Shadowing Practice: Respiratory Examination | OSCE Guide | UKMLA | CPSA | PLAB 2 - Learn English Speaking with Video
Ders oluşturuluyor...
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Hello, my name is Hassan.
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I'm one of the final year medical students.
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Can I start by checking your name please?
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Ollie Walker.
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And what's your date of birth?
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6th of March 94th.
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Okay, Ollie.
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Today I've been asked to perform a respiratory examination on you.
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This involves having a look, listen and feel of your chest.
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Is that alright?
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Yes.
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Before we begin can I check do you have any pain?
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No, no one at all.
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Good.
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If you could take off your t-shirt for me and get onto the examination couch we'll make a start.
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Okay Oli, I'm just gonna have a look at you from the end of the bed.
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Now I'm going to have a look at your hands.
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If you could just hold them out in front of you like so.
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Turn them over.
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Hold your fingers together like that.
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That's good.
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And if you just extend your arms out like that, just hold it there.
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Cock your wrists back.
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Just keep them in that position.
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That's good.
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Pop your arms down.
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Just going to assess the temperature.
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All right, now I'm going to take your pulse.
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Alright, next I'll get you to rest your head back and turn away from me.
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I'm going to have a look at your neck.
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Okay Ollie, I'm just going to take a closer look at your face.
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I'm just going to pull your lower eyelid down here.
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Open your mouth for me and stick your tongue to the roof of your mouth.
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You can close close your mouth now it's going to take
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a closer look at your chest could you raise this arm up just
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so i can have a look at the side
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and the same with you there on please you can put
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that back down thank you now i'm going to feel for
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the position of your windpipe this might feel a bit uncomfortable Now I'm going to feel for your heartbeat.
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Now I'm going to assess the expansion of your chest.
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To do this I'm just going to have to squeeze a bit, okay?
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Take a deep breath for me. And out.
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Okay, that's good.
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Now I'm going to tap on your chest.
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Tap on the side there.
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Now I'm going to listen to your chest, so take some deep breaths in and out through your mouth.
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I'm just going to have a listen at the sides.
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Next I'm going to listen at all the same sides, but I'd like you to say 99 every time the stethoscope touches your chest.
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99. 99.
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99 99 99 99
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99 99 99 99 99 99
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99. Okay, Ollie, next can you sit forward for me?
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I'm just going to examine the glands in your neck just while standing behind you.
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Okay, now I'm just going to have a look at your back.
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Now take a deep breath in for me. And out.
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again and out.
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Okay, I'm going to tap on your back now.
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Before I do that, if you could cross your arms over your chest for me.
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Thank you.
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Okay, now I'm going to listen to your breathing again.
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So if you take some deep breaths in and out through your mouth.
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you Thank
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you.
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Next, I'm going to listen again, but this time, every time the stethoscope touches your back, I want you to say 99, please.
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99, 99, 99, 99, 99, 99, 99, 99, 99.
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Thank you.
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Now, I'm going to press firmly at the bottom of your back.
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okay Ollie you can uncross your arms and sit back now I'm going to examine your legs and ankles
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I'm just going to press firmly here on this side
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I'm going to squeeze your carbs, let me know if it's painful.
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Thank you. That concludes the examination.
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You can get addressed now.
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Today I performed a respiratory examination on Ollie Walker, a 30 year old man.
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He was comfortable at rest, his pulse was regular at 75 beats per minute and his respiratory rate was 15 breaths per minute.
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Chest expansion was equal throughout,
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the percussion note was resonant in all areas and on auscultation he had normal vesicular breathing throughout with no added sounds.
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In summary all of these findings are consistent with a normal respiratory examination.
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To complete my assessment, I would perform a full cardiovascular examination and I would check vital signs including oxygen saturations.
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Check out the GeekyMedics collection of over 1,000 OSCE stations.
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You can practice with friends using our group study mode or chat with our amazing AI-powered virtual patients.
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Bu dersin kelimeleri ve konuşma notları
Bu videoda gölgeleme çalışması için 76 cümle ve 738 kelime var. Konuşma bölümü 9:49 sürüyor. Konuşmacı yavaş konuşuyor, dakikada yaklaşık 75 kelime; her sesi taklit etmek için zamanınız var. Kelimelerin yalnızca %81’i İngilizcede en sık kullanılan 3.000 kelime arasında, bu yüzden kelime dağarcığı zorlayıcı.
Bu videodaki önemli kelimeler
Videodan daha az kullanılan 15 kelime, telaffuzu ve anlamıyla:
- examination /ɪɡˌzæm.ɪˈneɪ.ʃən/ (isim) — imtihan etmek, sınav yamak. The act of examining.
- breathe /bɹiːð/ (fiil) — nefes alıp vermek, solumak. To draw air into (inhale), and expel air from (exhale), the lungs in order to extract oxygen and excrete waste gases.
- respiratory /ɹɪˈspɪ.ɹət.ə.ɹi/ (sıfat) — solunumsal, respiratuar. Relating to respiration or the organs of respiration; breathing.
- examine /ɪɡˈzæmɪn/ (fiil) — muayene etmek. To observe carefully or critically to learn about someone or something.
- assess /əˈsɛs/ (fiil) — değerlendirmek. To determine, estimate or judge the value of; to evaluate; to estimate.
- pulse /pʌls/ (isim) — nabız. A normally regular beat felt when arteries near the skin (for example, at the neck or wrist) are depressed, caused by the heart pumping blood through them; the…
- squeeze /skwiːz/ (fiil) — sıkmak, sıkıştırmak. To apply pressure (to something) from two or more sides at once.
- finger /ˈfɪŋɡɚ/ (isim) — parmak. A slender jointed extremity of the human hand, (often) exclusive of the thumb, and the corresponding part, irrespective of including a thumb, in many other…
- vital /ˈvaɪtəl/ (sıfat) — yaşamsal. Relating to or characteristic of life.
- summary /ˈsʌm.ə.ɹi/ (isim) — özet, fezleke. An abstract or a condensed presentation of the substance of a body of material.
- extend /ɛkˈstɛnd/ (fiil) — genişletmek. To increase in extent.
- virtual /ˈvɜɹt͡ʃuəl/ (sıfat) — sanal. In effect or essence, rather than in fact or reality; also, imitated, simulated.
- oxygen /ˈɑksɪd͡ʒən/ (isim) — oksijen, müvellidülhumuza. The chemical element (symbol O) with an atomic number of 8 and relative atomic mass of 15.9994. It is a colorless and odorless gas. Sometimes called elemental…
- cock /kɑk/ (isim) — horoz. A rooster: a male gallinaceous bird, especially a male domestic chicken (Gallus gallus domesticus).
- uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/ (sıfat) — rahatsız. Not comfortable; causing discomfort.
Duyacağınız deyimsel fiiller
- look at (fiil) — bakmak. To observe or watch.
- check out (fiil) — gözden geçirmek. To record the departure or withdrawal of someone or something (such as guests, employees, books, etc.).
Dikkat edilecek telaffuzlar
Konuşmacı I'm, gonna, I'd gibi kısaltılmış biçimleri 29 kez kullanıyor. Bunları duyduğunuz gibi kısa söyleyin.
- “th” sesleri: breathe /bɹiːð/, stethoscope /ˈstɛθəsˌkoʊp/
- “sh” ve “zh” sesleri: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, auscultation /ˌɔːskəlˈteɪʃən/, percussion /pɚˈkʌʃən/
- Uzun kelimeler — vurguyu doğru yere koyun: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, respiratory /ɹɪˈspɪ.ɹət.ə.ɹi/, uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, cardiovascular /ˌkɑːdi.əʊˈvæskjʊlə(ɹ)/, auscultation /ˌɔːskəlˈteɪʃən/
Bu videoyla nasıl çalışılır
- Videonun tamamını konuşmadan bir kez dinleyin ve bilmediğiniz kelimeleri not edin.
- Normal hızda cümle cümle tekrar edin; ritminiz konuşmacıyla aynı olana kadar her cümleyi yineleyin.
- Kendinizi kaydedin ve orijinaliyle karşılaştırın; examination, breathe, respiratory gibi kelimelere özellikle dikkat edin.
Gölgeleme Tekniği Nedir?
Gölgeleme, başlangıçta profesyonel tercüman eğitimi için geliştirilen ve çok dilli Dr. Alexander Arguelles tarafından popüler hale getirilen, bilim destekli bir dil öğrenme tekniğidir. Yöntem basit ama güçlüdür: ana dili İngilizce olan bir sesi dinler ve hemen yüksek sesle tekrar edersiniz — konuşmacıyı 1-2 saniye gecikmeyle takip eden bir gölge gibi. Pasif dinleme veya dilbilgisi alıştırmalarının aksine, gölgeleme beyninizi ve ağız kaslarınızı gerçek konuşma kalıplarını eşzamanlı olarak işlemeye ve yeniden üretmeye zorlar. Araştırmalar, telaffuz doğruluğu, tonlama, ritim, bağlı konuşma, dinleme anlama ve konuşma akıcılığını önemli ölçüde geliştirdiğini göstermektedir — bu da onu IELTS Konuşma hazırlığı ve gerçek dünya İngilizce iletişimi için en etkili yöntemlerden biri yapar.