Location: You are an F1 junior doctor in A&E working with the ENT team
Patient: Patient has presented to A&E with a sore throat
Task: – Take a focused history from the patient – After 6 minuets you will be asked a series of questions by the examiner – Answer any questions that the patient may have
Note to actor: Try to restrain yourself from volunteering to much information – you may do so when prompted (that is, by a specific question, not a general one). If a student is on the wrong line of clinical reasoning do not fuel this line of thinking, state no to the question as being ambiguous may prompt further questioning and does not allow the student to be appropriately tested. The aim of the exercise is to take a focused history; short answers are required.
You are a 17 year old male / female who has attended A&E with a sore throat. This began 5 days ago and has been getting worse. If asked the swelling is on both sides at the back of the throat. It is extremely painful to swallow and you have been spitting out your saliva into a cup. You have had tonsillitis before but nothing as bad as this. If asked you feel extremely tired and have found it extremely difficult to get out of bed and have been unable to attend collage.
You have seen your GP 2 days ago and prescribed some medications but have been unable to swallow the tablets given as they are too big and you cannot even swallow water. If asked you cannot remember what the doctor was treating.
You do not regularly see your doctor about anything and have not had any past operations. You do not take any regular medications and do not have any drug allergies
You do not drink or smoke
Nothing like this runs in your family.