Station - Instructions for candidate
You are a junior doctor working in a general practice in Perth.
Majok Deng, a 23-year-old university student, has booked a standard appointment. The booking note says 'burning when passing urine, one week'. He is otherwise well. The practice nurse has recorded his observations, and your supervising GP has already examined him and recorded the findings below because he was embarrassed and asked for the examination to be done first.
| Observations (practice nurse) | Temperature 36.8 degrees C, heart rate 74 /min, blood pressure 122/76 mmHg |
|---|---|
| Examination findings (supervising GP) | Mild redness of the urethral meatus with a small amount of clear mucoid discharge on milking. Testes and epididymes normal and non-tender. No genital ulcers, warts or rash. No inguinal lymphadenopathy. Joints, eyes and skin normal. |
Your tasks are to:
- Take a focused history, including a sexual history and risk assessment.
- Request the investigations you would arrange. The examiner will provide results where they are available today.
- State your most likely diagnosis and the differential diagnoses to the examiner.
- Explain to Mr Deng your initial management, including treatment, advice about sexual contact and partners, and follow-up.
- You do NOT need to examine the patient; the findings above are available to you.
- You do NOT need to summarise your history to the examiner.
- You do not need to write a prescription in this station, but state drug, dose, route and duration.
This is a 15-minute station, with 2 minutes of reading time.