8/11/2019 Ten-minute History-taking and Physical Examination Station Example

http://slidepdf.com/reader/full/ten-minute-history-taking-and-physical-examination-station-example 1/2

10/3/2014 Ten-minute history-taking and physical examination station example | Medical Council of Canada | Le Conseil médical du Canada

http://mcc.ca/examinations/ten-minute-history-taking-and-physical-examination-station-example/ 1/2

Examinations > Ten-minute history-taking and physical examination station example

Ten-minute history-taking and physical examination 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.

What   the candidate does

Download the video clip of a candidate in this station

What the examiner completes

Examiner checklistFill in the bubble for each item completed satisfactorily

  1. Elicits history of pain

  - time of onset

  - quality

  - location

  - intensity

  - radiation

  2. Asks about associated symptoms

  - nausea

  - presence of vomiting

  - fever or chills

  3. Elicits past history

  - episodes of similar pain

  - previous surgery

  - medication

4. Drapes patient appropriately [i.e., breast and pubic areas covered]

5. Inspects abdomen

6. Auscultates abdomen

 7 . Percusses abdomen [slight increase in pain]

 8. Lightly palpates each quadrant [RLQ is tender]

 9. Deeply palpates each quadrant [RLQ is tender, Rovsing is positive] 

10. Attempts to elicit signs of peritoneal irritation [any of guarding, percussion tenderness OR rebound]

11. Initiates inguinal region examination [EXAMINER, report: Normal, please move on]

12. Asks for results of rectal examination [EXAMINER, report: Mild tenderness on right side]

If UNSATISFACTORY, please specify why:

Inadequate medical knowledge and / or provided misinformation

Could not focus in on this patient’s problem

Demonstrated poor communication and / or interpersonal skills

 Actions taken may harm this patient

 Actions taken may be imminently dangerous to this patient

Other: __________________________________________________________ 

Did this candidate demonstrate a lapse in professional behaviour?  Yes No

Disrespectful to others (e.g., to patient, nurse)

Over-investigated / over-managed the patient

 Actions raised ethical and / or legal concern

8/11/2019 Ten-minute History-taking and Physical Examination Station Example

http://slidepdf.com/reader/full/ten-minute-history-taking-and-physical-examination-station-example 2/2

10/3/2014 Ten-minute history-taking and physical examination station example | Medical Council of Canada | Le Conseil médical du Canada

http://mcc.ca/examinations/ten-minute-history-taking-and-physical-examination-station-example/ 2/2

Briefly describe the behaviour for any of the above reasons or any other observed lapse : __________________________________________________________________________