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Candidate
Actor
Mark Scheme
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Station 1

You have been asked to see this 55 year old Aliya Ahmed who has attended accident and emergency complaining of severe headaches. 

 

  • Take a focused history 

  • Discuss your management plans with this patient

Aliya Ahmed

55 year old 

Pharmacist

You are sitting looking downwards while speaking to the candidate. When asked what you have come in for today you are very teary and find it difficult to speak. You are complaining of this really bad headache. It is affecting both sides of your temples. Point towards it when you mention the area. When asked about onset you mention it appeared 5 weeks ago but has gradually worsened. The headache was at its worst last night and you could not handle it. If asked about vision, you cannot see out of your right eye. This has never happened before. You also experience pain when eating around your jaw, only reveal this once asked about your jaw. You deny any neck stiffness, no rashes, no speech difficulties and no coordination issues. If asked about scalp tenderness you mention you are unable to sleep on the right side and it is very tender, like someone pulled your hair out. 

 

You are concerned something more serious than a headache is going on. You have tried several tablets from your GP which all have not worked. You expect to get a brain scan today as soon as possible.

Past Medical history

Eczema, Allergic Rhinitis 

Past surgical History  

Nil

Drug history

Fexofenadine 120mg 

NKDA

Social history

Non smoker, non-drinker

 

Family History

 

Nil 

 

Any Questions - How will I be treated? 

Category

Question

Introduction

History of presenting complaint

Explore neurological related symptoms

System review

Past Medical History

Drug History

Social History

Family History

ICE

Summarise

End

Submit

Pass

100%

Your Score

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