10/3/2014 Ten-minute history-taking and physical examination station example | Medical Council of Canada | Le Conseil mdical du Canada

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Examinations > Ten-minute history-taking and physical examination station example
Ten-minute history-taking and physical examination station example
What the candidate reads
Candidates instructions
Lynne Black, 20 years old, presents to the Emergency Department with a 16-hour history of abdominal pain.
In the next 10 minutes, obtain a focused and relevant history and conduct a focused and relevant physical examination.
As you proceed with the physical examination, explain to the examiner what you are doing and describe any findings.
What the candidate does
Download the video clip of a candidate in this station
What the examiner completes
Examiner checklist
Fill in the bubble for each item completed satisfactorily
1. Elicits history of pain
- time of onset
- quality
- location
- intensity
- radiation
2. Asks about associated symptoms
- nausea
- presence of vomiting
- fever or chills
3. Elicits past history
- episodes of similar pain
- previous surgery
- medication
4. Drapes patient appropriately [i.e., breast and pubic areas covered]
5. Inspects abdomen
6. Auscultates abdomen
7. Percusses abdomen [slight increase in pain]
8. Lightly palpates each quadrant [RLQ is tender]
9. Deeply palpates each quadrant [RLQ is tender, Rovsing is positive]
10. Attempts to elicit signs of peritoneal irritation [any of guarding, percussion tenderness OR rebound]
11. Initiates inguinal region examination [EXAMINER, report: Normal, please move on]
12. Asks for results of rectal examination [EXAMINER, report: Mild tenderness on right side]
If UNSATISFACTORY, please specify why:
Inadequate medical knowledge and / or provided misinformation
Could not focus in on this patients problem
Demonstrated poor communication and / or interpersonal skills
Actions taken may harm this patient
Actions taken may be imminently dangerous to this patient
Other: __________________________________________________________
Did this candidate demonstrate a lapse in professional behaviour? Yes No
Disrespectful to others (e.g., to patient, nurse)
Over-investigated / over-managed the patient
Actions raised ethical and / or legal concern
10/3/2014 Ten-minute history-taking and physical examination station example | Medical Council of Canada | Le Conseil mdical du Canada
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Briefly describe the behaviour for any of the above reasons or any other observed lapse :
__________________________________________________________________________