General practice · History

The sleepy truck driver - General practice

MediumYear 5 · Curtin style · 10 min + 2 min reading · 4 tasks

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

Station - Instructions for candidate

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

Gary Pratt, a 49-year-old interstate truck driver, has been sent in by his wife, who says he 'stops breathing in his sleep'. The practice nurse has recorded his observations and measurements.

Measurements
Weight 118 kg, height 176 cm, BMI 38. Neck circumference 46 cm.

Your tasks are to:

  1. Take a focused history.
  2. Explain your provisional diagnosis to Mr Pratt.
  3. Request any relevant investigations and interpret the results provided.
  4. Discuss your initial management plan with Mr Pratt.
  • You do NOT need to examine the patient; the examination findings are available from the examiner on request.
  • You do NOT need to summarise your findings to the examiner.

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.