Breathlessness station 1

candidate brief

actor brief

Orthopnea
Progressive

PMH: hypertension
DHx: amlodipine, ramipril, omeprazole
NKDA

Smoking: 10/day for last 30 years
Social alcohol use
Nil recreational drugs

examiner brief

Not seen doctor for last 6 years

  • Washes hands, introduces self
  • Confirms patient identity
  • Checks patient comfort before starting
  • Asks pertinent history
    • Exertional nature
    • Wheeze, reversibility
    • Orthopnea
    • TLOC
    • Infective symptoms
  • Past medical history
  • Drug history and allergies
  • Social history
  • Explains differentials
  • Explains need to examine patient
  • Appropriate management plan
  • Appropriate investigations
    • ECG
    • CXR
    • Bloods including BNP
    • Echo
  • Invites questions
  • Addresses patient concerns
  • Global mark examiner
  • Global mark patient