Surgery & perioperative · History + examination

Loin pain and cannot sit still - Emergency Department

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

Ready

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

Focus the timer and press Space to start or pause.

Station - Instructions for candidate

You are an intern working in the Emergency Department of a metropolitan hospital in Perth. It is 9 am.

Khoa Dinh, 38, is in a cubicle and will not settle. His partner drove him in. The triage note, observations and dipstick are on your sheet.

Triage note (9 am)	38 M, 82 kg. Sudden severe R loin pain from 6 am, comes in waves, spreading to the groin. Vomited x2. Says urine was pink. No fever. No medical history, no medicines, NKDA. Urine dipstick: blood 3+, leucocytes negative, nitrites negative. Category 3. Cannula sited.
Observations	HR 104 /min, BP 146/88 mmHg, RR 20 /min, SpO2 98% on room air, T 36.9 degrees C, pain 10/10

Your tasks are to:

Take a focused history.
Perform a focused examination of the abdomen and flanks, including the groins and testes; describe to the examiner what you are looking for and the findings will be provided. Interpret the urine dipstick.
Request any investigations you consider necessary; the examiner will provide results where appropriate. State your most likely diagnosis and the differential diagnoses to the examiner.
Outline your initial management plan to the examiner, including drugs with doses, the criteria that would change your plan, and the discharge advice you would give.

You do NOT need to summarise your findings to the examiner.
The genital examination is described, not performed; the examiner will give the findings.
Plan the station: about 3 minutes for the history, 2 for the examination, and 5 for the investigations, diagnosis and plan.

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

Ask the examiner

Say what you want out loud, then open it below. Each result stays hidden until you reveal it.

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

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

Once you have acted, ask how the patient has responded.

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

Tasks

Take a focused history.
Perform a focused examination of the abdomen and flanks, including the groins and testes; describe to the examiner what you are looking for and the findings will be provided. Interpret the urine dipstick.
Request any investigations you consider necessary; the examiner will provide results where appropriate. State your most likely diagnosis and the differential diagnoses to the examiner.
Outline your initial management plan to the examiner, including drugs with doses, the criteria that would change your plan, and the discharge advice you would give.