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41 Cards in this Set
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- Back
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DOORWAY INFORMATION Opening Scenario Audrey Hepburn, a 46-year-old female, comes to the clinic complaining of abdominal pain. Vital Signs BP: 135/70 mmHg Temp: 98.5°F (36.9°C) RR: 16/minute HR: 76/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 1
CHALLENGING QUESTIONS TO ASK “My father had pancreatic cancer. Could I have it too?” |
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DOORWAY INFORMATION Opening Scenario Marlene Dietrich, a 23-year-old female, comes to the ER complaining of abdominal pain. Vital Signs BP: 120/80 mmHg Temp: 100.5°F (38.1°C) RR: 20/minute HR: 88/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 2
CHALLENGING QUESTIONS TO ASK • “My child is in the house alone. I must leave now.” • “I can’t afford to stay in the hospital. Please give me a prescription for antibiotics so that I can leave.” |
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DOORWAY INFORMATION Opening Scenario James Dean, a 77-year-old male, comes to the ER complaining of pain in his right arm. Vital Signs BP: 135/85 mmHg Temp: 98.0°F (36.7°C) RR: 12/minute HR: 76/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 3
CHALLENGING QUESTIONS TO ASK “Doctor, do you think I will be able to move my arm again like before?” |
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DOORWAY INFORMATION Opening Scenario Will Rogers, a 23-year-old male, comes to the office complaining of a sore throat. Vital Signs BP: 120/80 mmHg Temp: 99.5°F (37.5°C) RR: 15/minute HR: 75/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 4
CHALLENGING QUESTIONS TO ASK “Do you think I have AIDS?” |
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DOORWAY INFORMATION Opening Scenario John Wayne, a 56-year-old male, comes to the clinic complaining of blood in his stool. Vital Signs BP: 130/80 mmHg Temp: 98.5°F (36.9°C) RR: 16/minute HR: 76/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 5
CHALLENGING QUESTIONS TO ASK “My father had colon cancer. Could I have it too?” |
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DOORWAY INFORMATION Opening Scenario Frank Sinatra, a 47-year-old male, comes to the ER complaining of chest pain. Vital Signs BP: 165/85 mmHg Temp: 98.6°F (37°C) RR: 22/minute HR: 90/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 6
CHALLENGING QUESTIONS TO ASK “Is this a heart attack? Am I going to die?” |
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DOORWAY INFORMATION Opening Scenario The mother of Paul Newman, a eight-month-old male child, comes to the office complaining that her child has a fever. Examinee Tasks 1. Take a focused history. 2. Explain your clinical impression and workup plan to the mother. 3. Write the patient note after leaving the room. |
CASE 7
CHALLENGING QUESTIONS TO ASK • “Is my child going to be okay?” • “Do you think I need to bring my child to the hospital?” |
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DOORWAY INFORMATION Opening Scenario The mother of Doris Garland, an 20-month-old female child, comes to the office complaining that her child has a fever. Examinee Tasks 1. Take a focused history. 2. Explain your clinical impression and workup plan to the mother. 3. Write the patient note after leaving the room. |
CASE 8
CHALLENGING QUESTIONS TO ASK • “Do you think that I did the right thing by coming here and telling you about my child’s fever?” • “Is my child going to be okay?” |
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DOORWAY INFORMATION Opening Scenario James Stewart, a 24-year-old male, comes to the office complaining of cough. Vital Signs BP: 120/80 mmHg Temp: 99.5°F (37.5°C) RR: 15/minute HR: 75/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 9
CHALLENGING QUESTIONS TO ASK “Do I need antibiotics to get better?” |
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DOORWAY INFORMATION Opening Scenario Lucille Bell, a 57-year-old female, comes to the office complaining of persistent cough. Vital Signs BP: 120/80 mmHg Temp: 99.5°F (37.5°C) RR: 15/minute HR: 75/minute, regular. Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 10
CHALLENGING QUESTIONS TO ASK “Will I get better if I stop smoking?” |
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DOORWAY INFORMATION Opening Scenario Bette Davis, a 51-year-old female, comes to the office complaining of yellow eyes and skin. Vital Signs BP: 130/80 mmHg Temp: 98.3°F (36.8°C) RR: 15/minute HR: 70/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 11
CHALLENGING QUESTIONS TO ASK “My father had pancreatic cancer. Could I have it too?” |
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DOORWAY INFORMATION Opening Scenario Shirley Temple, a 67-year-old female, comes to the clinic complaining of forgetfulness and confusion. Vital Signs BP: 135/90 mmHg Temp: 98.0°F (36.7°C) RR: 16/minute HR: 76/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 12
CHALLENGING QUESTIONS TO ASK “Do you think I have Alzheimer’s disease?” |
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DOORWAY INFORMATION Opening Scenario Vincent Price, a 51-year-old male, comes to the clinic for diabetes follow-up. Vital Signs BP: 139/85 mmHg Temp: 98.0°F (36.7°C) RR: 15/minute HR: 75/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 13
CHALLENGING QUESTIONS TO ASK “Will I lose my feet, doctor?” |
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DOORWAY INFORMATION Opening Scenario Fred Astaire, a 56-year-old male, comes to the ER complaining of dizziness. Vital Signs BP: 135/90 mmHg Temp: 98.0°F (36.7°C) RR: 16/minute HR: 76/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 14
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DOORWAY INFORMATION Opening Scenario George Burns, a 42-year-old male, comes to the office complaining of fatigue. Vital Signs BP: 120/85 mmHg Temp: 98.2°F (36.8°C) RR: 12/minute HR: 65/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 15
CHALLENGING QUESTIONS TO ASK • “I think that life is full of misery. Why do we have to live?” • “I am afraid that I might have AIDS.” |
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DOORWAY INFORMATION Opening Scenario Sophia Loren, a 31-year-old female, comes to the office complaining of fatigue. Vital Signs BP: 120/85 mmHg Temp: 98.2°F (36.8°C) RR: 13/minute HR: 80/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 16
CHALLENGING QUESTIONS TO ASK “I am drinking a lot of water, doctor. What do you think the reason is?” |
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DOORWAY INFORMATION Opening Scenario Eddie Cantor, a 64-year-old male, comes to the office complaining of fatigue. Vital Signs BP: 135/85 mmHg Temp: 98.6°F (37°C) RR: 13/minute HR: 70/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 17
CHALLENGING QUESTIONS TO ASK “I want to go on a trip with my wife. Can we do the tests after I come back?” |
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DOORWAY INFORMATION Opening Scenario Deborah Kerr, a 36-year-old female, comes to the ER complaining of headache. Vital Signs BP: 135/90 mmHg Temp: 98.6°F (37°C) RR: 16/minute HR: 76/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 18
CHALLENGING QUESTIONS TO ASK “Do you have anything that will make me feel better? Please, doctor, I am in pain.” |
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DOORWAY INFORMATION Opening Scenario Al Jolson, a 58-year-old male, comes to the ER complaining of bloody urine. Vital Signs BP: 130/80 mmHg Temp: 98.5°F (36.9°C) RR: 13/minute HR: 72/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 19
CHALLENGING QUESTIONS TO ASK “They told me this is because of my old age. Is that true?” |
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DOORWAY INFORMATION Opening Scenario Oliver Hardy, a 52-year-old male, comes to the clinic for hypertension follow-up. Vital Signs BP: 135/90 mmHg Temp: 98.0°F (36.7°C) RR: 16/minute HR: 70/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 20
CHALLENGING QUESTIONS TO ASK “I think it is my age. Isn’t that right, doctor?” |
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DOORWAY INFORMATION Opening Scenario Maureen O'Hara, a 36-year-old female, comes to the clinic complaining of knee pain. Vital Signs BP: 130/80 mmHg Temp: 99.5°F (37.5°C) RR: 16/minute HR: 76/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 21
CHALLENGING QUESTIONS TO ASK “Do you think I will be able to walk on my knee like before?” |
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DOORWAY INFORMATION Opening Scenario Tony Curtis, a 62-year-old male, comes to the clinic complaining of a tremor. Vital Signs BP: 135/90 mmHg Temp: 98.6°F (37°C) RR: 16/minute HR: 70/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 22
CHALLENGING QUESTIONS TO ASK “Do you think I will get better?” |
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DOORWAY INFORMATION Opening Scenario Kirk Douglas, a 52-year-old male, comes to the ER complaining of passing out a few hours earlier. Vital Signs BP: 135/90 mmHg Temp: 98.0°F (36.7°C) RR: 16/minute HR: 76/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 23
CHALLENGING QUESTIONS TO ASK “Do you think I have a brain tumor?” |
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DOORWAY INFORMATION Opening Scenario Esther Williams, a 31-year-old female, comes to the office complaining of weight gain. Vital Signs BP: 120/85 mmHg Temp: 98.0°F (36.7°C) RR: 13/minute HR: 65/minute, regular BMI: 30 Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 24
CHALLENGING QUESTIONS TO ASK “I want to go back to smoking because I believe that I have started gaining weight since I quit.” |
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DOORWAY INFORMATION Opening Scenario Deanna Durbin, a 37-year-old female, comes to the office complaining of not having menstrual periods recently. Vital Signs BP: 120/85 mmHg Temp: 98.0°F (36.7°C) RR: 13/minute HR: 65/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 25
CHALLENGING QUESTIONS TO ASK “Am I going through menopause?” |
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DOORWAY INFORMATION Opening Scenario Eva Gabor, a 25-year-old female, comes to the office complaining of pain during sex. Vital Signs BP: 120/85 mmHg Temp: 98.0°F (36.7°C) RR: 13/minute HR: 65/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 26
CHALLENGING QUESTIONS TO ASK When asked about vaginal discharge, ask, “Do you think I have a sexually transmitted disease?” |
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DOORWAY INFORMATION Opening Scenario Lionel Barrymore, a 53-year-old male construction worker, comes to the office complaining of back pain. Vital Signs BP: 120/85 mmHg Temp: 98.2°F (36.8°C) RR: 20/minute HR: 80/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 27
CHALLENGING QUESTIONS TO ASK “I don’t think I can go to work, doctor. Can you write a letter to my boss so that I can have some days off?” |
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DOORWAY INFORMATION Opening Scenario The mother of June Allyson, a seven-month-old female child, calls the office complaining that her child has diarrhea. Examinee Tasks 1. Take a focused history. 2. Explain your clinical impression and workup plan to the mother. 3. Write the patient note after leaving the room. |
CASE 28
CHALLENGING QUESTIONS TO ASK “How sick is my baby?” |
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DOORWAY INFORMATION Opening Scenario Fredric March, a 76-year-old male, comes to the office complaining of hearing loss. Vital Signs BP: 132/68 mmHg Temp: 98.4°F (36.9°C) RR: 18/minute HR: 84/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 29
CHALLENGING QUESTIONS TO ASK “Do you think I am going deaf?” |
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DOORWAY INFORMATION Opening Scenario The mother of Jack Palance, a 9 year-old male child, comes to the office concerned that her son continues to wet the bed. Examinee Tasks 1. Take a focused history. 2. Explain your clinical impression and workup plan to the mother. 3. Write the patient note after leaving the room. |
CASE 30
CHALLENGING QUESTIONS TO ASK • “Did I do something wrong to cause this problem?” • “Is my child going to get better?” |
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DOORWAY INFORMATION Opening Scenario John Garfield, a 27-year-old male, comes to the ER following a motor vehicle accident. Vital Signs BP: 123/88 mmHg Temp: 100°F (38°C) RR: 22/minute HR: 85/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 31
CHALLENGING QUESTIONS TO ASK “Do you think I am going to die?” |
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DOORWAY INFORMATION Opening Scenario Teresa Wright, a 23-year-old female, comes to the ER after having been assaulted. Vital Signs BP: 120/85 mmHg Temp: 98.0°F (36.7°C) RR: 17/minute HR: 90/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 32
CHALLENGING QUESTIONS TO ASK “This is all my fault, doctor. Do you think my friends will ever accept me again?” |
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DOORWAY INFORMATION Opening Scenario Barbara Bennett, a 29-year-old female, comes to the clinic with a positive pregnancy test. Vital Signs BP: 120/70 mmHg Temp: 98.6ºF (37ºC) RR: 14/minute HR: 76/minute Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 33
CHALLENGING QUESTIONS TO ASK “We had not planned to have a baby so soon after marriage. What should I do, doctor?” |
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DOORWAY INFORMATION Opening Scenario Lillian Gish, a 22-year-old female, comes to the clinic complaining of sleeping problems. Vital Signs BP: 120/80 mmHg Temp: 98.6ºF (37ºC) RR: 18/minute HR: 102/minute Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 34
CHALLENGING QUESTIONS TO ASK “Will I ever be able to sleep well again, doctor?” |
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DOORWAY INFORMATION Opening Scenario David Niven, a 23-year-old male, comes to the ER complaining of seeing strange writing on the wall. Vital Signs BP: 140/80 mmHg Temp: 98.3° F (36.8°C) RR: 15/minute HR: 98/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 35
CHALLENGING QUESTIONS TO ASK “Do you think someone is trying to give me instructions through the writing I see on the wall?” |
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DOORWAY INFORMATION Opening Scenario The mother of Kay Francis, an 11 year-old female child, comes to the office because she is concerned that her daughter was recently diagnosed with diabetes. Examinee Tasks 1. Take a focused history. 2. Explain your clinical impression and workup plan to the mother. 3. Write the patient note after leaving the room. |
CASE 36
CHALLENGING QUESTIONS TO ASK • “Doctor, I have no history of diabetes in my family. Why is this happening to my daughter?” • “Will my child ever be able to eat sweets again?” |
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DOORWAY INFORMATION Opening Scenario Joan Fontaine, a 33 year-old female, comes to the hospital complaining of pain in her right calf. Vital Signs BP: 130/70 mmHg Temp: 98.2ºF (36.8ºC) RR: 13/minute HR: 74/minute Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 37
CHALLENGING QUESTIONS TO ASK “My father had a clot in his leg. What do you think I should do to make sure I don’t get one too?” |
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DOORWAY INFORMATION Opening Scenario Keith Andes, a 32 year-old male, comes to his primary care physician complaining of heel pain. Vital Signs BP: 125/80 mmHg Temp: 99.5°F (37.5°C) RR: 14/minute HR: 69/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 38
CHALLENGING QUESTIONS TO ASK “Doctor, can you just give me some powerful pain meds so that I can keep running? I am training for a marathon.” |
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DOORWAY INFORMATION Opening Scenario The mother of Nelson Eddy, a six-day-old male child, calls the office complaining that her child has yellow skin and eyes. Examinee Tasks 1. Take a focused history. 2. Explain your clinical impression and workup plan to the mother. 3. Write the patient note after leaving the room. |
CASE 39
CHALLENGING QUESTIONS TO ASK “Can this jaundice hurt my baby?” |
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DOORWAY INFORMATION Opening Scenario The mother of Audrey Totter, a three-year-old female child, calls the office complaining that her child has noisy and strange breathing. Examinee Tasks 1. Take a focused history. 2. Explain your clinical impression and workup plan to the mother. 3. Write the patient note after leaving the room. |
CASE 40
CHALLENGING QUESTIONS TO ASK “Can you explain to me exactly what is going on with my child and what can be done for it?” |
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DOORWAY INFORMATION Opening Scenario Gene Fields, a 34-year-old male, comes to the office for a pre-employment medical checkup as requested by his prospective employer. Vital Signs BP: 130/85 mmHg Temp: 98.3°F (36.8°C) RR: 15/minute HR: 70/minute, regular Examinee Tasks 1. Take a focused history. 2. Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam). 3. Explain your clinical impression and workup plan to the patient. 4. Write the patient note after leaving the room. |
CASE 41
CHALLENGING QUESTIONS TO ASK “Do you think they are going to give me the job?” |
