2 min reading · 15 min station · reminders at 2 min

Station - Instructions for candidate

You are a senior medical student on placement in the Emergency Department of Fiona Stanley Hospital.

Rosa Marchetti, a 64-year-old woman, is in the Emergency Department with 18 hours of colicky central abdominal pain, vomiting and increasing abdominal swelling. She has vomited several times since arriving.

Your tasks are to:

  1. Take a focused history.
  2. Perform a focused examination.
  3. Request any relevant investigations and interpret the results provided.
  4. Summarise your findings to the examiner with your most likely diagnosis and differential diagnoses.
  5. Outline your initial management plan to the examiner.
  • Please verbalise your examination to the examiner; findings will be provided on request.
  • You do not need to perform any procedure or prescribe in writing.

This is a 15-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.

Candidate view - instructions only. Open the full station for the patient script, the examiner pack and the marking sheet.