Download OSCE Scenario: A 19-year-old University Student with Persistent Pelvic Pain and more Exams History in PDF only on Docsity! Year 3 Formative OSCE 2019 Station 1 Year 3 Formative OSCE 2019 Reading for Station 1 Candidate Instructions Clinical Scenario You are a 4th year medical student at GP placement. 19-year-old Jennifer has come to talk about her painful periods over the past 3 months. Task In a total of six (6) minutes: • Take a focused gynaecological history and any other relevant history At six (6) mins, you will be interrupted to: • Provide your top 2 differential diagnosis with your rationale and the relevant investigations you would like to order The examiner will assume the role of the GP in this scenario. Year 3 Formative OSCE 2019 Station 1 Simulated Patient Information Thank you for your time to volunteer as a simulated patient. The candidate has the following scenario and task Instructions for simulated patient You are Jennifer, a 19-year-old university student studying engineering. You came to the GP due to abdominal pain during your periods that began 3 months ago. Prior to this, you’ve always had normal ‘period cramps.’ It usually starts one day before your period and lasts throughout your period. Over the past 3 months the pain seems to be getting worse and the periods are getting longer, now lasting up to 8 days. The pain is constant and in your lower abdomen, not particularly on one a single side. At its worst, the pain is 8/10. You have tried using panadol and nurofen, but this has not given sufficient relief. You have found it quite difficult to concentrate at university, and have stayed at home most of the week of your period. During your period, you feel very tired and your abdomen feels bloated, but you don’t have any other symptoms. No intermenstrual bleeding and no vaginal discharge. No nausea/vomiting. No urinary or bowel symptoms. You had your first period when you were 12. Your cycles are usually 27-30days, with 5 days of menses requiring 5 pads a day. It has always been a relatively heavy flow. You have noticed some clots in the blood recently. Your last period was a week ago. You have never been pregnant. You have never had an STI. You have never had a cervical screening test. Mike is your stable partner of 2 years, and you are sexually active with him. You use condoms for contraception, but haven’t used it once or twice. If asked, you recently had a bit of pain and discomfort during penetrative sex. You have never had any other sexual partners. Past medical history: Nil Medication history: The only medication you take is panadol and nurofen for the period pain and headaches etc. You do not take the oral contraceptive pill. No allergies Clinical Scenario You are a 4th year medical student at GP placement. 19-year-old Jennifer has come to talk about her painful periods over the past 3 months. Task In a total of six (6) minutes: • Take a focused gynaecological history and any other relevant history At six (6) mins, you will be interrupted to: • Provide your top 2 differential diagnosis with your rationale and the relevant investigations you would like to order The examiner will assume the role of the GP in this scenario.
