Confusion and agitation overnight - Hospital ward

CurtinYear 515 min + 2 min readingGeriatricsStandardPre-internship
  • Focused history
  • Request investigations
  • Dx + differentials
  • Initial Mx
  • Geriatric assessment
  • Summary to examiner

Ready

2 min reading, 15 min station, warning at 2 min

Focus the timer and press Space to start or pause.

Station - Instructions for candidate

You are an intern on the medical ward of a Perth metropolitan hospital.

Neha/Sanjay Iyer, an 82-year-old, underwent elective left hip replacement three days ago. The patient's daughter has come to the ward and will speak with you about her concerns.

Current vital signsHR 84 regular, BP 128/76 mmHg, RR 18, SpO2 97% on room air, temperature 36.8 C

Your tasks are to:

  1. Take a focused collateral history from the daughter about what she has observed and the patient's background.
  2. Request appropriate investigations.
  3. State your most likely diagnosis and two or three key differentials.
  4. Outline your initial management plan, including how you will investigate the cause and address immediate concerns.
  5. Summarise your findings and recommendations to the examiner.
  • The patient is not in the room; you will take collateral history from the family member only.
  • Findings and results will be provided by the examiner when appropriately requested.
  • Please verbalise your examination findings and interpretation to the examiner.

This is a 15-minute station, with 2 minutes of reading time.

Ask the examiner

Solo practice: say out loud what you would ask for, then choose the category. Names appear only after you commit, and a result is revealed only when you ask for it.

Generated by AI for practice; check doses and pathways against eTG / AMH before relying on them.