely reshot with an emphasis on clinical accuracy and patient care.
The hand and wrist examination, along with all other joint examinations, is commonly tested on in osces. Integrated parts of a cardiovascular examination learn with flashcards, games, and more for free. See the written guide alongside the video here this video provides a guide to respiratory. Expect colored sputum as a result of an infection causing the exacerbation, but not required. In an osce you should finish by addressing the examiner, stethoscope behind your back, not looking back at the patient. Louie examination osce items general inspection abcs distressed. This respiratory examination osce guide provides a step by step approach to examining the respiratory system, with an included video demonstration. Osce style checklists for histories and physical examinations to facilitate peer observation and. 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.
What is objective structured clinical examination, osces. See the written guide alongside the video here respiratory examination 2 this video provides a guide to respiratory examination, inc. Simple osce is designed to help students with their osce examinations, providing highquality markschemes. Youll be expected to pick up the relevant clinical signs using your examination skills. See the written guide alongside the video here respiratoryexamination2 this video provides a guide to respiratory. Nov 30, 2011 full respiratory exam see also pdf resources. Osce examiner checklist developed by faculty members during the pgy4 academic day 20152016 in family medicine residency program, phcchmc, qatar.