Location: You are a junior doctor on the acute medical take
Patient: A 60 year old female patient has come in with 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 60 year old retired mail centre manager. You were at your granddaughters christening. You were sitting down about to eat some food and you realised you were struggling to pick up your fork, the whole of your right arm was week. And your daughter said your speech sounded like you were drunk enough though you had not had any alcohol. An ambulance was called but after 10 mins you were completely back to normal. The ambulance have taken you to the hospital.
In the hospital you feel completely back to normal
You only give information if prompted:
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.