General practice · History

Full after a few mouthfuls - General practice

MediumYear 5 · Curtin style · 10 min + 2 min reading · 4 tasks

Ready

2 min reading, 10 min station, warning at 2 min.

Station - Instructions for candidate

You are a final-year medical student on placement at a general practice in Victoria Park.

Mr Sung-min Park, a 63-year-old dry-cleaning business owner, has booked in with three months of indigestion. He has not been seen at the practice for two years. The practice nurse has recorded his observations and weight.

Nurse's note and practice recordIndigestion for 3 months. HR 88, BP 128/78, RR 16, SpO2 97% on room air, afebrile. Weight 62 kg today; 68 kg recorded two years ago. Smoker. No regular medications on file. Speaks English well; Korean is his first language.

Your tasks are to:

  1. Take a focused history.
  2. State your most likely diagnosis and differential diagnoses to the examiner.
  3. Request any relevant investigations.
  4. Discuss your initial management plan with Mr Park.
  • You do NOT need to examine the patient; the examination findings are available from the examiner on request.
  • You do NOT need to summarise your findings to the examiner.

This is a 10-minute station, with 2 minutes of reading time.

Ask the examiner

Say what you would examine or request, the way you would in the station. Nothing is named until you ask for it.

Whatever the examiner recognises is revealed below. Or pick a numbered item to reveal it blind.

Investigations

Ask for a category the way you would in the station: “Can I have the obs and a set of bloods?”

Examination

Say what you would examine and how; the examiner reports what you would find.

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