2 min reading · 8 min station · reminders at 1 min
2 min reading · 8 min station · reminders at 1 min
Instructions
You are an intern on the orthopaedic ward. It is 3 am, and the nurse has called you to see Giulia Caruso, 74, the night after her right knee replacement, who is hard to rouse and breathing slowly, with pauses.
1
Assess and manage the patient using an A to E approach
2
Outline to the examiner:
Your most likely diagnosis
Next steps in management, including relevant investigations
A nurse is at the bedside and will carry out your instructions; describe procedures and painful stimuli rather than doing them
You do not need to take a full history
You do not need to summarise your findings
Observations at 3 am
RR 6 with pauses, SpO2 84% on room air, HR 58, BP 104/60, T 36.8; weight 58 kg
Practising alone? Ask the examinerFindings appear only when you ask for them
Investigations
Examination
After treatment
ChoiceHub writes these stations itself, from the ground up, across a wide range of clinical topics. They are not official exam material, and no university has written, reviewed or endorsed them. “Recommended for” only suggests the year and exam format a station suits.
