Location: You are a junior doctor on the acute medical take
Patient: A 65 year old gentleman presents to hospital with acute onset weakness
– 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 65 year old supplies company business owner, who developed sudden onset left leg weakness 1 hour ago. You first noticed this when you got up to walk to the printer and you were struggling to walk. Your business partner said you were struggling to talk right as well so he called and ambulance and you were brought into A&E. You think the whole thing is a bit silly because it feels like you’ve crossed your leg over and it has “gone to sleep”
You only give information if prompted:
You think the whole thing is a bit silly because it feels like you’ve crossed your leg over and it has “gone to sleep.”
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.