Respiratory OSCEs

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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 OSCE 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).

1.

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).

In the next 5/10/15 minutes take focused history. 7. Steven Copper is 19 year old man who came to emergency with sudden right sided pain. In the next 5/10/15 minutes perform focused physical exam. (chest pain/ Spontaneous Pneumothorax). (COPD exacerbation). Julie Osler is 67 year old woman who came to your office because of a bothersome dry cough for two months. Julian Cameron is a known case of chronic bronchitis who has come to your office for a regular check up. 13. 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. In the next 5/10/15 minutes take focused history. 5. In the next 5/10/15 minutes take focused history. 12. In the next 5/10/15 minutes take focused history. In the next 5/10/15 minutes talk to him (Asthma). (Cough/ Atypical pneumonia). Jeffrey Hanson is a 52 year old man who has come to your office because of frequent episodes of shortness of breath. (Asthma). (Lung nodule). 9. In the next 5/10/15 minutes. Syncope. Cardiovascular OSCEs Clinical Skills Assessment for International Medical Graduates are: • • • • • • • • Chest pain. James Timothy is a 66 year old man who comes to your office complaining of coughing up blood. Eric Goodson. (COPD). 4. 10. In the next 5/10/15 minutes talk to her before discharge. In the next 5/10/15 minutes talk to her. (Asthma exacerbation). Hypotensive shock: ER management. 15. Nick Camberley is 65 year old man known case of COPD who comes to the emergency complaining of shortness of breath for two days. Albert Henderson is a 62 year old man who comes to your office with cough for three months. In the last minute the examiner will stop you to ask questions.2. In the next 5/10/15 minutes take focused history and answer her concerns. (SOB). 8. 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. Myocardial ischemia/infarction: ER management. In the next 5/10/15 minutes take focused history. Atrial fibrillation. Hypertension. (Cough). 11. You managed her and she is stable now. 3. 14. George Camay is a 32 year old man and an asthmatic patient of your colleague Dr. Sandy Homer is 22 year old asthmatic woman who comes to the emergency because of worsening shortness of breathing. (Exam). 6.(Cough). (Asthma exacerbation). Cardiac arrest. (Hemoptasis). Palpitation. mange him. 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. 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 and focused physical examination. He comes to your office for a follow up visit as your covering Dr Goodson while he is away. 8--Nikkei Johnson is a 29 year old woman who has been diagnosed with asthma recently.

who is a known case of hypertension. In the next ten minutes take focused history and address his concerns. 6. In the next 5/10/15 minutes take focused history and address her concerns. Eric O'Malley is a 51 year old man who came to emergency because of chest pain and palpitation. (Syncope). (Hypertension). Infective endocarditis. Andrew McDonald is 60 year old man who has a cardiac arrest while the ambulance is rolling into the emergency. Dan Greenspan is a 68 year old man who had brought to the emergency because he passed out earlier today at home. In the next 5/10/15 minutes take focused history and perform a focused physical examination. Intermittent claudication. (Hypertension/ Pheochromocytoma). In the next 5/10/15 minutes take focused history and talk to her about a possible management plan. William Hartman is a 46 year old man who comes to your office with chest pain. 11. He is quickly brought into the resuscitation room. Melissa Pilgrim is a 27 year old woman who has come to your office because oh heart racing. and counseling setting. In the next 5/10/15 minutes manage him. (Pericarditis) Gastrointestinal OSCEs . hypotensive and bradycardia. 12. 13. Tina White is a 22 year old woman who was referred to you by a community nurse because of high blood pressure. 9. Acute/ chronic leg pain. In the next 5/10/15 minutes take focused history and address his concerns. Deep venous thrombosis. (Cardiac arrest). He came to your office for his annual check up. ER management. Cardiopulmonary Resuscitation (CPR). In the next 5/10/15 minutes take focused history and perform a focused physical examination. In the next 5/10/15 minutes take focused history and address his concerns. 3. (Claudication). 5. Alfred Sabitto is a 53 year old man who comes to your office because ho got swelling of his legs. In the next 5/10/15 minutes take focused history and talk to her about a possible management plan. 4. (Chest pain/ Atrial Fibrillation). He was brought to emergency few minutes ago. On the last minute the examiner will stop you and ask you questions. 10.• • • • • • • • • • Digoxin toxicity. Jenny Davidson is a 23 year old girl who suddenly lost her consciousness today and fainted. In the next 5/10/15 minutes perform a complete physical examination. In the next 5/10/15 minutes perform a complete physical examination. (Syncope). 7. (MI). Pericarditis. Michael McCarthy is 52 year old man. Lenny Sullivan is a 56 year old man who got a sudden bad chest pain when he was having lunch with his family. (Heart failure). Complete cardiovascular examination. 1. (Digoxin intoxication). (Chest pain). ECG interpretation. Sandra Anderson is 81 year old woman who was brought to emergency by ambulance semiconscious. He feels unwell and trouble breathing. In the next 5/10/15 minutes manage him. Heart failure/ generalized edema/ ankle swelling. 8. Tim Brown is a 39 year old male who came to emergency because of sharp chest pain. In the next 5/10/15 minutes run code blue and manage him. David Perry is a 54 year old diabetic man who came to your office because of leg pain after walking. 2. (Palpitation).

In the next 10/15 minutes take focused history and perform focused physical examination. HR 70 bpm. Michael Johnson is a 62 year old man who came to emergency complaining of LLQ pain. 7. Crohn's & ulcerative colitis. 6. HR 120 bpm. Biliary colic. Inflammatory bowel disease. Diverticulosis/ Diverticulitis. Abdominal mass. 5. Lower GI bleeding. Heartburn/ Gastroesophageal Reflex Disease. Abdominal distension. RR 17 bpm. Mark Joe is a 52 year old man who was brought to emergency with abdominal pain and vomiting. (Dysphagia). (Diverticulitis). Jaundice. . 2. acute & chronic. (Ischemic colitis). acute & chronic. Nausea / vomiting. (Upper GI bleeding). RR 18 bpm. Temp 37. In the next 10/15 minutes take focused history and perform focused physical examination. In the next 5/10/15 minutes mange him. In the next 5/10/15 minutes take focused history. In the next 5/10/15 minutes take focused history and perform focused physical examination. Abdominal pain. Temp 37. Liver function tests interpretation. Steatorrhea. Michael Johnson is a 62 year old man who came to emergency complaining of LLQ pain and fever. Complete abdominal examination. Constipation. In the next 5/10/15 minutes take focused history. Anthony Smith is a 73 year old man presents to your office complaining of trouble swallowing.Clinical Skills Assessment for International Medical Graduates are: • • • • • • • • • • • • • • • • • • • • • Difficulty swallowing (Dysphagia). His vitals are BP 90/50 mmHg. HR 120 bpm. Irritable bowel syndrome. Diarrhea. His vitals are: BP 80/40 mmHg. 3. Catherine Roberson is 81 year old who was brought to emergency by her daughter because of blood with bowel motion. Leo Alfonso is 19 year old male who was brought to emergency because of abdominal pain. In the next 5/10/15 minutes mange him. Upper GI bleeding.5 C.5 C. Her vitals are: BP 140/90 mmHg. Peptic ulcer disease. Hepatomegally/ hepatitis. 4. (Diarrhea). Natasha Husinoff is a 36 year old woman presents to your office complaining from diarrhea for six months. (Lower GI bleeding).. 1. (Appendicitis). Splenomegally.

In the next 10/15 minutes take focused history and perform focused physical examination. Gynecomastia. Hirsutism/ Virilization. 11. In the next ten minutes take focused history. 13. Thyroid nodule/ Enlarged thyroid/ Hyperthyroidism/ Hypothyroidism. (Steatorrhea). 1. (DKA). Polydipsia. (Hematamesis). At the eighth minute the examiner will stop you to ask questions. Lorry Samuel is 25 year old female who came to emergency complaining of recurrent RLQ pain. Adrenal insufficiency/ excess. Hypercalcemia. Dick Homer is an 21 year old man came to the emergency complaining of nausea. (Hypothyroidism). In the next 10/15 minutes take focused history and perform focused physical examination. Her investigations came back with serum calcium 12 mg/dL. 9. Failure to mature. In the next 5/10/15 minutes take focused history. In the next 5/10/15 minutes take focused history and talk to him about your possible plan of management. Pituitary adenoma. George Wilson is 64 year old man who comes to your office requesting a laxative because he is always 'blocked up'. Jessica Smith is 22 year old woman who came to your office complaining of greasy foul smelling stool and weight loss. Lora Timber is 40 year old woman who came to emergency complaining of recurrent RUQ pain. (Crohn). In the next 5/10/15 minutes take focused history and perform focused physical examination. Steve Gomella was brought to the emergency by his friends after vomiting blood. In the next ten minutes take focused history and perform focused physical examination. . Rochelle Patrick is 58 year old woman who came last week for her routine annual check up.8. (Jaundice). Kim Ho is 27 year old man who came to emergency because he turned yellow. Failure to thrive. (Cholecystitis). 3. In the next 5/10/15 minutes take focused history. 10. Hypoglycemia. Endocrine OSCEs are: • • • • • • • • • • • • • • • • Diabetes. (Hypercalcemia). At the eighth minute the examiner will stop you to ask questions. vomiting and diarrhea. Galactorhea. Neck mass. 12. (Lab results). Weight Loss. Abnormal lipid profile / Hypercholestrolemia Obesity / Weight gain counseling. In the next ten minutes take focused history. (Constipation). all scenarios including ER for DKA and consult. Debbie Hamilton is thirty year old woman who came to your office complaining of fatigue for two months. 2.

Please mange him in the next ten minutes. Victoria Atkins is a 31 year old woman who comes to your office with hoarseness. (Hyperthyroidism). (Hypothyroidism). (Thyroid nodule). Elevated hemoglobin/ Polycethemia. 11. He came to your office for his annual follow up bringing his log book. At the eighth minute the examiner will stop you to ask questions. In the next ten minutes take focused history. Allergic reactions/ Atopy/ food allergies. (Goitre). Martin O'Malley is 34 year old man who cam the emergency because of persistent headache and heart racing. 7. Urticaria/ Angioedema/ Anaphylaxis. came to your office because you are covering for Dr. 9. Sandy Robert is a 23 year old woman who comes to your office complaining of recurrent headache and abnormal hair growth on her chin. minutes take focused history. In the next ten 15. Dr. (Pituitary adenoma). 8. (Pheochromocytoma). She is very anxious to know what is wrong. Mary Hamilton is a 53 year old woman who is a patient of your colleague. Thrombocytopenia. was rushed to the emergency by his parents after falling unconscious. Neutropenia. (Hyperlipidemia). (DM. Laura Battler is 26 year old woman who comes to your office complaining from weakness and weight gain.7 and 9.4. who is know for diabetes type I. follow up). Lymphadenopathy. In the next ten minutes talk to him . 12. initial visit). In the next ten minutes take focused history and perform focused physical examination. (Cushing). Easy bruising/ Bleeding tendency. Jim Charles is 12 year old boy. 5. In the next ten minutes take a focused history. In the next ten minutes take focused history and address his concerns. In the next ten minutes take focused history. (Adrenal Insufficiency). Hypercoagulable state. (DM. In the next ten minutes talk to her and address her concerns. 13. 10. 6. Tanya Allison is 48 year old woman who was sent by the community nurse to you because she thinks she felt a thyroid lump. Watson while he is away. Russell Shantini is a 49 year old man who is a known case of diabetes.1 mmol/L in two fasting tests. Her blood glucose results has come back 8. Blood transfusion reactions. Eosinophilia. Sarah Anderson is 18 year old girl who came to your office because she notice her neck is wide. Tony Black is 30 year old man who came to your office complaining from feeling dizzy and weight loss. George Hunter is 51 year old man who came last week for his routine annual check up. Watson. In the next ten minutes take focused history and perform focused physical examination. Patricia Spence is 28 year old woman who was sent by the community nurse to you because of abnormal thyroid tests. Patechae/ Purpura. In the next ten minutes take focused history and perform focused physical examination. . (Hypoglycemia Common Hematology & immunology OSCEs are: • • • • • • • • • • • • • Anemia. Splenomegaly. His investigations came back with elevated serum cholesterol. Mr. Generalized/ localized. 14.

Cervical spine trauma. Bacterial meningitis. Complete hematological examination. Last time he had a bad reaction that made him feverish and ill. Please take focused history in the next 5/10/15 minutes. (Patechae/ Purpura). Mary Copper is a 31 year old woman who had delivered a healthy boy last week came to your office because of bluish dots and areas over her body. Rajeev Khan is a fifty year old man who is supposed to have his forth blood transfusion today. (Anemia). Andres Fallen is a 45 years old man who is a known case of Hodgkin disease under the care of your colleague Dr. 8. Scott Fuller is a 47 year old man who comes with fatigue and a hemoglobin of 95. James Brown who is away and you are covering for him. Please talk to her in the next 5/10/15 minutes. Neurology OSCEare: • • • • • • • • • • Head injury: ER management. Take sexual history and safe sex counseling too. 1. 6. (Blood transfusion). (ITP). She comes to your office with questions about the risk of blood transfusions as her friend warned her about the possibility of HIV and Hepatitis infection. In the next 5/10/15 minutes take a focused history.• • • • Neck mass. Tremor/ Parkinsonism. Lucy Armstrong is 23 year old woman who came to your office after she felt a lump in her right side of her upper neck. 7. Jackie Levis is 22 year old woman who has been booked by the surgeon to undergo laparoscopic cholecystectomy in two days. Headache: all types and settings. Subarachnoid hemorrhage. In the next 5/10/15 minutes take a focused history and perform a focused physical exam. Loss of consciousness/ Comatose management. (Note: She keeps her bra and thighs exposed with gestures of seduction. Kim Quang is a 17 year old woman who presents to your office with recurrent episodes of bleeding from her nose. He refused to go on until he talks to you because he is afraid it might happen again. Mark Anthony is a 42 year old man comes to your office because he felt few lumps in his groins. Abnormal Complete Blood Profile. 2. WBC. In the next 5/10/15 minutes take a focused history and perform a focused physical exam. . 5. The case is infectious mononucleosis and she is sexually active. Please talk to him in the next 5/10/15 minutes. Stroke/ TIA. Please talk to him in the next 5/10/15 minutes and address his concerns. (Blood transfusion). (Lymphadenopathy). 4. In the next 5/10/15 minutes take a focused history and perform a focused physical exam. Unsteadiness/ Dizziness/ Ataxia. 9. In the next 5/10/15 minutes take a focused history and perform a focused physical exam. He has a hematological disease that he needs blood transfusion every few weeks. (DVT). Temporal arteritis. Mediastinal mass. He came to your office for a follow up.) (Lymphadenopathy/ Seduction/ Safe sex). 3. Sandra Hunter is 27 year old business woman who had just returned from Asia in a business trip came to your office because of right calf pain. (Lymphadenopathy).

). Please take focused history and address his concerns in the next 5/10/15 minutes. (Epilepsy). Please take a focused history and perform a focused neurological exam in the next 10/15 minutes. (Cranial nerves examination). (Fall / Unsteadiness/ Dizziness/ Ataxia. Please talk to him and address his concerns in the next 5/10/15 minutes. Carpal tunnel syndrome. Larry Warren is a 32 year old man who presents to the you in the walk-in clinic complaining of headache. (Loss of consciousness/ Comatose management.). Chronic back pain. Maria Lanzonzo is 60 year old woman came to your office complaining of tremor.• • • • • • • • • • • • • • • Seizure: attack at ER setting/ Follow up consult. . Limb neurological examination. (Seizure). Numbness. (Stroke). Glasgow coma scale. John Smith is 80 years old man presents to the emergency having sudden onset of speaking difficulty earlier today. Please take focused history and perform a focused physical examination in the next 10/15 minutes. Michael Jones is a 55 year old bus driver who was brought to the emergency by family members because he had a 'spell'. Please manage the case in the next 5/10/15 minutes. Jerry La point is a 53 year old gentleman who comes to the emergency complaining of sudden severe headache.). It has now resolved. (Unsteadiness/ Dizziness/ Ataxia. Frank Sullivan is a 57 year old man who came to the emergency by an ambulance because of weakness of his right arm and leg. Gait disturbances. Weakness. A middle aged man was brought by the police to the emergency after being found unconscious. 5. Please take focused history and perform a focused neurological exam in the next 5/10/15 minutes. Sciatica/ leg pain. 8. B 12 neuropathy. Cranial nerves examination. Please perform a complete cranial nerves examination in the 5/10/15 ten minutes. 9. Albert Russel is 55 year old man who comes to your office for the first time to have a check up examination. Complete neurological examination. Please take a focused history and perform a focused neurological exam in the next 5/10/15 minutes. 1. Pituitary adenoma. Steve Barreto is 67 year old man who came to your office because he has been having frequent falls which made him very concerned. (Headache). (Tremor/ Parkinsonism). Coordination examination. (Temporal arteritis). 6. Memory impairment. 11. Please take focused history and address his concerns in the next 5/10/15 minutes. Please talk to him in the next ten minutes. Please take focused history and perform a focused neurological exam in the next 5/10/15 minutes. (TIA). Please take a focused history in the next 5/10/15 minutes. (Headache). Tony Longfield is 16 years old male who is a know case of epilepsy on medication came to your office referred from the driver licence authority. 10. 3. 4. 2. David Harrison is a 66 year old businessman who comes to your office because of unsteady walking pattern. 7. 12. Javid Ehsani is 58 years old man who had some transient attacks of left eye blindness and was rushed to the emergency by his family.

Anthony Smitherman is 44 year old man who came to your office because of fatigue and problems with walking with staggering. Hernias. Impotence/ Erectile dysfunction. She said that he had the 'flu' for the last two days and has complained of headache and fever. 19.13. Please take a focused history and perform a focused neurological exam in the next 5/10/15 minutes. He came to your office because he noticed that he don't see on the sides. 20. Scrotal swelling/ mass. (Back pain). Please take a focused history and perform a focused neurological exam in the next 10/15 minutes. Bob Jackson. Please take a focused history and perform a focused neurological exam in the next 5/10/15 minutes. (Pituitary). George Haung is 26 year old man who was brought to the emergency by his partner. Please take a focused history and perform a focused neurological exam in the next 5/10/15 minutes.). a 28 year old male. Protienurea. (B12 Neuropathy). Please take a focused history and perform a focused neurological exam in the next 10/15 minutes. (Head injury/ Cervical spine: ER management. (UTI). acute and chronic. Hyperkalemia/ Hypokalemia Hypernatremia/ Hyponatremia. Jasmine Corel is a 22 year old woman who comes to the emergency complaining of burning sensation with urination. . Please take a focused history and perform a focused neurological exam in the next 5/10/15 minutes. She came to your office because of neck pain. In the next 10/15 minutes take a focused history and perform a focused physical examination. 18. John Riddle is 26 year old male who had a minor car accident a week ago. Prostatic cancer. Leo alfanso is 47 year old man who had leg pain for years getting worse recently. Leanne Price is 32 year old who came to your office because of right hand tingling and numbness. Scrotal pain. 17. (Sciatica). • • • • • • • • • • • • • • Urethral/ penile discharge in males. 15. Renal OSCEs Urinary tract infection/ Dysuria/ Frequency. Benign prostatic hypertrophy. (Whip splash C-spine injury). Please take a focused history and perform a focused neurological exam in the next 10/15 minutes. a 46 year old construction man. Please perform a complete neurological exam in the next 5/10/15 minutes. Abnormal serum hydrogen ion concentration 1. Sue Haung is 30 year old woman who had a car accident three days ago. Eric Brown. 14. 16. was brought to the emergency unconscious after falling from a platform at work this morning. came to your office because of sudden back pain for two days. Hematuria/ red urine/ blood in urine. Renal failure. (Meningitis). Incontinence. (Carpel Tunnel).

(Sciatica). hip. and BUN 22.2. Cathy Smitherman is 62 year old woman who came to your office complaining of bilateral leg pain for years which getting worse recently. In the next 5/10/15 minutes talk to him. elbow. 9. Neck pain/ trauma. In the next 5/10/15 minutes take a focused history . Please take a focused history and perform a focused physical examination in the next 10/15 minutes. 5. (Renal failure). (Incontinence). (HTN/ Renal failure). (Erectile dysfunction). shoulder. Jack William is a 70 year old man who comes to the emergency complaining of difficulty making his urine. (UTI/ Prostate). His blood pressure is165/ 100. and ankle. Anthony martin is a 43 year old man who presents to your office having a problem getting and maintaining erection. Dr Wong sent for some investigations and she is here for the results. Osteoporosis. Siatica. 11. Dr Wong sent for some investigations and he is here for the results. Sam Longwill is a 69 year old man who comes to your office because he saw blood in his urine. Amy Davidson is a 61 year old woman who is a patient of your colleague Dr. . (Urethral/ penile discharge). Marie Brono is a 56 year old woman who comes to your office complaining of urine leaking. In the next 5/10/15 minutes talk to her. (Renal colic/ stone). 10. Please take a focused history and perform a focused physical examination in the next 10/15 minutes. In the next 10/15 minutes take a focused history and perform a focused physical examination. 7. In the next 5/10/15 minutes talk to him. 1. (Hematuria). Complete joint examination: Cervical and lumbar pain.4. In the next 5/10/15 minutes talk to her. 8. Wound suturing. She comes to your office complaining of being unwell. acute and chronic. Wong. Andre Heatherford is a 19 year old male who comes to the walk-in clinic complaining of penile discharge. and creatinine 700. Eric Samuel is 43 year old man who came to your office complaining of lower back pain for two days. 2. creatinine 1000. (Back pain). In the next 5/10/15 minutes talk to him. Inflammatory arthritis/ Rheumatoid. (Prostate). In the next 10/15 minutes take a focused history and perform a focused physical examination. Mick Humper is a 48 year old man who comes to the emergency complaining of the worst pain he has ever had and at the hospital he noticed is urine is red. Joint pain/ any joint Osteoarthritis. knee. (Scrotum Common musculoskeletal OSCEs • • • • • • • • • • • Back pain. He comes to your office complaining of being unwell. Ankylosing spondylitis. wrist. Septic arthritis. 6. Wong.. 4. Eric Smith is a 82 year old man he comes to emergency complaining of problems with emptying his bladder. David Robert is a 64 year old man who is a patient of your colleague Dr. Her hemoglobin is 100. 3. In the next ten minutes take a focused history and perform a focused physical examination. In the next 5/10/15 minutes talk to her. Andre Heatherford is a 19 year old male who comes to the walk-in clinic complaining of scrotal painful swelling.

Jonathan Brown is 57 year old man who came to your office complaining of left ankle pain. Please take a focused history and perform a focused physical examination in the next 10/15 minutes. (Joint pain). John Hamber is a 40 year old man who came to your office complaining of neck pain after a car accident two months ago. 4. Patty Applewood is a 47 year old woman who came to your office because of right shoulder pain. Please take a focused history and perform a focused physical examination in the next 10/15 minutes. (Whip splash injury). 5. She came to see you as you are covering for Dr. (Joint pain). Martin Brown is 42 year old man who came to your office complaining from pain in his right elbow after a playing golf. (Septic). Please enter the room and perform a wound suturing in the next 5/10/15 minutes . Please take a focused history and perform a focused physical examination in the next 10/15 minutes. 7. 11. Please take a focused history and perform a focused physical examination in the next 10/15 minutes. Dr Mark Brown. Anthony Smith is a 65 year old man who came to your office complaining of right hip pain. (Joint pain). Please take a focused history and perform a focused physical examination in the next 10/15 minutes. The results of the bone density scan came back as 'Osteoporosis'. Elizabeth Johnson. Tony Andreson is 22 years old who came to your office because of right knee swelling. 6. (Inflammatory). Michael Turner is 36 year old man who came to emergency because of a sudden right knee pain during football game. Susan Rinker is a 55 year old woman who has been investigated by your colleague. 9. Please take a focused history and perform a focused physical examination in the next 10/15 minutes.3. (Joint pain). Please counsel her and address her concerns in the next 5/10/15 minutes. 10. came to you office because of stiffness in her fingers. (Joint pain). a 55 year old woman. (Osteoporosis). Please take a focused history in the next 5/10/15 minutes. 8. 12. Brown while he is away. Please take a focused history and perform a focused physical examination in the next 5/10/15 minutes.