Respiratory Patient OSCE Stations offer a valuable learning experience specifically focused on respiratory medicine. These stations simulate real patient encounters, where you will be challenged to interact with patients presenting with respiratory symptoms, perform relevant examinations, interpret diagnostic tests, and formulate appropriate management plans.
Participating in Respiratory Patient OSCE Stations will sharpen your clinical reasoning, communication, and decision-making skills in the context of respiratory medicine. These assessments will enable you to gain confidence in recognizing respiratory disorders, understanding their underlying pathophysiology, and applying evidence-based treatment strategies.
32 year old female
A 32 year old female presents with malaise and a small pleural effusion. The chest xray is otherwise normal. The pleural aspirate shows the following:
Glucose 1.1 mmol (3-7)
Culture: no growth
What is the aetiology of the effusion:
- Exudate secondary to TB
- Exudate secondary to pulmonary embolism
- Exudate secondary to rheumatoid arthritis
- Exudate secondary to Antiphospholipid antibody syndrome
- It’s a transudate
36 year old woman
A 36 year homeless woman is admitted with breathlessness. Her ABG is shown below. Examination of her respiratory system reveals clear chest and a Respiratory rate of 40. Her ABG is shown below.
PH 7.55 (7.34-45)
PO2 9.1 (>10.5)
PCO2 2.8 (4-6)
HCO3 26 (22-28)
BE -1.8 (+/-2)
Regarding this patient, how do you explain her low CO2?
- Raised RR secondary to hypoxia
- Compensated change resulting from metabolic acidosis
- Acute bronchospasm
What is the most likely diagnosis from the list?
- Acute Asthma
- Pulmonary embolism
- Atypical Pneumonia
72 year old smoker
A 72 year old smoker presents with weight loss and a cough.
Chest Wall: hyperinflated
O2 sats: 94% air
Trachea: deviated to the right.
Breath sounds: Reduced at Right Base. Bronchial breathing at right base
Percussion note: dull
Whats the most likely explaination for the findings?
- Right basal pneumonia
- Right basal pneumonia with small effusion
- Right basal pneumonia with atelectasis
- Right lower lobe collapse
- Pulmonary embolism
Patient with lung cancer
A patient with lung cancer has the following lung function tests:
FEV1 0.8L (29% Predicted)
FVC 2.8 L (92% Predicted)
What is the most likely aetiology of his lung function tests?
- Pleural Effusion
- Metastatic spread to thoracic spine with vertebral collapse
45 year old female secretary
A 45 year old female secretary presents with progressive shortness of breath over 12 months. She has no previous history of respiratory problems. She has never smoked or been in close contact with a smokers. Her symptoms do not vary through the day. On examination:
O2 sats: 92% air
Chest wall : Hyperinflated
Breath sounds: reduced throughout all lung fields
Percussion note: hyper resonant
Whats the most likely diagnosis?
- Pulmonary fibrosis
- Alpha 1 anti trypsin deficiency
- Unilateral pneumothorax
- Bilateral Pneumothoraces