Mental health · History

Losing weight and still too big - GP

HardYear 5 · Curtin style · 15 min + 2 min reading · 5 tasks

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 Willetton. The GP has asked you to see the next patient and report back.

Jia Zhang, 17, has been brought in after collapsing at home earlier today. The person who brought her in has agreed to wait outside for the first part of the consultation.

Last recorded weight
60 kg (BMI 21.3), at a visit eight months ago

Your tasks are to:

  1. Take a focused history from the young person.
  2. Present the mental state examination and your risk assessment to the examiner.
  3. Request any relevant investigations and interpret the results provided.
  4. State your most likely diagnosis and differential diagnoses to the examiner.
  5. Outline your initial management plan to the examiner.
  • You do NOT need to perform a physical examination; the observations and any further findings are available from the examiner 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.

After treatment

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