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

Station - Instructions for candidate

You are an intern working in the Emergency Department of a metropolitan hospital in Perth.

Giulia Rossi, a 31-year-old hairdresser, has presented with a day of lower abdominal pain and some vaginal spotting. She had a positive home pregnancy test two weeks ago and calculates she is about seven weeks pregnant. The triage nurse has recorded her observations and a urine pregnancy test is positive. She is in a cubicle; your registrar has said she will perform the speculum and bimanual examination and will give you the findings when you reach that point.

Urine pregnancy test
Positive

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.

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.