All bedside examinations are performed from the right side of the patient. Feb 26, 2018 this video provides a guide to respiratory examination, including realtime auscultation sounds of common pathology such as. Free revision guides, examination videos and common cases for the mrcpch clinical exam from the london school of paediatrics trainees committee. Respiratory osce station by jemima robinson st4 respiratory derriford hospital 2. Room medications maskso2 sputum potles drains patient comfort. Every effort has been made to ensure data is correct and robust. Ability to speak if the patient cannot sleep due to respiratory distress, it. 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. If you continue browsing the site, you agree to the use of cookies on this website. Respiratory exam includes examination of the hands, face, neck, chest, back, lymph nodes and periphery. The respiratory examination involves an assessment of how a patients lungs are functioning. Youll be expected to pick up the relevant clinical signs using your examination skills.
Because respiratory failure is the consequence of many other primary conditions, its cure or elimination depends on more effective therapies for the primary conditions. However, abnormal sounds may result from obstructive upper airway disease. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes. At the end of the examination, wash hands once more, and thank. Dec 23, 2015 respiratory diseases with a genetic component eg, cystic fibrosis, emphysema alpha1antitrypsin deficiency. Objective structured clinical examination osce content outline expanded each osce scenario will address one of the following skills. Preparing for your osce examination part 2 nmc test of. Please examine mr phillips respiratory system and comment on your findings. Pdf sample mcqs for part i examination sample mcqs for part i examination ear pain 1. Download the eye examination pdf checklist, or use our interactive checklist. 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 examination osce exam demonstration youtube.
Your exam prep questions were almost identical to the registry exam. Discussion of treatment options and informed consent obtain informed consent from a patient the successful candidate will demonstrate the following behaviors. You are a junior doctor working in the emergency department. You can practice all the rrt questions youll see on upcoming exams beforehand, then there wont be any huge surprises in store. Nov 30, 2011 full respiratory exam see also pdf resources. P ermission consent and explain examination p osition at 45 e xpose chest fully.
Respiratory examination inspection palpation percussion auscultation 4. Usually best with chest exposed tachypnoea respiratory distress. Check out the geeky medics quiz platform, with over 700 free medical mcqs. Therefore its important to have a slick and thorough approach. Ask for consent, and once given, proceed to wash hands. Respiratory physical examination mcq exam answers free. A collection of respiratory osce guides, such as respiratory examination, with included video demonstrations. Developing a bank of osce stations before the stations are added to the bank they need to go clinical examination objective. Respiratory diseases with a genetic component eg, cystic fibrosis, emphysema alpha1antitrypsin deficiency.
Integrated parts of a cardiovascular examination learn with flashcards, games, and more for free. 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. Level of consciousness if the patient is not alert, it could suggest significant oxygen deprivation. Sore throat this video format is designed to help you prepare for objective structured clinical examinations, or osces. Print pdf if theres any errors just leave a comment and it will be fixed asap. This respiratory examination osce guide provides a clear stepbystep approach to examining the respiratory system, with an included video demonstration. You are a junior doctor working on the general medical ward. Bradypnoea final stages of respiratory failure prolonged expiration bronchoconstriction in bronchiolitis or asthma chest deformities barrel chest asthma. When inspecting the patient for respiratory anomalies, you should be looking for the following things. This video aims to give you an idea of whats required in the respiratory examination osce. Hand and wrist examination musculoskeletal osce skills. 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. Osce examiner checklist developed by faculty members during the pgy 4 academic day 20152016 in family medicine residency program, phcc.
Osce examiner checklist developed by faculty members during the pgy 4 academic day 20152016 in family medicine residency program, phcchmc, qatar. Unauthorised reproduction of any osce notes or other content from oscestop is strictly prohibited. Osce example scenarios this document provides example scenarios for skills described in the applied examination objective structured clinical examination osce content outline. 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.
Infectious diseases such as tuberculosis remember highrisk groups. In order to draw the childs attention away from breathing, you may palpate the radial pulse. If youre a student respiratory therapist, you can either sign up or try a free exam respiratory therapy students are saying. 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. Like most examination, it is a systemic examination that looks for signs of respiratory compromise such as breathlessness, chest pain, haemoptysis or wheeze. Central cyanosis can be observed on the lips or the underside of the tongue. Everything you need to help you pass your paediatric membership exams. For example, as treatments improve for the therapy of ards, pneumonia or als, respiratory failure as a consequence of these illnesses will diminish. The objective structured clinical examination osce.
Jan 18, 2015 learn how to perform a structured respiratory system examination for your osce exam. Developing a bank of osce stations before the stations are added to the bank they need to go clinical examination objective structured clinical examination. In this video we will look at the key elements of a slick respiratory exam. Assessment of colour vision using ishihara plates can sometimes appear in osces. Chronic respiratory conditions can cause signs and stigmata that may be picked up in an osce examination. Respiratory examination frequently appears in osces. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf. Louie examination osce items general inspection abcs. Respiratory osces exam objective structured clinical. Respiratory examination osce guide new release youtube. Mr chevnet has attended the outpatient department, complaining of a dry cough and shortness of breath.
Inspect the eyes for pallor anaemia and look for features of horners syndrome ptosis, miosis, anhydrosis. Respiratory exam checklist respiratory video script. Determine the respiratory rate and compare it with the normal values for. Objectives common signs common conditions that present investigations management 3. The term refers to the inability to perform adequately the fundamental functions of respiration. This video provides a guide to respiratory examination, including realtime auscultation sounds of common pathology such as.
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. Atopic diseases such as asthma, hay fever and eczema. Please perform a cerebellar exam and report your findings as you go along. The flow of air from the upper to lower respiratory tracts is relatively quiet in the normal patient at rest. Neurology exam osce stations free medical student 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. Respiratory examination checklist university of british. 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. Introduce yourself to the patient and obtain informed consent. Tell the patient how much time the exam will take, and if required, also obtain a chaperone. Full text the full text of this article is available as a pdf 98k. It is one of the key clinical examinations of osce finals. Check the mouth and tongue for creamy white plaques.
Respiratory system history and examination patient. Inspect the face in general for plethora, which can be due to carbon dioxide retention. Mr singh is a 61 yearold man who has presented with dizziness and an abnormal gait. This guide provides a brief stepbystep guide to using ishihara plates to assess colour vision, with an included video demonstration. Expect colored sputum as a result of an infection causing the exacerbation, but not required. Osce content outline american board of anesthesiology. Respiratory examination guide mrcpch clinical exam revision. Sep 22, 2015 osce stations examination mbbs3 respiratory rotation c respiratory exam respiratory exam september 22, 2015 examination mbbs3 respiratory rotation c print pdf. A reasonable approach to taking the respiratory rate is the number of breaths in 15 seconds multiplied by 4. 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. I spend ages writing each station and updating the website. See the article the dos and donts of examining the respiratory system. Anatomy surface landmarks ribs 17 articulate with sternum ribs 810 articulate with cartilage above oblique fissure.
This information compliments the candidate information booklet and nile material and will be updated regularly to ensure candidates receive the most current information. Respiratory exam detailed oxford medical education. Each example consists of the materials that will be given to the candidate prior to entering the exam room for that skill. Respiratory exam midterm, final and licensing exam. Respiratory examination and questions for medical student exams, finals, osces and mrcp paces. Respiratory osce stations the medical textbook free. 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. Any paediatric osce will also be testing your communication skills with children, and your ability to adapt your examination to the childs understanding and. You are going to observe and participate in the clinical encounter of a 17. Osce stations examination mbbs3 respiratory rotation c respiratory exam respiratory exam september 22, 2015 examination mbbs3 respiratory rotation c print pdf. Obvious signs of respiratory distress, wellunwell etc.