Medical Council of Canada

Ten-minute history-taking and physical examination station example

Ten-minute history-taking and physical examination station example

What the candidate reads

Candidate’s instructions

Lynne Black, 20 years old, presents to the Emergency Department with a 16-hour history of abdominal pain.

In the next 10 minutes, obtain a focused and relevant history and conduct a focused and relevant physical examination.

As you proceed with the physical examination, explain to the examiner what you are doing and describe any findings.

What the examiner completes

Examiner checklist

Fill in the bubble for each item completed satisfactorily

1. Elicits history of pain

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2. Asks about associated symptoms

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3. Elicits past history

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4. Drapes patient appropriately [i.e., breast and pubic areas covered]

5. Inspects abdomen

6. Auscultates abdomen

7. Percusses abdomen [slight increase in pain]

8. Lightly palpates each quadrant [RLQ is tender]

9. Deeply palpates each quadrant [RLQ is tender, Rovsing is positive]

10. Attempts to elicit signs of peritoneal irritation [any of guarding, percussion tenderness OR rebound]

11. Initiates inguinal region examination [EXAMINER, report: Normal, please move on]

12. Asks for results of rectal examination [EXAMINER, report: Mild tenderness on right side]

If UNSATISFACTORY, please specify why:

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Did this candidate demonstrate a lapse in professional behaviour?

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