Location: You are a foundation doctor in general practice
Patient: 69 year old retired builder, who presents with a dull dragging discomfort in his right groin
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 69 year old man who presents to general practice with a 3 week history of a dull dragging discomfort in your right groin which is worse throughout the day.
If directly asked there is a swelling which is worse on standing but resolves when laying flat.