Respiratory OSCEs

• 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).
 2. 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).

3. 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).

4. 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).

5. 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).

6. 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).

7. 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).

8--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).

8. 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).

9. 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).

10. 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).

11. 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).

12. 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).

13. 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).

14. 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).
15. Cardiovascular OSCEs

Clinical Skills Assessment for International Medical Graduates are:

• Chest pain.

• Myocardial ischemia/infarction: ER management.

• Cardiac arrest.

• Palpitation.

• Atrial fibrillation.

• Syncope.

• Hypertension.

• Hypotensive shock: ER management.

 • Digoxin toxicity, ER management, and counseling setting.

• Pericarditis.

• Infective endocarditis.

• Heart failure/ generalized edema/ ankle swelling.

• Intermittent claudication.

• Acute/ chronic leg pain.

• Deep venous thrombosis.

• Complete cardiovascular examination.

• ECG interpretation.

• Cardiopulmonary Resuscitation (CPR).

1. William Hartman is a 46 year old man who comes to your office with chest pain. In the next 5/10/15 minutes take focused
history and address his concerns. (Chest pain).

2. Michael McCarthy is 52 year old man, who is a known case of hypertension. He came to your office for his annual check up. In
the next 5/10/15 minutes perform a complete physical examination. On the last minute the examiner will stop you and ask you
questions. (Hypertension).

3. Melissa Pilgrim is a 27 year old woman who has come to your office because oh heart racing. In the next 5/10/15 minutes take
focused history and talk to her about a possible management plan. (Palpitation).

4. 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 perform a complete physical examination. (Syncope).

5. Jenny Davidson is a 23 year old girl who suddenly lost her consciousness today and fainted. In the next 5/10/15 minutes take
focused history and address her concerns. (Syncope).

6. Lenny Sullivan is a 56 year old man who got a sudden bad chest pain when he was having lunch with his family. He was
brought to emergency few minutes ago. In the next 5/10/15 minutes manage him. (MI).

7. Alfred Sabitto is a 53 year old man who comes to your office because ho got swelling of his legs. In the next ten minutes take
focused history and address his concerns. (Heart failure).

8. David Perry is a 54 year old diabetic man who came to your office because of leg pain after walking. In the next 5/10/15 minutes
take focused history and perform a focused physical examination. (Claudication).

9. Eric O'Malley is a 51 year old man who came to emergency because of chest pain and palpitation. In the next 5/10/15 minutes
take focused history and address his concerns. (Chest pain/ Atrial Fibrillation).

10. Sandra Anderson is 81 year old woman who was brought to emergency by ambulance semiconscious, hypotensive and
bradycardia. In the next 5/10/15 minutes manage him. (Digoxin intoxication).

11. Andrew McDonald is 60 year old man who has a cardiac arrest while the ambulance is rolling into the emergency. He is quickly
brought into the resuscitation room. In the next 5/10/15 minutes run code blue and manage him. (Cardiac arrest).

12. Tina White is a 22 year old woman who was referred to you by a community nurse because of high blood pressure. In the next
5/10/15 minutes take focused history and talk to her about a possible management plan. (Hypertension/
Pheochromocytoma).

13. Tim Brown is a 39 year old male who came to emergency because of sharp chest pain. He feels unwell and trouble breathing.
In the next 5/10/15 minutes take focused history and perform a focused physical examination. (Pericarditis)

Gastrointestinal OSCEs
Clinical Skills Assessment for International Medical Graduates are:

• Difficulty swallowing (Dysphagia).

• Nausea / vomiting.

• Heartburn/ Gastroesophageal Reflex Disease.

• Peptic ulcer disease.

• Upper GI bleeding.

• Lower GI bleeding.

• Diarrhea, acute & chronic.

• Constipation.

• Steatorrhea.

• Irritable bowel syndrome.

• Inflammatory bowel disease, Crohn's & ulcerative colitis.

• Diverticulosis/ Diverticulitis.

• Abdominal pain, acute & chronic.

• Jaundice.

• Biliary colic.

• Hepatomegally/ hepatitis..

• Splenomegally.

• Abdominal distension.

• Abdominal mass.

• Complete abdominal examination.

• Liver function tests interpretation.

1. Anthony Smith is a 73 year old man presents to your office complaining of trouble swallowing. In the next 5/10/15 minutes take
focused history. (Dysphagia).

2. Natasha Husinoff is a 36 year old woman presents to your office complaining from diarrhea for six months. In the next 5/10/15
minutes take focused history. (Diarrhea).

3. Mark Joe is a 52 year old man who was brought to emergency with abdominal pain and vomiting. His vitals are: BP 80/40
mmHg, HR 120 bpm, RR 18 bpm, Temp 37.5 C. In the next 5/10/15 minutes mange him. (Upper GI bleeding).

4. Catherine Roberson is 81 year old who was brought to emergency by her daughter because of blood with bowel motion. Her
vitals are: BP 140/90 mmHg, HR 70 bpm, RR 17 bpm, Temp 37.5 C. In the next 10/15 minutes take focused history and
perform focused physical examination. (Lower GI bleeding).

5. Michael Johnson is a 62 year old man who came to emergency complaining of LLQ pain and fever. In the next 5/10/15 minutes
take focused history and perform focused physical examination. (Diverticulitis).

6. Michael Johnson is a 62 year old man who came to emergency complaining of LLQ pain. In the next 10/15 minutes take
focused history and perform focused physical examination. (Ischemic colitis).

7. Leo Alfonso is 19 year old male who was brought to emergency because of abdominal pain. His vitals are BP 90/50 mmHg, HR
120 bpm. In the next 5/10/15 minutes mange him. (Appendicitis).
 8. Lorry Samuel is 25 year old female who came to emergency complaining of recurrent RLQ pain. In the next 10/15 minutes take
focused history and perform focused physical examination. (Crohn).

9. Kim Ho is 27 year old man who came to emergency because he turned yellow. In the next 10/15 minutes take focused history
and perform focused physical examination. (Jaundice).

10. Lora Timber is 40 year old woman who came to emergency complaining of recurrent RUQ pain. In the next 5/10/15 minutes
take focused history and perform focused physical examination. (Cholecystitis).

11. Jessica Smith is 22 year old woman who came to your office complaining of greasy foul smelling stool and weight loss. In the
next 5/10/15 minutes take focused history. (Steatorrhea).

12. George Wilson is 64 year old man who comes to your office requesting a laxative because he is always 'blocked up'. In the next
5/10/15 minutes take focused history. (Constipation).

13. Steve Gomella was brought to the emergency by his friends after vomiting blood. In the next 5/10/15 minutes take focused
history and talk to him about your possible plan of management. (Hematamesis).

Endocrine OSCEs are:

• Diabetes, all scenarios including ER for DKA and consult.

• Hypoglycemia.

• Hypercalcemia.

• Abnormal lipid profile / Hypercholestrolemia

• Obesity / Weight gain counseling.

• Weight Loss.

• Hirsutism/ Virilization.

• Galactorhea.

• Gynecomastia.

• Neck mass.

• Thyroid nodule/ Enlarged thyroid/ Hyperthyroidism/ Hypothyroidism.

• Pituitary adenoma.

• Polydipsia.

• Adrenal insufficiency/ excess.

• Failure to mature.

• Failure to thrive.

1. Dick Homer is an 21 year old man came to the emergency complaining of nausea, vomiting and diarrhea. In the next ten
minutes take focused history. At the eighth minute the examiner will stop you to ask questions. (Lab results). (DKA).

2. Debbie Hamilton is thirty year old woman who came to your office complaining of fatigue for two months. In the next ten minutes
take focused history. (Hypothyroidism).

3. Rochelle Patrick is 58 year old woman who came last week for her routine annual check up. Her investigations came back with
serum calcium 12 mg/dL. In the next ten minutes take focused history and perform focused physical examination. At the eighth
minute the examiner will stop you to ask questions. (Hypercalcemia).
 4. George Hunter is 51 year old man who came last week for his routine annual check up. His investigations came back with
elevated serum cholesterol. In the next ten minutes take focused history and address his concerns. At the eighth minute the
examiner will stop you to ask questions. (Hyperlipidemia).

5. Victoria Atkins is a 31 year old woman who comes to your office with hoarseness. In the next ten minutes take focused history.
(Hypothyroidism).

6. Patricia Spence is 28 year old woman who was sent by the community nurse to you because of abnormal thyroid tests. In the
next ten minutes take focused history and perform focused physical examination. (Hyperthyroidism).

7. Tanya Allison is 48 year old woman who was sent by the community nurse to you because she thinks she felt a thyroid lump. In
the next ten minutes take focused history and perform focused physical examination. (Thyroid nodule).

8. Mary Hamilton is a 53 year old woman who is a patient of your colleague, Dr. Watson, came to your office because you are
covering for Dr. Watson while he is away. Her blood glucose results has come back 8.7 and 9.1 mmol/L in two fasting tests. She
is very anxious to know what is wrong. In the next ten minutes talk to her and address her concerns. (DM, initial visit).

9. Mr. Russell Shantini is a 49 year old man who is a known case of diabetes. He came to your office for his annual follow up
bringing his log book. In the next ten minutes talk to him . (DM, follow up).

10. Sandy Robert is a 23 year old woman who comes to your office complaining of recurrent headache and abnormal hair growth
on her chin. In the next ten minutes take a focused history. (Pituitary adenoma).

11. Laura Battler is 26 year old woman who comes to your office complaining from weakness and weight gain. (Cushing).
12. Sarah Anderson is 18 year old girl who came to your office because she notice her neck is wide. In the next ten minutes take
focused history and perform focused physical examination. (Goitre).

13. Tony Black is 30 year old man who came to your office complaining from feeling dizzy and weight loss. In the next ten minutes
take focused history. (Adrenal Insufficiency).

14. Martin O'Malley is 34 year old man who cam the emergency because of persistent headache and heart racing. In the next ten
minutes take focused history. (Pheochromocytoma).

15. Jim Charles is 12 year old boy, who is know for diabetes type I, was rushed to the emergency by his parents after falling
unconscious. Please mange him in the next ten minutes. (Hypoglycemia

Common Hematology & immunology OSCEs are:

• Anemia.

• Eosinophilia.

• Neutropenia.

• Thrombocytopenia.

• Easy bruising/ Bleeding tendency.

• Patechae/ Purpura.

• Elevated hemoglobin/ Polycethemia.

• Splenomegaly.

• Hypercoagulable state.

• Urticaria/ Angioedema/ Anaphylaxis.

• Allergic reactions/ Atopy/ food allergies.

• Lymphadenopathy; Generalized/ localized.

• Blood transfusion reactions.

 • Neck mass.

• Mediastinal mass.

• Complete hematological examination.

• Abnormal Complete Blood Profile, WBC.

1. Kim Quang is a 17 year old woman who presents to your office with recurrent episodes of bleeding from her nose. Please take
focused history in the next 5/10/15 minutes. (ITP).

2. Jackie Levis is 22 year old woman who has been booked by the surgeon to undergo laparoscopic cholecystectomy in two days.
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. Please talk to her in the next 5/10/15 minutes. (Blood transfusion).

3. Rajeev Khan is a fifty year old man who is supposed to have his forth blood transfusion today. He has a hematological disease
that he needs blood transfusion every few weeks. Last time he had a bad reaction that made him feverish and ill. He refused to
go on until he talks to you because he is afraid it might happen again. Please talk to him in the next 5/10/15 minutes. (Blood
transfusion).

4. Scott Fuller is a 47 year old man who comes with fatigue and a hemoglobin of 95. Please talk to him in the next 5/10/15 minutes
and address his concerns. (Anemia).

5. 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. In the
next 5/10/15 minutes take a focused history and perform a focused physical exam. (Note: She keeps her bra and thighs
exposed with gestures of seduction. The case is infectious mononucleosis and she is sexually active. Take sexual history and
safe sex counseling too.) (Lymphadenopathy/ Seduction/ Safe sex).

6. Andres Fallen is a 45 years old man who is a known case of Hodgkin disease under the care of your colleague Dr, James
Brown who is away and you are covering for him. He came to your office for a follow up. In the next 5/10/15 minutes take a
focused history and perform a focused physical exam. (Lymphadenopathy).

7. Mark Anthony is a 42 year old man comes to your office because he felt few lumps in his groins. In the next 5/10/15 minutes
take a focused history and perform a focused physical exam. (Lymphadenopathy).

8. 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. In the next 5/10/15 minutes take a focused history. (Patechae/ Purpura).

9. 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. In the next 5/10/15 minutes take a focused history and perform a focused physical exam. (DVT).

Neurology OSCEare:

• Head injury: ER management.

• Cervical spine trauma.

• Bacterial meningitis.

• Unsteadiness/ Dizziness/ Ataxia.

• Loss of consciousness/ Comatose management.

• Tremor/ Parkinsonism.

• Stroke/ TIA.

• Subarachnoid hemorrhage.

• Headache: all types and settings.

• Temporal arteritis.
• Seizure: attack at ER setting/ Follow up consult.

• Memory impairment.

• B 12 neuropathy.

• Chronic back pain.

• Carpal tunnel syndrome.

• Sciatica/ leg pain.

• Gait disturbances.

• Weakness.

• Numbness.

• Pituitary adenoma.

• Complete neurological examination.

• Limb neurological examination.

• Cranial nerves examination.

• Coordination examination.

• Glasgow coma scale.

1. Larry Warren is a 32 year old man who presents to the you in the walk-in clinic complaining of headache. Please take focused
history and address his concerns in the next 5/10/15 minutes. (Headache).

2. Jerry La point is a 53 year old gentleman who comes to the emergency complaining of sudden severe headache. Please take
focused history and perform a focused physical examination in the next 10/15 minutes. (Headache).

3. Michael Jones is a 55 year old bus driver who was brought to the emergency by family members because he had a 'spell'.
Please take a focused history in the next 5/10/15 minutes. (Seizure).

4. Albert Russel is 55 year old man who comes to your office for the first time to have a check up examination. Please perform a
complete cranial nerves examination in the 5/10/15 ten minutes. (Cranial nerves examination).

5. Steve Barreto is 67 year old man who came to your office because he has been having frequent falls which made him very
concerned. Please talk to him and address his concerns in the next 5/10/15 minutes. (Fall / Unsteadiness/ Dizziness/ Ataxia.).

6. 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. Please take a focused history and perform a focused neurological exam in the next 10/15 minutes. (Stroke).

7. 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. Please take focused history and address his concerns in the next 5/10/15 minutes. (Temporal arteritis).

8. David Harrison is a 66 year old businessman who comes to your office because of unsteady walking pattern. Please take
focused history and perform a focused neurological exam in the next 5/10/15 minutes. (Unsteadiness/ Dizziness/ Ataxia.).

9. A middle aged man was brought by the police to the emergency after being found unconscious. Please manage the case in the
next 5/10/15 minutes. (Loss of consciousness/ Comatose management.).

10. John Smith is 80 years old man presents to the emergency having sudden onset of speaking difficulty earlier today. It has now
resolved. Please take focused history and perform a focused neurological exam in the next 5/10/15 minutes. (TIA).

11. 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. Please talk to him in the next ten minutes. (Epilepsy).

12. Maria Lanzonzo is 60 year old woman came to your office complaining of tremor. Please take a focused history and perform a
focused neurological exam in the next 5/10/15 minutes. (Tremor/ Parkinsonism).
 13. George Haung is 26 year old man who was brought to the emergency by his partner. She said that he had the 'flu' for the last
two days and has complained of headache and fever. Please take a focused history and perform a focused neurological exam
in the next 5/10/15 minutes. (Meningitis).

14. Leanne Price is 32 year old who came to your office because of right hand tingling and numbness. Please take a focused
history and perform a focused neurological exam in the next 5/10/15 minutes. (Carpel Tunnel).

15. Anthony Smitherman is 44 year old man who came to your office because of fatigue and problems with walking with staggering.
Please take a focused history and perform a focused neurological exam in the next 5/10/15 minutes. (B12 Neuropathy).

16. Eric Brown, a 28 year old male, was brought to the emergency unconscious after falling from a platform at work this morning.
Please perform a complete neurological exam in the next 5/10/15 minutes. (Head injury/ Cervical spine: ER management.).

17. Bob Jackson, a 46 year old construction man, came to your office because of sudden back pain for two days. Please take a
focused history and perform a focused neurological exam in the next 10/15 minutes. (Back pain).

18. Leo alfanso is 47 year old man who had leg pain for years getting worse recently. Please take a focused history and perform a
focused neurological exam in the next 5/10/15 minutes. (Sciatica).

19. John Riddle is 26 year old male who had a minor car accident a week ago. He came to your office because he noticed that he
don't see on the sides. Please take a focused history and perform a focused neurological exam in the next 10/15 minutes.
(Pituitary).

20. Sue Haung is 30 year old woman who had a car accident three days ago. She came to your office because of neck pain. Please
take a focused history and perform a focused neurological exam in the next 10/15 minutes. (Whip splash C-spine injury).

Renal OSCEs

Urinary tract infection/ Dysuria/ Frequency.

• Urethral/ penile discharge in males.

• Hematuria/ red urine/ blood in urine.

• Renal failure, acute and chronic.

• Protienurea.

• Hyperkalemia/ Hypokalemia

• Hypernatremia/ Hyponatremia.

• Impotence/ Erectile dysfunction.

• Incontinence.

• Benign prostatic hypertrophy.

• Prostatic cancer.

• Scrotal pain.

• Scrotal swelling/ mass.

• Hernias.

• Abnormal serum hydrogen ion concentration

1. Jasmine Corel is a 22 year old woman who comes to the emergency complaining of burning sensation with urination. In the
next 10/15 minutes take a focused history and perform a focused physical examination. (UTI).
 2. Jack William is a 70 year old man who comes to the emergency complaining of difficulty making his urine. In the next 10/15
minutes take a focused history and perform a focused physical examination. (UTI/ Prostate).

3. 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.. In the next 10/15 minutes take a focused history and perform a focused physical
examination. (Renal colic/ stone).

4. Sam Longwill is a 69 year old man who comes to your office because he saw blood in his urine. In the next ten minutes take a
focused history and perform a focused physical examination. (Hematuria).

5. 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. (Incontinence).

6. Andre Heatherford is a 19 year old male who comes to the walk-in clinic complaining of penile discharge. In the next 5/10/15
minutes talk to him. (Urethral/ penile discharge).

7. Anthony martin is a 43 year old man who presents to your office having a problem getting and maintaining erection. In the next
5/10/15 minutes talk to him. (Erectile dysfunction).

8. Eric Smith is a 82 year old man he comes to emergency complaining of problems with emptying his bladder. In the next 5/10/15
minutes talk to him. (Prostate).

9. Amy Davidson is a 61 year old woman who is a patient of your colleague Dr. Wong. She comes to your office complaining of
being unwell. Dr Wong sent for some investigations and she is here for the results. Her hemoglobin is 100, creatinine 1000, and
BUN 22.4. In the next 5/10/15 minutes talk to her. (Renal failure).

10. David Robert is a 64 year old man who is a patient of your colleague Dr. Wong. He comes to your office complaining of being
unwell. Dr Wong sent for some investigations and he is here for the results. His blood pressure is165/ 100, and creatinine 700.
In the next 5/10/15 minutes talk to her. (HTN/ Renal failure).

11. Andre Heatherford is a 19 year old male who comes to the walk-in clinic complaining of scrotal painful swelling. In the next
5/10/15 minutes take a focused history . (Scrotum

Common musculoskeletal OSCEs

• Back pain, acute and chronic.

• Siatica.

• Neck pain/ trauma.

• Ankylosing spondylitis.

• Joint pain/ any joint

• Osteoarthritis.

• Inflammatory arthritis/ Rheumatoid.

• Septic arthritis.

• Osteoporosis.

• Complete joint examination: Cervical and lumbar pain, shoulder, elbow, wrist, hip, knee, and ankle.

• Wound suturing.

1. Eric Samuel is 43 year old man who came to your office complaining of lower back pain for two days. Please take a focused
history and perform a focused physical examination in the next 10/15 minutes. (Back pain).

2. Cathy Smitherman is 62 year old woman who came to your office complaining of bilateral leg pain for years which getting worse
recently. Please take a focused history and perform a focused physical examination in the next 10/15 minutes. (Sciatica).
3. John Hamber is a 40 year old man who came to your office complaining of neck pain after a car accident two months ago.
Please take a focused history and perform a focused physical examination in the next 10/15 minutes. (Whip splash injury).

4. Michael Turner is 36 year old man who came to emergency because of a sudden right knee pain during football game. Please
take a focused history and perform a focused physical examination in the next 10/15 minutes. (Joint pain).

5. 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. (Joint pain).

6. Tony Andreson is 22 years old who came to your office because of right knee swelling. Please take a focused history and
perform a focused physical examination in the next 10/15 minutes. (Septic).

7. Elizabeth Johnson, a 55 year old woman, came to you office because of stiffness in her fingers. Please take a focused history in
the next 5/10/15 minutes. (Inflammatory).

8. Anthony Smith is a 65 year old man who came to your office complaining of right hip pain. Please take a focused history and
perform a focused physical examination in the next 5/10/15 minutes. (Joint pain).

9. Susan Rinker is a 55 year old woman who has been investigated by your colleague, Dr Mark Brown. She came to see you as
you are covering for Dr. Brown while he is away. The results of the bone density scan came back as 'Osteoporosis'. Please
counsel her and address her concerns in the next 5/10/15 minutes. (Osteoporosis).

10. Martin Brown is 42 year old man who came to your office complaining from pain in his right elbow after a playing golf. Please
take a focused history and perform a focused physical examination in the next 10/15 minutes. (Joint pain).

11. 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).
12. Please enter the room and perform a wound suturing in the next 5/10/15 minutes