AMC 2 Respiratory Medicine station practice

Example Respiratory Medicine stations in Vivora

• Acute shortness of breath

  You are a GP. Mica Mitchell, 34, has come in as an urgent same-day appointment. She is short of breath. The practice nurse recorded: SpO₂ 90% on room air, RR 24, HR 112 regular, BP 118/76, temp 36.9°C.

• Respiratory exam: exertional breathlessness

  You are a GP. Frank Delgado, 61, has two months of exertional breathlessness, gradually worsening. No significant medical history, no medications, never smoked, works in construction. You do NOT need to take any further history for this station.

• A severe asthma attack

  You are an ED resident. Chloe Bennett, 25, a known asthmatic, is acutely breathless and wheezy and can only speak in short phrases. Triage: RR 28, SpO₂ 93% on room air, HR 118, peak flow ~50% of her best.

• Cough, fever and chest pain

  You are a GP. Arthur Lewis, 72, has four days of a productive cough, fevers and sharp right-sided chest pain. His daughter, who brought him, says he has been more confused than usual since yesterday.

What examiners focus on in Respiratory Medicine stations

• A breathlessness or cough history that includes red flags like haemoptysis or weight loss
• A proper smoking history, including pack-years and interest in quitting
• Occupational and exposure history where relevant
• Clear escalation for any acutely breathless presentation

Common mistakes IMGs make in Respiratory Medicine stations

• Not asking about smoking or occupational exposure
• Missing red flags like haemoptysis or unintentional weight loss
• Forgetting to mention oxygen or urgent assessment for acute breathlessness

Why practise Respiratory Medicine out loud

Reading about a respiratory medicine presentation is not the same as running the station: taking a focused history, asking the examiner for findings, and giving a diagnosis and plan out loud, under time pressure. Vivora builds that fluency directly, so the real exam feels familiar rather than the first time you've said any of it aloud.