The Respiratory System
In the objective structured clinical examination (OSCE), there is usually one respiratory system scenario. It will either be a history-taking station or history taking along with respiratory system examination. The key of history and physical examination stations is time management. It is extremely important to master history-taking skills; you should be able to ask and extract only the most relevant questions and information. If the station time is 10 min, the history should finish in the first 4–5 min. Before appearing in real examination, you should also practice performing the relevant physical examination in 3–4 min. One to two minutes must be kept in the end to address the patient’s concerns/questions or for wrapping up the scenario. In respiratory system stations, you should also look for any relevant material/equipment on the side of the bed such as inhaler/disk, spacer, O2 cylinder, nebulizers, and peak flow charts for clues.
This chapter will outline common respiratory system topics important for OSCE. An overview of the pattern of history taking required for respiratory system stations given in the start of the chapter is followed by important topics. It is recommended to read guidelines for management of asthma and COPD. You must be good at the emergency management of pneumothorax, hemothorax, and pulmonary nodule. Please make yourself familiar with how to read and interpret different chest X-rays.
KeywordsRespiratory system Sore throat Shortness of breath Pneumonia Cough Hemoptysis Asthma Chronic obstructive pulmonary disease Pneumothorax Hemothorax Lung nodule Lung cancer
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