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.
 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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