Ten-minute history-taking and physical station example
What the candidate reads
Candidate’s Instructions
Lynne Black, 20 years old, presents to the Emergency Department with a 16-hour history of abdominal pain.
In the next 10 minutes, obtain a focused and relevant history and conduct a focused and relevant physical examination.
As you proceed with the physical examination, explain to the examiner what you are doing and describe any findings.
Give one (1) label to the examiner.
What the candidate does
Download the video clip of a candidate in this station
What the examiner completes
| Examiner’s Checklist Fill in the bubble for each item completed satisfactorily |
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1. |
Elicits history of pain |
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- time of onset |
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- quality |
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- location |
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- intensity |
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- radiation |
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2. |
Asks about associated symptoms |
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- nausea |
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- presence of vomiting |
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- fever or chills |
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3. |
Elicits past history |
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- episodes of similar pain |
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- previous surgery |
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- medication |
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4. |
Drapes patient appropriately [i.e., breast and pubic areas covered] |
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5. |
Inspects abdomen |
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6. |
Auscultates abdomen |
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7. |
Percusses abdomen [slight increase in pain] |
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8. |
Lightly palpates each quadrant [RLQ is tender] |
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9. |
Deeply palpates each quadrant [RLQ is tender, Rovsing is positive] |
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10. |
Attempts to elicit signs of peritoneal irritation [any of guarding, percussion tenderness OR rebound] |
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11. |
Initiates inguinal region examination [EXAMINER, report: Normal, please move on] |
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12. |
Asks for results of rectal examination [EXAMINER, report: Mild tenderness on right side] |
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Did the candidate respond satisfactorily to the needs/problem(s) presented by this patient? |
If unsatisfactory, please specify why: |
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Satisfactory
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Unsatisfactory
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Do you have concerns regarding this candidate's ethical and/or professional behavior? |
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