Respiratory osce scenarios
8. May 16, 2011. OSCE Respiratory Scenarios. The annual assessment of medical and nursing students through   Paediatric Cases. I would be concerned that the patient is starting to tire & that they will soon develop type 2 respiratory failure as their ventilation becomes inadequate and CO2 rises. We plan the examination to  'I've been asked by the doctor to do a respiratory examination on you today is that Calculating spirometry in the OSCE? First –READ THE SCENARIO. Jung (Davos Respiratory support in the child with neuromuscular disease. Implementing the NICE guideline on medicines optimisation. The information you will be given will include the patient’s name, age, gender, Nov 07, 2011 · Common OSCE stations A quick guide of what to expect in your OSCE Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Initially Station 4: 2 Examination (Respiratory + Thyroid). Introduce yourself   Station 2 and 4 and sample scenarios Most of these sample scenarios have previously been used in the examination. The Dec 03, 2019 · The course involves 4 sessions between August and November and a summative OSCE in December. com, which he started while serving as the Director of the Nevada System of Higher Education’s Clinical Simulation Center of Las Vegas back in 2010. Clerkship students are told in advance the general topics of the Teaching OSCE stations, so they can prepare. Critical care nursing is a complicated and rewarding field in which to work. The purpose of the Practice Cases is to illustrate the systematic approach to patient of Respiratory Distress and Failure in the PALS Provider Manual. With hypoxemia, cyanosis of the extremities or around the mouth may be noted. Jan 01, 2020 · Click here for Wadia Mock OSCE Sept 2019. It’s important to have a systematic approach Respiratory Failure in a 22-Month-Old Boy The child was noted to be cyanotic while in the waiting room of a dentist's office and required intubation during transport. Stations cover a large range of competencies including examinations, history taking, communication, procedures, data interpretation and prescribing. Clinical Case, May 05, 2005 Practice OSCE/Scenario – APO. ‎Learn on the go with our comprehensive collection of high-quality OSCE guides covering a wide range of clinical skills. There may be reduced thoracic expansion on the left, hyper-resonance to percussion, absent breath sounds , and the apex beat may also be inaudible. First described in 1979, Objective Structured Clinical Examinations (OSCEs) have physical examination skills (e. . Practice OSCE Scenarios (below) OSCE Scenarios Introduction Students: The following practice OSCE scenarios are provided to help prepare you for the end of the rotation exam. The vast majority of cases are caused by Respiratory Syncytial Virus (RSV) infections, with parainfluenza virus, adenovirus, human metapneumovirus, coronavirus, Bocavirus, human parechovirus, and Mycoplasma as other known, but less frequent, causes. trevorclive. the patient varies based on the compliance of the respiratory system and the level of airway resistance. Clinical Examination A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. David was born following an uncomplicated pregnancy and birth, and weighed 3. No fecal incontinence. Dec 25, 2016 · The ability to take a focused respiratory history as part of your patient assessment is an important skill that is often examined in the OSCE exam. The reader is guided through stations covering: history taking, clinical signs, data interpretation, and clinical therapeutics. Lets see what all you need to do in a NEWS2 assessment under the following headings. Three PGY-1 residents rotated through the Trios OSCE long-station together, while single PGY-1 residents rotated through regular OSCE alone and the Unfortunately there are not a lot of study options out there. One must consider the assessment objectives for the OSCE test item or case that they are about to write. Reynolds A. The body's blood-transporting system. Pregnancy was unremarkable. Each OSCE scenario will address one of the following skills. Back to  OSCE Checklist: The Respiratory Examination. Intervention. Finally, a bruit over the liver can indicate hepatocellular carcinoma. Pharmacy OSCEs is the only pharmacy-specific OSCE revision guide. Overview of OSCE Exams OSCE stands for Objective structured Clinical Examination. The scenarios will contain information about the ‘’patient’’ you will see at that particular station. 69 Paediatric respiratory cases Station 186: Paediatric respiratory examination Station 187: Stridor Station 188: Cystic fibrosis Respiratory history hints Breathing difficulties Exercise tolerance Cyanosis Poor feeding Failure to thrive Episodes of apnoea Wheeze/cough/stridor ENT symptoms FH of asthma/atopy Age Respiratory rate <1 30-40 1-5 23-35 Common respiratory examination exam questions for medical finals, OSCEs and MRCP PACES Click on the the example questions below to reveal the answers Question 1. OSCEs are currently conducted around the world and provide an opportunity to be rated according to a global rating scale against a range of competencies. Question 3. You can also auscultate over the area of the renal arteries for bruits due to renal artery stenosis. Debriefing Notes Misrecognition of patient as having respiratory distress due to reactive airway  We introduce new scenarios and skills regularly so there is no guarantee you will sit the same scenario as a colleague or friend. Mother has no significant medical hisotry and she had routine prenatal care. A dynamic OSCE online revision resource for medical students. As new scenarios and skill stations are introduced, the test centres will make new documentation available. If you have any scenarios you would be willing to share with the simulation community, please forward them PA School Pulmonary OSCE Scenarios Learn with flashcards, games, and more — for free. Unfortunately this book is less than ideal. The body systems approach and tabbing system provide fast and easy access to the content. → The curriculum addresses each of the nine skills in a way that optimizes your learning and ability to successfully navigate the scenarios you may encounter during the exam. It comprises the 'A' and 'B' of a physical assessment - airway and breathing. Wash hands. The trainee experiences the reality of the situation being simulated and is more acutely aware of their own participation and responses to a given situation Geeky Medics OSCE page; These sites have really great videos and/or outlines of physical examinations that commonly occur in OSCE stations. It gives us the opportunity to engage with families and therefore involves a unique consultation style. Discussed case with patient’s psychiatrist, including patient’s desire to discontinue medication. These three  Simulation. 15. Communications & Professionalism 1. About the author: William A. The trainee experiences the reality of the situation being simulated and is more acutely aware of their own participation and responses to a given situation of Objective Structured Clinical Examination (OSCE) Cases 7 Having reflected on the purpose of the exam and the level of clinical skills being assessed, the second step for the case author is to clearly define the construct of interest. To get used to recognising respiratory retention in type 2 respiratory failure) Perfusion: peripheral cyanosis, capillary refill (>2s in hypoperfusion), sweaty/warm/clammy (CO 2 retention), small muscle wasting (Pancoast tumour) Nails: clubbing (idiopathic pulmonary fibrosis, lung cancer, CF, bronchiectasis, sarcoidosis/TB), tar stains (smoker) Pulse and Respiratory Rate Pulse: Station 2 and 4 and sample scenarios Most of these sample scenarios have previously been used in the examination. 28 terms. 8 mmol Pulse oximetry 96% ECG Atrial Comments on respiratory status – tachypnea /intercostal indrawing/accessory muscle use, etc. It's just going to be patients with a given chief complaint and then we have to do an HPI and pertinent physical exam. g. 7). – Relative hypoxia – oxygen significantly lower than would be expected on 15L non-rebreath mask. Introduce yourself. Instructs patient to breathe when Sample OSCE stations The exam will consist of ten OSCE stations, each of which will have the individual scenarios placed outside. That is why the physicians, nurses, and paramedics at ACLS Medical Training have developed megacodes. com Oct 28, 2016 · The respiratory OSCE station aims to test students’ ability to identify clinical signs suggestive of respiratory disease. Search. The participatory experience gives true practical and emotional knowledge of scenarios being simulated. 5480/1536-5026-33. Putting NICE  1 Dec 2014 The Michener OSCE (Objective Structured Clinical Examination (OSCE) of the curve, facilitating complex simulation scenarios and evaluation for both its Using the example of a third-year Respiratory Therapy paediatric  13 Aug 2012 The first round of the new FFICM OSCE examination will be held in March. Hyperglycaemia case study with questions and answers - for doctors and medical students exams, finals and OSCEs Apr 27, 2019 · Assessment Station in APIE Stations of NMC OSCE Exam. "A thorough respiratory assessment involves checking the respiratory rate, the symmetry, depth and sound (auscultation) of breathing, observes for accessory muscle use and tracheal deviation Sep 25, 2012 · Describe the surgical causes of Respiratory Difficulty in the newborn: RDS-HMD: 2002: 99: Etiology, pathognesis and mangement of neonate with RDS: RDS-HMD: 2006: 100: Enumerate congenital anomalies presenting as severe respiratory distress in a newborn. OSCE Stations for Medical Finals Book 2: Scenarios is created to reflect current exam topics, each scenario is subdivided into 4 to 6 related tasks. A . 7. For example content validity of an OSCE is a measure of how well the Vital signs are as follows: blood pressure 152/90, apical heart rate 112/minute and regular, respiratory rate 24/minute and somewhat labored, temperature 102. Request Info. ) Vital signs are useful in detecting or monitoring medical problems. Tyoe 1 respiratory failure as CO2 just at higher end of normal limits. Scenarios include links to areas of the relevant curriculum and provide clear instructions for faculty and ‘in-scenario personnel’ to follow. Students first record vital signs, interview, then chart observations and rationale in SBAR format. Structure your OSCE revision with help from almostadoctor's team of doctors! See full list on emergencymedicinecases. "This respiratory examination OSCE guide provides a clear and concise step by step Clinical skills, cases and OSCEs. In the acute phase we would expect the HCO3 to increase by 1 mmol/L for every 10mmHg rise in CO2(above 45) Nov 18, 2011 · Skills Performance (OSCE) Skills performance for the two scenarios was calculated from the standardised rating forms. Clinical case scenarios: Common mental health disorders in primary care (May 2012) Page 4 of 85 . Each example consists of the materials that will be given to the candidate prior to entering the exam room for that skill. A. Description: Existing OSCE cases were modified to ten minutes and to focus on case scenarios using standardized patients. Lecture series and a complete resourceful guide that covers Therapeutic management, Drug Related Problems (DRPs) of Endocrine, Respiratory, Gastrointestinal, Musculoskeletal, Pain Management, and Chemotherapy, and high yield summaries, case scenarios to prepare pharmacy qualifying exams. L. Symptoms resolved. an OSCE station is 6 minutes. When we completed our NAC OSCE in 2014 nearly everyone showed up to the exam with the NAC OSCE comprehensive review in print or on a tablet, they were rushing through it, trying to load the last few things into their memories. Objective structured clinical examination (OSCE) was introduced in 1975 as a standardized tool for objectively assessing clinical competencies - including history-taking, physical examination A few hours after admission, he developed increasing oxygen requirements and was intubated for hypoxemic respiratory failure. It is one of the key clinical examinations of OSCE finals. May 16, 2014 · Lance Baily, BA, EMT-B, is the Founder & CEO of HealthySimulation. I look forward to preparing you for your OSCE PLAB 2 finals and helping you to become a doctor in the UK. History: A 50 year old housewife complains of progressive weight gain of 20 pounds in 1 year, fatigue, postural dizziness, loss of memory, slow speech, deepening of her voice, dry skin, constipation, and cold intolerance. Physical assessment reveals the following:, respiratory rate 32, slightly labored, temperature 98. The UBP OSCE Curriculum covers all nine skills. This list reflects what is available as of 10 September 2018. e. osce in Apr 02, 2012 · OSCE (objective structured clinical examination) time can be a stressful time for many medical students who might feel underprepared and inexperienced. Chose one person from your group to be the examinee, another to act as examiner, and others to observe. Communications & Respiratory rate, Inspiratory and Expiratory Times. These cases will present patient history, test results, blood pressure cuff simulation, auscultation and vital signs. Question 11. Asymmetrical chest expansion may indicate conditions such as pneumothorax, rib fracture, severe pneumonia, or atelectasis. Meakim, and Kathryn M. performing a respiratory examination). com Simulation Scenarios This material is made available as part of the professional education programs of the American Academy of Pediatrics and the American College of Emergency Physicians. 5 kg at full-term. They are no longer suitable for use in the  26 Jan 2016 Respiratory OSCE Station By Jemima Robinson ST4 Respiratory Derriford Respiratory Examination • Inspection • Palpation • Percussion •  a source of free OSCE exam notes for medical students' finals OSCE revision (Beta-2 agonists); flaming tremor (CO2 retention in type 2 respiratory failure). Publisher: Lippincott Williams & Wilkins ( LWW). Csa Case Scenarios Don't forget to look at Neurology & Respiratory. com for effective training Four cases address respiratory illnesses. General Pay attention to the case scenarios (stems), they tell you what to do and orient you to the task Physical exam scenarios OSCE assessments, while the RCPS-EM and CFPC-EM program directors assist with debriefing trainees following their performances. Normal or quiet breathing is accomplished just by the use of diaphragm and  By hospital day 5, his respiratory status continued to worsen, requiring transfer to the intensive care unit Acute mercury vapour intoxication: report of six cases. Examinations (OSCE). To keep it going, I really need your donation: Donate £5 for absolutely FREE by signing up to a 6 month Amazon Prime Trial or an Amazon Audible Trial below 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. Introduce yourself to the patient and obtain informed consent. The OSCE is a proven and effective way of learning to deal with difficult situations. Over 45 printable resources including examples of official forms and patient scripts for role-playing different patient scenarios Study any time, anywhere Whether you’re on your way to Med School or have a spare 10 minutes in between classes, the free Pastest app enables you to fit your Medical Student OSCE revision around a busy schedule. Similarly, observing the muscles used in respiration can also provide some insight. McWilliam, C. 2 Sep 2018 Blank temperature, pulse, respiration (TPR) chart (Annexe 14) o This chart is used in some of the scenarios for the assessment station. AG is a 60-year-old male who has presented to the ED with shortness of breath of recent onset. However, formative OSCEs consist of structured feedback sessions conducted twice each semester. Uses percussion to estimate diaphragmatic excursion on posterior. OSCE stands for Objective Structured Clinical Examination and is often used to assess clinical skill proficiency both at pre-registration and postgraduate levels. The OSCE assesses students’ abilities to clinically examine patients, diagnose medical illness, and demonstrate strong communication skills. 4/5 from 238 reviews) -Apple (4/5 from 22 reviews) They say: “Learn on the go with our Complete and sign the Electronic Recording Release Form, before you participate in any OSCE. All scenarios are based on past MRCPsych CASC / RANZCP OSCE exam stations and clinical practice. ataglanceseries. About A case report Newborn boy with respiratory distress. Whereas some OSCE stations are easy to complete within 5 or 6 minutes, others are busier and so more pressured. NICE clinical case scenarios . Question 4. Osce skills app ; Osce skills app Case scenarios: medicines optimisation (July 2015) Page 6 of 35 Case scenarios for medicines optimisation Case scenario 1: Older person admitted to hospital Florence is an 84-year-old lady with hypertension and rheumatoid arthritis. Cardiac: Normal findings. In many cases it is not the final diagnosis but an approach to the presentation at hand which is the most useful to successful diagnoses and managment. 35-39, 10. Both lungs are resonant by percussion with one exception: the right mid Blood pressure (Blood pressure is not considered a vital sign, but is often measured along with the vital signs. From a candidate point of view, the level of uncertainty of expectation and the need to perform relatively routine tasks under direct observation has led to very high levels of stress. The OSCE Checklist Template enables students to construct their own sample checklists using cases from the book and helps them develop an approach to a variety of clinical scenarios. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. The OSCE is a scenario based approach which includes the following A - Patient Centred Assessment P - Planning Care I - Implementation E - Evaluation There are also two skill stations which you will be tested on. Abdomen: Normal findings. Each question should be considered by the individual or group before referring to the answers. com Welcome to Respiratory Cases Set #1. Air can enter the body and travel to the lungs through the mouth and the nose. Below is a collection of donated scenarios for you to use or modify. The body's food-processing system. He was developmentally appropriate and is doing well in mainstream education. Medical Revision | Online, and Books The validity of an OSCE is determined by its ability to actually measure what it is intended to measure. An OSCE usually comprises a circuit of short (the usual is 5–10 minutes although some use up to 15 minute) stations, in which each candidate is examined on a one-to-one basis with one or two impartial examiner(s) and either real or simulated (actors or electronic patient simulators) patients. Introduction. osce-aid. Auscultation. Developed to be a unique study guide for medical students preparing for their OSCE examinations. As the MRCOG part 3 (OSCE) is coming up I thought I’d write how to answer few questions. Common respiratory examination exam questions for medical finals, OSCEs and MRCP PACES. Divided up by system - with links to all of our revision resources. The low pH and high PCO 2 imply that the respiratory acidosis is the primary process • The anion gap is 10 and is, therefore, normal. The New OSCE Exam is I believe a great way to test some of those practical skills that all delegates should have. Thus, you need to What is the respiratory system? The body's breathing system. 6% for the respiratory scenario (n=34, range 26. This respiratory  25 Dec 2016 The ability to take a focused respiratory history as part of your patient assessment is an important skill that is often examined in the OSCE exam. Amazon. Founded in 1905 to combat TB, the ATS has grown to tackle asthma, COPD, lung cancer, sepsis, acute respiratory distress, and sleep apnea, among other diseases. It is a seasonal disease, with outbreaks frequently seen during the winter months. 99 to unlock all content) -Android (4. May 03, 2020 · Medical student OSCE revision checklist for finals. Question 10. OSCE Examsmanship Tips Below you will find several tips as well as some good and bad video examples of how some of these components can be handled. For example: If your OSCE scenario is “68-year-old male who presents with cause shortness of breath – is respiratory (ventilation/perfusion mismatch?),  This new edition of OSCEs at a Glance is also supported by a companion website at www. As with all OSCE stations, being confident and systematic in your routine will allow you to spend more time recognising clinical signs rather than thinking about what you are doing. com/ respiratory-examination-2/ This video provides a guide to respiratory  Ear with Auroscopy Exam · Respiratory Exam · Procedures · Chest X-Ray · Explaining Inhaler Technique · Explaining Peak Flow · Histories. May 30, 2016 · The OSCE was chosen as an objective-testing tool as it was the current standardised examination for undergraduate cardiovascular and respiratory medicine used by The University of Melbourne. Describe the pre-operative & post operative care of a neonate with tracheo- esophageal fistula. Topics include: Dyspnea Any general features of increasing respiratory compromise such as increased respiratory rate, tachycardia, cyanosis are possible. respiratory alkalosis. com/osces containing downloadable OSCE  28 Apr 2019 This respiratory guide provides a step-by-step approach to examining the respiratory system. In this article we give an overview of the most useful apps for OSCE practice. The mental state examination is basically the psychiatric “physical examination”, for example: a patient with breathing problems needs a respiratory examination, in the same way that a psychiatric patient requires a mental state examination. Wadia PG CME OSCE Sept 2019. • There is no compensatory process. Question 8. Click here for OSCEs of Wadia Hospital PG CME Sept 2019 These are 20 OSCEs from Sept 2019 PG CME of Wadia Hospital, Mumbai. Question 2. All RNs and others in the target staff should read or receive the materials and complete the training within a designated timeframe. Jul 28, 2020 · Explain to the patient and family the importance of avoiding contact with people who have active respiratory infections. These are presented in five video packages each concentrating on a particular OSCE theme. Take a focused history of his complaint and perform the relevant physical examination. Search this site. A sample in-depth OSCE case provides an opportunity for practice. This article aims to after resuscitation? 5) 24 hours later the patient is on ICU and has a respiratory rate of 28 short cases. Assess respiration rate. What are your actions? Additional Information (if needed) You are able to obtain IV access, but he becomes increas-ingly agitated and restless and removes his nonrebreathing mask and nebulizer. Demonstrate the anterior level which the top of the diaphragm reaches in normal quiet respiration First read the clinical scenario  Bates' Visual Guide (Including OSCEs). Past Medical History: Noncontributory. Question 9. Why it OSCE-Aid, London, United Kingdom. Like most examination, it is a systemic examination that looks for signs of respiratory compromise such as breathlessness, chest pain, haemoptysis or wheeze. We have designed the megacodes to simulate real-life scenarios as part of our continuring education curriculum. 233CHAPTER 21 Pediatric Nursing Care Clinical Simulation Scenarios for Prelicensure Students Mary Ann Cantrell, Colleen H. Welcome to our section containing Primary FRCA OSCE and SOE questions. The objective structured clinical examination (OSCE) The OSCE is based on UK pre-registration standards. from pveatch's "Pulmonary OSCE Scenarios" Learn with flashcards, games, and more — for free. There were no perinatal concerns, and he was discharged from hospital at 6 hours of age. through the nose and the as well as to create advanced simulation scenarios on different patients with pulmonary diseases or acute respiratory failures when wirelessly linked to a patient simulator (simulation mode) LungSim™ is composed of a realistic learner interface with integrated controls that simulate a real ventilator. a fluid balance chart, blood results What is it due to primarily? Given that the CO2 is very raised in comparison to the HCO3, this is a RESPIRATORY ACIDOSIS Step 2: Is there adequate compensation?I use the 1234 rule for calculating compensation in respiratory primary causes. OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) : OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) It is a method of assessing a student’s clinical competence which is objective rather than subjective and in which the areas tested are carefully planned by the examiners. It consists of a series of stations where you are presented typical clinical scenarios. He will rebreathe some exhaled CO2. Download Geeky Medics - OSCE revision and enjoy it on your iPhone, iPad and iPod touch. Hi everyone, my school is having us take the OSCE which is a practical exam where we have patient encounters and are graded on it. Offer to do blood pressure at this stage (examiner will say move on) 4. The common topics that have been  Respiratory examination frequently appears in OSCEs and you'll be expected to pick up the relevant clinical signs using your examination skills. The body's system of nerves. I spend ages writing each station and updating the website. osce respiratory assessment hand hygiene introduce myself, identify correct person and inform what hi and student nurse, can you please give me your name and OSCE Checklist: 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 rate Count for 1min. If a patient, for example, has a very compliant respiratory system (emphysema), they will receive a large tidal volume for a set pressure whereas a patient with low respiratory system compliance (ARDS) will only receive a small tidal volume. This may differ somewhat from the amount of time allocated for an OSCE station at your medical school, although most OSCE stations at most medical schools are between 5 and 7 minutes long. in - Buy OSCEs for Medical Students: v. IMGs seeking residency positions in Canada are required to pass one or more OSCEs. His Spo 2 decreases immediately after this. It also includes samples OSCE scenarios and checklists. Mrs. simulation course, trainees were randomly divided into three groups: intervention, regular, and control group as Trios-OSCE trainees, Single-OSCE trainees, or OSCE observers (feedback-givers) after attending the pre-OSCE common simulation workshop. She lives at home on her own, and has weekly visits from her daughter who lives 35 miles away. We hope these cases help you prepare for your paediatric OSCE. Case 4>> A 63 year-old woman was intubated four days ago for respiratory failure secondary to sepsis from a presumed pneumonia. Things you don’t want to miss (ALWAYS need to rule out either with clinical exam, imaging or labs) Acute coronary spectrum Aortic dissection Pneumothorax Pulmonary embolism Esophageal rupture… Objective Structured Clinical Examination (OSCE) Content Outline - Expanded Each OSCE scenario will address one of the following skills. 26 Mar 2016 EXAMPLE OF AN OSCE OSPE EXAMINATION BOOK. Participants in the cardiac scenario scored an average of 52. Each session involves 4-5 residents and covers 3 simulated scenarios that are based on common calls to the floor. AMERICAN THORACIC SOCIETY 25 Broadway New York, NY 10004 United States of America Phone: +1 (212) 315-8600 Fax: +1 (212) 315-6498 Email: atsinfo@thoracic. Question 5. You arrive to find a 67-year-old woman sitting upright in a chair. However, this may be difficult to hear. Some are interprofessional. Jun 01, 2018 · P. The National Assessment Collaboration (NAC) Examination is an Objective Structured Clinical Examination (OSCE). Faculty facilitators were trained in giving feedback and oriented to the new OSCE format. Radiation – only usually occurs in cardiac causes (radiates to arm, jaw neck). Stage. Discuss risk factors that may aggravate the patient’s condition such as pollen, dry air, temperature extremes, tobacco smoke, air pollution, andaerosol Europe PMC is an archive of life sciences journal literature. Case Scenarios Scenario 1 P. His SpO2 90% on while receiving oxygen via nasal cannula at 2 Lpm. Scenario Number 1. • The PCO 2 is high (respiratory acidosis) and the bicarbonate is at the upper end of normal. Its purpose is to expose examinees to the same set of clinical scenarios in order to guarantee fair evaluation of all participants. Recommended for nurses, respiratory therapists and medical students. This is one of the 'acute scenarios' that you should have a good grasp of before starting work. Specific stations range from asceptic non-touch technique, communication and observations, to more highly pressured skills such as medication administration, resuscitation and assessing 2. -Free (offers in-app purchases, £3. Our Matrix TheSimTech blog offers a number of free simulation scenarios, mostly targeted towards acute care medicine. Clinical case scenarios are an educational resource that can be used for individual or group learning. 26 Feb 2018 See the written guide alongside the video here https://geekymedics. Sarah James, G3P2 now 36 weeks has come to you to discuss about home birth. Introduction . HPI: A 78-year-old woman is evaluated for a 4-year history of a gradually worsening gait. Respiratory OSCEs. Apgars were 8 and 9. Ear, Nose & Throat Examination Sign in | Recent Site Activity | Report Abuse | Print Page | Powered By Google Sites | Recent Site Activity | Report Abuse | Print Page | Powered By Google CASE 1 THYROID DISEASE. Keywords: Iran Objective Structured Clinical Examination OSCE Psychiatry. Part of this examination will be made up of simulation scenarios. Start by washing your hands. 1 book This volume covers: Cardiovascular Disease & Haematology; Respiratory Medicine; Rheumatology  The Easy Guide to Focused History Taking for OSCEs includes introductory chapters with general OSCE guidance, Oxford Handbook of Respiratory Medicine  26 Mar 2018 Opening scenario Anna Campbell, a 21-year-old female; , comes to the Symptoms of upper respiratory infection; I have had a runny nose for  Stations refinement, calibration and testing - formative OSCEs. A. Percusses in all anterior and posterior fields and comments on findings. We will take you through the important simulation cases, so you  respiratory effort. This easy-to-use book covers the key competencies that will be tested during your Objective Structured Clinical Examinations whether you are still studying or in practice. 56 scenarios across 9 psychiatry domains, over 600 minutes of interview and study material. The patients are critically ill and require specialized care for the You are seeing Tom, a 10 year old boy, in your outpatient clinic today for a sore throat. You will be getting five minutes to read the scenario before entering patient room. This is a FREE educational Medical Student OSCE stations are used by medical schools to assess your clinical skills in a structured, safe and fair environment. org A respiratory assessment is a way to assess the respiratory system function. There are different types of validity evidence. Usually best with chest exposed (tachypnoea = respiratory distress; bradypnoea = final stages of respiratory failure) Prolonged expiration (bronchoconstriction in bronchiolitis or asthma) Chest deformities Barrel chest (asthma) 81 First Responder Respiratory Medical Scenarios Respiratory Asthma Scenario: You are called to a local house for a woman with trouble breathing. Most do have videos attached, a couple don't. respiratory, gastrointestinal, renal, or cardiovascular disease. They are no longer suitable for use in the real exam because they are out of date, too technical, or have been used for a long time previously. - Funny Turn (5 scenarios) - Hemetemesis (3 scenarios) - Headache (5 scenarios) - Palpitations (2 scenarios) - Rectal Bleeding (3 scenarios) A bit about me: I am a medical student and I enjoy teaching my fellow students often multiple times a week! My aim with this OSCE app is to offer a way to easily practice each exam or skill with friends. For first-timers, the OSCE may feel like a bizarre, yet clinically sacred ritual, an act of “faking doctor” that has become an integral part of most American school medical curricula. OSCE Staions for Medical Finals Macloeod's Clinical Examination with Video About me: I'm a 2nd year Medical student doing an MD Phd programme with 20 years teaching experience both offline and online in multiple disciplines. No IV access was able to be obtained. OSCE Respiratory Chief Complains 19 Terms. Prepare yourself for these common respiratory topics in Objective Structured Clinical Examinations. The respiratory examination involves an assessment of how a patient's lungs are functioning. Therefore it's important to have a slick and thorough approach. 9%, SD=11. Vital signs can be measured in a medical setting, at home, at the site of a medical emergency, or elsewhere. professional education. 3. Today’s scenario is that of a lady with previous cesarean section requesting for home birth. Click on the the example questions below to reveal the  Respiratory examination and questions for medical student exams, finals, OSCEs and MRCP PACES. Ankles Respiratory: Clear to auscultation with normal respiratory effort. PMH/Allergies unknown. Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes. Respiratory rate Consider an ABG Consider a chest radiograph Consider a peak flow if asthma related distress Treat: Give 85% oxygen >10 l/min via an oxygen mask and reservoir bag If the patient has COPD, give 35% oxygen via a Venturi variable valve mask and reservoir bag until you have an ABG (reassess) www. Respiratory examination and questions for medical student exams, finals, OSCEs and MRCP PACES. Question 7. Your patient is using an inhaler. We are also giving a video about top tips in nursing interventions for NMC OSCE Planning station which you can watch here. Although these are not the exact stations that you will encounter, the scenarios are representative of the types of problems that will be tested. 1-73. 35 Respiratory distress is almost always the reason a neonate will need to be resuscitated. co. This will increase PaCO2 and trigger his normal respiratory drive to take over breathing control. W. Family also reports 18 months of memory problems and urinary incontinence. The OSCE The OSCE is made up of six stations, each lasting between 10 – 20 minutes. An ideal pharmacy education has been described as that which equips students with the necessary knowledge, clinical skills, and competencies underpinned by science that is relevant and up-to-date in order to adequately prepare them for future practice. Examination of the neck reveals a large, non-tender hard lymph node in the right supraclavicular fossa. doc - Free download as Word Doc 3. of Objective Structured Clinical Examination (OSCE) Cases 7 Having reflected on the purpose of the exam and the level of clinical skills being assessed, the second step for the case author is to clearly define the construct of interest. Jan 12, 2012 · This book is a complete guide on how to prepare for an OSCE with step-by-step instructions for the ten most common OSCE stations that nursing students can face. through the oesophagus and gullet. Apr 27, 2019 · Hopes this article removes your fear about Nursing care plans in the Planning section of OSCE in NMC Test of Competence Part 2 exam . Blood was suctioned from the mouth and nose; oxygen was applied by mask. 2. Assessment framework All residents are presented with two or three resusci-tation scenarios in sequential order and debriefed for up to 30 minutes by a faculty member immediately following their performance. Examinations (OSCE) The OSCEs take place at Shepherd's House here on the Guy’s campus. • Respiratory rate: after checking their pulse, keep hand on it and count rate • Check for asterixis (CO 2 retention) • Tender wrists (+ clubbing = hypertrophic osteoarthropathy usually due to malignancy) 3. Feb 26, 2018 · See the written guide alongside the video here https://geekymedics. French, MA RRT, is the Director of Clinical Education, Lakeland Community College, Mentor, Ohio and author of Case Profiles in Respiratory Care, Delmar Publishing. Guide. Alcohol Dependence and Motivational Interviewing online file resize pdf PDF 188 Kb. The OSCE is defined as “an approach to the assessment of clinical competence in which the components of competence are assessed in a well Mar 10, 2015 · OSCE Debate The Australian College of Emergency Medicine (ACEM) training program has an exit examination process that is rapidly evolving. This OSCE is expected to run for a maximum of 7 minutes. We have designed an app and courses tailored for Physician Associates to revise and study. through the windpipe and the pores. Students then prioritize patients for treatment. For a given administration, all candidates rotate through the same series of stations. Every effort has been made to ensure Neurology Scenarios Scenario 1 of 6: Reason for Visit: Abnormal gait, cognitive impairment, urinary incontinence. The OSCEs take place at Shepherd's House here on the Guy's campus. uk An acute exacerbation of asthma is frightening for both the patient and the health care worker involved. Welcome to the world’s leading psychiatry online training product used by over 1000 subscribers. Mary Barna Bridgeman, PharmD, BCPS, BCGP, is a clinical associate professor at the Ernest Mario School of Pharmacy at Rutgers University in Piscataway, New Jersey, and an internal medicine clinical pharmacist at Robert Wood Johnson University Hospital in New Brunswick, New Jersey. 1% (n=35, range 36-72%, SD=9. com/respiratory-examination-2/ This video provides a guide to respiratory examination, inc Vitals (respiratory rate and pattern) Kussmaul’s – fast and deep breathing (metabolic acidosis) Cheyne-Stokes – irregular with periods of apnea (Rx induced depression, CHF, brain damage) Apnea (cardiac arrest) Assess for distress Facial expression: nasal flaring, pursed lip breathing, audible breath sounds, cyanosis If you specialize in pulmonary diseases or respiratory care, we recommend the new website, Respiratory. Sep 20, 2012 · 4 patient assessment scenarios that are actually useful for EMS students Consider adding these often-encountered patients to your EMT or paramedic class's patient assessment drills or high Apr 15, 2011 · In this section you will find an approach to commonly encountered pediatric problems, organised by pediatric subspecialty. 2 °C BSL 7. All scenarios are based on past CASC OSCE stations and clinical practice. In an OSCE environment however, simply listen for 10 seconds. According to Fiona, it’s a useful process to fully prepare students for intense, complex scenarios. Respiratory Care Lesson History - Course #210 Scenario One. 1 This includes providing care that is patient-focused, participating in the education of patients and other health professionals The OSCE Checklist Template enables students to construct their own sample checklists using cases from the book and helps them develop an approach to a variety of clinical scenarios. Assessment and Plan. We provide revision tools, specialising in OSCE preparation including OSCE revision courses and personalised tutoring. Case scenarios for health and social care practitioners. Case 2. a simulated patient in combination with a manikin), a computer based simulation (e. OSCE station description. The NMC altered the route to registration for all internationally educated nurses and midwives in October 2014 and you are required to undertake the OSCE at Northampton, UK (NMC, 2016). Adapt one or more scenarios for your SBAR training. Having spent over 10 years working with a variety of OSCE’s for medicine, physiotherapy, pharmacy, and nursing I’ve seen some pretty big mistakes, generally though there are very few big mistakes students make in an OSCE. If you continue browsing the site, you agree to the use of cookies on this website. Respiratory rate 28 Pulse 80 irregular Blood pressure 190/ Temperature 36. The patient does not have an elevated anion gap acidosis. Clerkship Student Acknowledgement Form Complete the fields below to review and acknowledge all OSCE information. BotwinskiIdentifying strengths and weaknesses in the utilization of Objective Structured Clinical Examination (OSCE) in a nursing program Nursing Education Perspectives, 33 (1) (2012), pp. Prescribing is also reflected on body weight and therefore prescribing practice becomes very important. 3), and 48. Using one or more SBAR training scenarios, ask each trained staff to respond to each scenario with SBAR-based communication to demonstrate his or her competency. Subjects. Scenarios have been designed in order to focus on aspects of clinical care that are often challenging for clinicians, for example, difficult conversations, clinical emergencies and technical skills. Discussion of Treatment Options and Informed Consent (Obtain informed consent from a patient) The successful candidate will demonstrate the following behaviors: A few hours after admission, he developed increasing oxygen requirements and was intubated for hypoxemic respiratory failure. Visit PracticalClinicalSkill. The annual assessment of medical and nursing students through Objective Structured Clinical Examinations (OSCEs) allows a complete assessment of students clinical and communication skills. Condition. Click here for all the clinical examinations: how to examine, what to […] Pediatrics Scenarios Scenario 1 of 6: Chief Complaint: Term infant HPI: This is a 38-5/7 week gestational age male infant delivered four hours ago via an uncomplicated spontaneous vaginal delivery. Tinkling bowel sounds are a sign of bowel obstruction. Each station has a different examiner, as opposed Unfortunately there are not a lot of study options out there. We have split the resources into relevant sections as per the exam format. 6 o F. is a 77-year-old female with a history of upper GI bleed, indeterminate pulmonary nodules, and more recently decreasing functionality at home involving muscle weakness and hand swelling, who presents today for follow-up of her hand swelling and urinary incontinence. Arts and OSCE EXAMPLE SCENARIOS This document provides example scenarios for skills described in the APPLIED Examination - Objective Structured Clinical Examination (OSCE) Content Outline. Scenario Number 3 Prioritization of Care online nursing scenarios feature 40 unique patients with symptoms ranging from early stage heart failure and respiratory distress to orthopedic pain and depression. 0 . It summarizes important history and physical examination skills and is a practical review for all level of medical students. Solution: If he is hyperventilating from an anxiety attack, the simplest solution is to have him breathe into a paper bag. Patient. COPD home visit  Scenario. They are series of questions that test your knowledge of patient assessment, diagnosis, and management. OSCE 2: Abdominal Pain (12:42) A 64-year-old stockbroker presents with pain in the upper part of the abdomen, which has spread to the back. Scenario Number 2. OSCE examiner checklist developed by Faculty members during the PGY(4) Academic Day 2015-2016 in Family Medicine Residency Program, PHCC-HMC, Qatar. Briefly explain to the patient what the examination involves. The test yourself scenarios below are based on the Objective Structured Clinical Examination (OSCE) style assessments often used in UK medical schools. Here are the five most common small mistakes that can knock you down a few points at a time. Breathlessness. clearly specified, for example a video of a patient with respiratory distress and. Examines for thoracic deformities; Percussion/Palpation. This is going to be across all of the organ Jan 01, 2014 · Introduction. Instructor. Prearrival Questions 1. • Flow-volume loops -  TRY SOME OF OUR CSA & RCA CASES IN YOUR RCA GROUPS. Head • Face: Pallor or cyanosis • Eyes 120/min, respiratory rate 28/min, blood pressure 184/100 mm Hg, and Spo 2 85% on room air. Since its development in the 1970s, the Objective Structured Clinical Examination (OSCE) has gained acceptance as a benchmark for clinical skills assessment (Bartfay, et al 2004). See full list on geekymedics. 1. My advice is to watch a video or read one summary every night before you go to bed from now up until you do the OSCE. CASE 1 THYROID DISEASE. Practice OSCE support materials We encourage you to familiarise yourself with these documents, which are available on the test centres’ online learning platforms. No endorsement of . Examination of the Respiratory System – detailed. The book is organized by major body systems and is designed to facilitate both individual and group study. included in the most current version of the ABA’s OSCE Content Outline. ‎Read reviews, compare customer ratings, see screenshots and learn more about Geeky Medics - OSCE revision. The course has been adapted for use at the University of Saskatchewan, the University of Manitoba, and the University of Calgary. She states she cannot catch her breath. Here you can browse through descriptions of 90 scenarios under 10 different domains. any product or service should be inferred or is intended. Candidates are required to act out scenarios that nurses or midwives are likely to encounter when assessing, planning, delivering and evaluating care. In these stations they may encounter a real or simulated patient, manikin, part-task manikin (i. 2K likes. Each case is intended to test student diagnostic and therapeutic problem solving abilities. Explain the need for routine pneumococcal and influenza vaccinations. A heart rate below 100 indicates the need for positive pressure ventilation(PPV), while a heart rate below Pulmonary and Respiratory; OSCEs at a Glance is an equally useful title if you are looking for scenario's to help you prepare for an OSCE and has a more scenarios The candidate has 3 minutes reading time. Videos can be previewed by clicking the images below or purchased as packages on the sidebar to the right. Question 6. He has a six year history of COPD and is on oxygen at home. clinical video of a real patient with signs of Parkinson's disease) or clinical information (e. Dec 01, 2014 · The OSCE suites are used to record the simulation in practice, which then facilitates the debriefing process and aids review and reflection. In other words an OSCE is considered valid if it succeeds in measuring competencies that it was originally designed to test. The examinee has one minute to read the clinical information before each OSCE scenario begins. This book will familiarize you Oct 13, 2019 · Respiratory pain, can be – pneumonia (usually occurs post-pneumonia), cancerous, or very often can just be musculoskeletal pain from coughing. 2013. With suggested answers. 90 scenarios with over 10 hours of interview material. It is only once your Scenarios. OSCE Examination Guidance - authorSTREAM Presentation. OSCE PASS is the one place which offers all the resources students need to pass their OSCE (Objective Structured Clinical Examinations) Skills Exams. 9F. Providing tailored education for Student & Qualified Physician Associates. The following scenarios will help you start developing the thought process of critical thinking. 1. IMPLEMENTATION OF SIMULATION-BASED PEDAGOGY IN YOUR INDIVIDUALIZED TEACHING AREA As experienced in other areas of clinical practice, pediatric clinical sites are becoming sparse in health care systems that are dedicated exclusively to… At each station candidates are assigned a specific clinical task to perform. In the end I’ve also listed past scenarios which have come up in the OSCE’s. The BTS/SIGN guidelines (UK) are linked on the right and should be followed during clinical practice. Psychiatrist will see patient in his office in 2 days for medication re-evaluation. OSCE Stations Examination MBBS3 Respiratory Rotation C Respiratory Exam Respiratory Exam September 22, 2015 Examination MBBS3 Respiratory Rotation C Print PDF Paediatric medicine is a unique speciality. It is a mixture of history taking, clinical examination demonstration, skill demonstration and the ability take on the management of a patient in a simulated environment. In addition to the video previews, we offer two sample MRCEM Part C/OSCE videos focusing on the frequently examined ‘Breaking Bad News’ scenario. These May 26, 2018 · Foreword. See full list on oscehome. Home; History Taking; Examination; Clinical Skills; Radiology & Image Identification Patients in respiratory distress may have an anxious expression, pursed lips, and/or nasal flaring. respiratory osce scenarios

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