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USMLE Step 2 CS   MCCQE II   PLAB 2    ECFMG   Medical Student

 

 
     
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Clinical Skills Assessment Medical OSCE Exam (OSCE home)

Respiratory OSCEs

 

Respiratory OSCEs

Prepare yourself for these common respiratory topics in Objective Structured Clinical Examinations

The common topics that have been tested in OSCE exams during USMLE Step 2 CS, MCCQE Part II, PLAB 2, OSCEs for medical students and medical school clinical finals, Clinical Skills Assessment for International Medical Graduates are: 

  • Asthma: in all scenarios: Acute ER setting management, Worsening follow up, After attack follow up, Consult.

  • Wheezes.

  • Pneumonia, typical and atypical.

  • Chest pain.

  • Cough.

  • Coughing up blood (Haemoptysis).

  • COPD: in all scenarios: Acute ER setting management, Worsening follow up, After attack follow up, Consult.

  • Shortness of breath.

  • Chronic shortness of breath.

  • Pulmonary embolism in ER setting.

  • Anticoagulant counseling for pulmonary embolism.

  • Bronchiectasis.

  • Pleural effusion.

  • Interstitial lung disease, occupational cough/SOB.

  • Solitary pulmonary nodule on X-ray.

  • Pneumothorax in ER setting.

  • Rhinorrhea / Sore throat.

  • Sinusitis.

  • Chest X-ray interpretation.

  • Pulmonary Function Tests interpretation. 

  • Arterial blood gases interpretation.

  • Smoking consult.

  • Respiratory system examination.


Respiratory OSCE ExamCommon respiratory OSCEs 

 

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: 

(Please note: For USMLE Step 2 CS, there is no examiner in the room. The encounter is video monitored and taped. Thus, there will be no questions asked in the room other than the patient's questions. However, during physical examination, you are still required to explain what are you going to do to the patient before physically touching him/her. All USMLE Step 2 CS stations are of 15 minutes long and require focused history taking, physical examination, and counseling as needed. Thus, ignore the last statement in the following sample stations about the available time and required tasks to do).

 

  1. Ronald Davidson is a 43 year old man who comes to your office complaining of shortness of breath. In the next 5/10/15 minutes take focused history. (SOB).

  2. Jeffrey Hanson is a 52 year old man who has come to your office because of frequent episodes of shortness of breath. In the next 5/10/15 minutes take focused history. (SOB).

  3. James Fairman is a 57 year man who comes to your office because during  an employment routine check up he was found to have a nodule in his lung. In the next 5/10/15 minutes take focused history. (Lung nodule).

  4. Julian Cameron is a known case of chronic bronchitis who has come to your office for a regular check up. In the next 5/10/15 minutes perform focused physical exam. (Exam).

  5. Albert Henderson is a 62 year old man who comes to your office with cough for three months. In the next 5/10/15 minutes take focused history. In the last minute the examiner will stop you to ask questions, (Cough).

  6. John Hunter is 54 year old man who comes to the emergency because of cough and recurrent lung infections. In the next 5/10/15 minutes take focused history. (COPD).

  7. George Camay is a 32 year old man and an asthmatic patient of your colleague Dr. Eric Goodson. He comes to your office for a follow up visit as your covering Dr Goodson while he is away. In the next 5/10/15 minutes talk to him (Asthma).

  8. Nikkei Johnson is a 29 year old woman who has been diagnosed with asthma recently. In the next 5/10/15 minutes talk to her. (Asthma).

  9. Steven Copper is 19 year old man who came to emergency with sudden right sided pain. In the next 5/10/15 minutes take focused history and focused physical examination. (chest pain/ Spontaneous Pneumothorax).

  10. Norman Pearson is a 77 year old man who came to your office complaining of hoarseness for three months. In the next 5/10/15 minutes take focused history.(Cough).

  11. James Timothy is a 66 year old man who comes to your office complaining of coughing up blood. In the next 5/10/15 minutes take focused history. (Hemoptasis).

  12. Nick Camberley is  65 year old man known case of COPD who comes to the emergency complaining of shortness of breath for two days. In the next 5/10/15 minutes, mange him. (COPD exacerbation).

  13. Julie Osler is 67 year old woman who came to your office because of a bothersome dry cough for two months. In the next 5/10/15 minutes take focused history and answer her concerns. (Cough/ Atypical pneumonia).

  14. Sandy Homer is 22 year old asthmatic woman who comes to the emergency because of worsening shortness of breathing. In the next 5/10/15 minutes manage her. (Asthma exacerbation).

  15. Sandy Homer is 22 year old asthmatic woman who comes to the emergency because of worsening shortness of breathing. You managed her and she is stable now. In the next 5/10/15 minutes talk to her before discharge. (Asthma exacerbation).


Now;

What do you have to do in these OSCE stations in order to cover the checklist?..... 

What to ask to be thorough and cover the differential diagnosis?.... 

How to ask in an efficient, respectful, and empathic way?.....

How to wrap up the station?.....

How to counsel the patient?..... 

How to perform a complete, safe, and respectful physical examination?.....

 

Your biggest challenge in OSCE exams is the limited available time.

You need to memorize sets of questions and actions to be asked and done efficiently while you're in an autopilot manner!

 

 
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