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.
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Shortness of breath.
-
Chronic shortness of breath.
-
Pulmonary embolism in ER setting.
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Anticoagulant counseling for
pulmonary embolism.
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Bronchiectasis.
-
Pleural effusion.
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Interstitial lung disease, occupational cough/SOB.
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Solitary pulmonary nodule on X-ray.
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Pneumothorax in ER setting.
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Rhinorrhea / Sore throat.
-
Sinusitis.
-
Chest X-ray interpretation.
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Pulmonary Function Tests interpretation.
-
Arterial blood gases interpretation.
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Smoking consult.
-
Respiratory system examination.
 Common
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. ).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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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