Location: You are an FY1 in A&E
Patient: 21 year old female patient has presented to A&E with pain on urination
– Take a focused history from the patient
– After 6 minutes 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 too 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 21 year old women, who has been feeling generally unwell for the past 2 days. You have noticed some pain when passing urine. You have been voiding a lot more than usual. There is no blood and you have not had any fevers / night sweats / nausea or vomiting. You have never had anything like this before.
You are not currently sexually active. You had an STI check 3 weeks ago which was negative. You are not experiencing any discharge or abnormal PV bleeding. Your last period was 2 weeks ago and your cycles are regular.
PMH: – No past medical history – No previous operations
DH: – No regular medications – No known drug allergies
SH – You do not smoke but use a ‘vaper’ / e-cigarette – You drink 2 bottles of rose per week – You live with your parents – You work for a local charity in the social media department
If the candidate appears to have finished early remind them how long is left at the station and enquire if there is anything else they would like to ask, or whether they have finished. If they have finished, please remain silent and allow the candidate that time for reflection.