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

Station - Instructions for candidate

You are a final-year medical student on placement in a general practice in Rockingham.

Reg Bartolo, a 74-year-old retired boilermaker from Rockingham, has booked a general practice appointment because of intermittent bright red bleeding from the back passage over several months. The patient believes this is a flare of previously diagnosed haemorrhoids and is asking about treatment. The patient also reports becoming less able to walk uphill.

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 beyond the examination described or write a prescription.

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.