Practise the AMC Clinical Examination with a simulated patient

28 of 28 stations

• MedicineIntermediateRecommended

  

  Acute Chest Pain — Emergency Department

  You are an RMO in the emergency department. John Smith, a 52-year-old man, is waiting to see you about chest pain. Take a focused history, formulate a differential diagnosis, and discuss your initial management plan with him.

  John Smith, 52, male

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• MedicineFoundation

  

  Type 2 Diabetes — Poor Glycaemic Control

  You are a GP registrar in a suburban general practice. Anita Rao, aged 61, has returned to discuss an HbA1c of 9.2%. Explore barriers to her current treatment, request and interpret any relevant available results, and negotiate a safe management plan with her.

  Anita Rao, 61, female

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• PaediatricsIntermediate

  

  The Febrile Toddler

  You are an RMO in a paediatric emergency department. Sarah Lang is waiting with her 18-month-old daughter, Ivy, who is unwell. Take a focused history from Sarah, explain your assessment and provide safety-netting advice.

  Sarah Lang, 33, female, answering for her daughter Ivy, 18 months

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• PaediatricsFoundation

  

  Childhood Asthma — Action Plan

  You are a GP registrar in a general practice clinic. Tom Beckett attends with his 9-year-old son, Charlie, for review of recurrent breathing symptoms and medication use. Take a focused history of Charlie’s symptom control, explain the likely diagnosis, and discuss ongoing management, including the advice and written plan you would provide for worsening symptoms.

  Tom Beckett, 41, male, answering for his son Charlie, 9

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• PsychiatryAdvanced

  

  Low Mood with Risk Assessment

  You are a GP registrar in a suburban general practice. Peter Nyland, aged 47, is waiting to see you. Conduct a focused psychiatric history, including a suicide and self-harm risk assessment, and then present your mental state examination findings to the examiner.

  Peter Nyland, 47, male

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• PsychiatryAdvanced

  

  First Episode Psychosis

  You are a psychiatry registrar in the emergency department. Zoe Harker, aged 21, has been brought in by her flatmate because of recent unusual behaviour. Take a focused history, present your mental state examination findings to the examiner, and explain the immediate next steps to Zoe.

  Zoe Harker, 21, female

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• SurgeryIntermediate

  

  Right Iliac Fossa Pain — Surgical Assessment

  You are the surgical RMO. Mr. Daniel Okafor, aged 24, presents with 18 hours of migratory abdominal pain. Take a focused history, describe your examination to the examiner, and outline your investigations.

  Daniel Okafor, 24, male

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• SurgeryAdvanced

  

  Day 3 Post-operative Fever

  You are an RMO covering the surgical ward overnight. Helen Whitcombe, aged 68, is awaiting your review after nursing staff reported that she has become unwell. Take a focused history. You will then be asked to present your focused examination, interpret the immediate investigation results provided, and outline your initial management and escalation.

  Helen Whitcombe, 68, female

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• Women's HealthFoundation

  

  Antenatal Booking Visit

  You are a GP in a suburban general practice clinic. Ms Leila Haddad, aged 29, is waiting for an initial pregnancy appointment. Take a focused antenatal booking history and counsel her about routine antenatal screening.

  Leila Haddad, 29, female

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• Women's HealthIntermediate

  

  Abnormal Cervical Screening Result

  You are a GP registrar in a metropolitan general practice. Grace Tuiletufuga, aged 34, has returned to discuss an abnormal cervical screening test result. Explain the result and discuss the recommended next steps with her.

  Grace Tuiletufuga, 34, female

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• Women's HealthIntermediate

  

  Lower Abdominal Pain and Vaginal Discharge — General Practice

  You are an RMO working in a metropolitan general practice. Sarah Nguyen, a 26-year-old woman, is waiting to discuss a new women's health concern. Take a focused history, describe to the examiner the relevant examination you would perform, request appropriate investigations, and discuss your likely diagnosis and management with Sarah.

  Sarah Nguyen, 26, female

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• MedicineIntermediate

  

  Acute Right Knee Pain — Emergency Department

  You are an RMO in the emergency department. David Collins, a 57-year-old man, is waiting to see you with a new joint problem. Your task is to take a focused history, describe to the examiner the relevant examination you would perform, request appropriate investigations, and present your provisional diagnosis.

  David Collins, 57, male

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• PaediatricsIntermediate

  

  Infant With Cough and Breathing Difficulty — Emergency Department

  You are an RMO in the emergency department. Chloe Morgan is waiting with her 6-month-old son, Toby, who has become acutely unwell. Take a focused history from Chloe, describe the examination you would perform and request any relevant findings, then discuss your likely diagnosis and immediate management with the examiner.

  Chloe Morgan, 29, female, answering for her son Toby Morgan, 6 months

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• MedicineIntermediate

  

  Progressive Change in Bowel Habit — General Practice

  You are a GP in a suburban general practice. Robert Walker, a 61-year-old man, has booked an appointment because of a persistent change in his bowel habits. Take a focused history, explain your concerns to Robert, and discuss appropriate investigations and next steps.

  Robert Walker, 61, male

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• MedicineIntermediate

  

  Acute Confusion in an Older Man — General Practice Clinic

  You are a GP registrar in a suburban general practice clinic. Sarah Jenkins, the daughter of 78-year-old Arthur Jenkins, is waiting to speak with you about concerns regarding her father, who has been brought to the clinic. Take a focused collateral history, describe the relevant examination you would perform and request appropriate findings from the examiner. You will then be asked to discuss your provisional diagnosis, investigations and immediate management with the examiner.

  Sarah Jenkins, 49, female, answering for her father Arthur Jenkins, 78

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• Women's HealthIntermediate

  

  Severe Headache in Late Pregnancy — Maternity Assessment Unit

  You are an RMO in the maternity assessment unit. Emma Walsh, a 31-year-old pregnant woman, has presented for an unscheduled review because she has felt unwell since yesterday. Take a focused history and request relevant observations and investigations from the examiner. You will then be asked to give the examiner your provisional diagnosis and immediate management priorities.

  Emma Walsh, 31, female

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• MedicineAdvanced

  

  Rapidly Progressive Painful Rash — Emergency Department

  You are an RMO in the emergency department. Lucas Bennett, a 24-year-old university student, is waiting with a new rash. Take a focused history, describe the focused examination you would perform, request relevant investigations from the examiner, and present your provisional diagnosis and immediate management priorities.

  Lucas Bennett, 24, male

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• MedicineIntermediate

  

  Progressive Unilateral Hearing Loss — ENT Outpatient Clinic

  You are an RMO in an ear, nose and throat outpatient clinic. Bob Mitchell, a 68-year-old retired civil engineer, has been referred by his GP because of a change in his hearing. Take a focused history and, when prompted, describe the relevant examination and request the findings from the examiner. Then present your likely diagnosis and outline the appropriate investigations and initial management to the examiner.

  Bob Mitchell, 68, male

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• MedicineIntermediate

  

  Progressive Fatigue and Abnormal Blood Glucose — General Practice

  ou are a GP registrar in a suburban general practice. Jonathan Miller, aged 42, is waiting to discuss several ongoing health concerns and recent blood test results. Take a focused history, request relevant investigation results from the examiner, explain the likely diagnosis to Jonathan, and discuss the immediate next steps.

  Jonathan Miller, 42, male

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• MedicineIntermediate

  

  Exertional Calf Pain — General Practice

  You are a GP registrar in a suburban general practice. Frank Doyle, a 66-year-old retired truck driver, has presented with a recurring problem affecting his right leg. Take a focused history, describe the relevant examination you would perform, and discuss your likely diagnosis and initial management plan with Frank.

  Frank Doyle, 66, male

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• MedicineIntermediate

  

  Sudden Painful Red Eye — Emergency Department

  You are an RMO in the emergency department. Brenda Walsh, a 52-year-old woman, is waiting to see you about an eye problem. Take a focused history, describe to the examiner the focused examination you would perform and request the relevant findings, then present your provisional diagnosis and immediate management plan.

  Brenda Walsh, 52, female

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• General PracticeIntermediate

  

  New-Onset Shoulder and Hip Stiffness — General Practice

  You are the GP in your own consulting room. Maggie Collins, a 68-year-old retired schoolteacher, has made an appointment about a new health concern. Take a focused history, describe the relevant examination and investigations you would undertake, and discuss your likely diagnosis and management plan with the examiner.

  Maggie Collins, 68, female

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• General PracticeIntermediate

  

  Upper Abdominal and Retrosternal Discomfort — General Practice

  You are the GP in your consulting room. David Harris, a 42-year-old man, has made an appointment about a health concern. Take a focused history and address David’s concerns. The examiner will then ask you about your diagnosis, investigations and management.

  David Harris, 42, male

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• General PracticeIntermediate

  

  Worsening Anxiety and Palpitations — General Practice

  You are the GP in your consulting room. Susan Hart, aged 34, has made an appointment to discuss several health concerns. Take a focused history and describe the focused examination you would perform. You will then be asked about your provisional diagnosis, appropriate investigations and immediate management priorities.

  Susan Hart, 34, female

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• General PracticeIntermediate

  

  Six-Week Postnatal Review — General Practice

  You are the GP in your consulting room. Priya Nair, aged 31, has made an appointment for her routine six-week postnatal review and has brought her baby, Aarav. The practice nurse has completed Aarav’s growth, development and immunisation checks, which are normal and up to date. Take a focused maternal postnatal history, identify and explain Priya’s main health concerns, and discuss an appropriate management and follow-up plan with her.

  Priya Nair, 31, female

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• General PracticeIntermediate

  

  Preventive Cardiovascular Health Assessment — General Practice

  You are a GP in your own consulting room. Daniel Murray, a 32-year-old Aboriginal man, has made an appointment for a preventive cardiovascular health assessment. Take a focused cardiovascular risk history and request relevant measurements or investigation results from the examiner. When prompted, summarise his cardiovascular risk and outline your management and follow-up priorities to the examiner.

  Daniel Murray, 32, male

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• SurgeryAdvanced

  

  Progressive Jaw Swelling After Dental Extraction — Emergency Department

  You are an RMO in the emergency department. Liam O'Connor, a 38-year-old man, is waiting to be assessed. Take a focused history, describe the relevant examination you would perform and request the findings from the examiner, then discuss your likely diagnosis, appropriate investigations and immediate management with the examiner.

  Liam O'Connor, 38, male

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• General PracticeIntermediate

  

  Persistent Diarrhoea and Foot Pain — General Practice

  You are the GP in your consulting room. Daniel Mercer, a 30-year-old man, has made an appointment because of ongoing diarrhoea and pain and swelling in his right foot. Take a focused history and describe the relevant physical examination you would perform. You will then be asked by the examiner about your provisional diagnosis, investigations and initial management.

  Daniel Mercer, 30, male

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