Women's health · History

Bleeding ten years after the periods stopped - GP

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

2 min reading · 10 min station · reminders at 2 min

Station - Instructions for candidate

You are a final-year medical student on placement in a general practice in Balcatta. The GP has asked you to see the next patient and report back; the GP will perform any intimate examination.

Despina Georgiou, 63, has booked because of something she noticed this month.

Your tasks are to:

  1. Take a focused history.
  2. Describe to the examiner the examination you would perform.
  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.
  • You do NOT perform the examination; describe it to the examiner and you will be given the GP's findings.

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.

After treatment

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