Determine the respiratory rate and compare it with the normal values for. Introduce yourself to the patient and obtain informed consent. A stepbystep guide to performing a respiratory examination in an osce setting, with an included video demonstration. This respiratory examination osce guide provides a step by step approach to examining the respiratory system, with an included video demonstration. Chronic respiratory conditions can cause signs and stigmata that may be picked up in an osce examination. Respiratory examination guide mrcpch clinical exam revision. Respiratory exam osce stations the medical textbook. Click here to download free teaching notes on respiratory examination.
Expect colored sputum as a result of an infection causing the exacerbation, but not required. Respiratory exam detailed oxford medical education. Clerkship student acknowledgement form complete the fields below. Anatomy surface landmarks ribs 17 articulate with sternum ribs 810 articulate with cartilage above oblique fissure. Body habitus well vs unwell looking deptheffort breathing quality of voice hoarse, stridor, wheeze vital signs blood pressure. Respiratory examination osce guide old version youtube. 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. The objective structured clinical examination osce.
Osce examiner checklist developed by faculty members during the pgy4 academic day 20152016 in family medicine residency program, phcchmc, qatar. Simple osce is designed to help students with their osce examinations, providing highquality markschemes. It is one of the key clinical examinations of osce finals. Like most examination, it is a systemic examination that looks for signs of respiratory compromise such as breathlessness, chest pain, haemoptysis or wheeze. The examination of all joints follows the general pattern of look, feel, move and occasionally some special tests. Guidelines for the development of objective structured. See the written guide alongside the video here respiratoryexamination2 this video provides a guide to respiratory. Everything you need to help you pass your paediatric membership exams. Bates visual guide features headtotoe and systems physical exam videos completely reshot with an emphasis on clinical accuracy and patient care.
Developing a bank of osce stations before the stations are added to the bank they need to go clinical examination objective structured clinical examination. All the essential info you need at the medical textbook. Respiratory problems may be caused by disorders of other symptoms and so it may be appropriate to refer to respiratory system history and examination. New version 2016 macleods clinical examination osce guide 2016 full. Youll be expected to pick up the relevant clinical signs using your examination skills. Body habitus well vs unwell looking deptheffort breathing quality of voice. You should ensure you are able to perform this confidently. 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. Shifting dullness especially in hydro pneumothorax. They are not creps or crepitations, they are crackles. Free revision guides, examination videos and common cases for the mrcpch clinical exam from the london school of paediatrics trainees committee.
Respiratory exam includes examination of the hands. Respiratory examination checklist university of british. 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. Respiratory examination frequently appears in osces. You are a junior doctor working on the general medical ward. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes. 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. Integrated parts of a cardiovascular examination learn with flashcards, games, and more for free. 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. Respiratory examination and questions for medical student exams, finals, osces. Osce stations examination mbbs3 respiratory rotation c respiratory exam respiratory exam september 22. Any paediatric osce will also be testing your communication skills with children, and your ability to adapt your examination to the childs understanding and.
Copd fine tremor can be a side effect of beta 2 agonist use e. Complete and sign the electronic recording release form, before you participate in any osce. In an osce you should finish by addressing the examiner, stethoscope behind. Briefly explain to the patient what the examination involves. Pdf sample mcqs for part i examination sample mcqs for part i examination ear pain 1. Hand and wrist examination musculoskeletal osce skills. In an osce you should finish by addressing the examiner, stethoscope behind your back, not looking back at the patient. If you continue browsing the site, you agree to the use of cookies on this website. A reasonable approach to taking the respiratory rate is the number of breaths in 15 seconds multiplied by 4.
Inability to get air out, barrel chested, hypertrophic accessory respiratory muscles emphysema ae complains of worse than normal cough with sputum production and dyspnea. Respiratory examination respiratory osce skills medistudents. This video aims to give you an idea of whats required in the respiratory examination osce. Clinical skills assessment medical osce exam osce home osce exam formats. Mr chevnet has attended the outpatient department, complaining of a dry cough and shortness of breath. The hand and wrist examination, along with all other joint examinations, is commonly tested on in osces. 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.
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. Please examine mr phillips respiratory system and comment on your findings. In this part of the article, you will be able to access the. Louie examination osce items general inspection abcs distressed. 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. A collection of respiratory osce guides, such as respiratory examination, with included video demonstrations. Respiratory examination inspection palpation percussion auscultation. An illustrated guide for respiratory system examination. 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. 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 full history. Osce style checklists for histories and physical examinations to facilitate peer observation and. Flapping tremor co2 retention often seen in patients with type 2 respiratory failure e. Print pdf if theres any errors just leave a comment and it will be fixed asap.
We have uploaded the internal medicine osce book 20 pdf to our online repository to ensure easeofaccess and safety. 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. Check out the geeky medics quiz platform, with over 700 free medical mcqs. Print pdf if theres any errors just leave a comment and it will be fixed. To print or pdf mark sheets click the title to view and click on. What is objective structured clinical examination, osces. The respiratory examination involves an assessment of how a patients lungs are functioning. Preparing for your osce examination part 2 nmc test of. 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. Respiratory exam checklist respiratory video script. 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. Objective structured clinical exam ination osces is a form of performancebased testing used to measure candidates clinical competence.
Respiratory examination osce guide new release youtube. 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. New version 2016 macleods clinical examination osce. Nov 30, 2011 full respiratory exam see also pdf resources. See the written guide alongside the video here this video provides a guide to respiratory. Do not say xray in the o wheeze exam, say radiograph o crackles. Respiratory osce station by jemima robinson st4 respiratory derriford hospital. 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. Sep 22, 2015 osce stations examination mbbs3 respiratory rotation c respiratory exam respiratory exam. Respiratory examination and questions for medical student exams, finals, osces and mrcp paces.
677 622 1472 274 1094 1151 325 229 411 1059 376 542 594 1205 37 890 1192 993 913 451 824 1369 612 1133 1116 53 31 560 717 1166 13 1188 100 452 1324 68 163 1351 1098 39