1. You are working in a general practice.

A gentleman in his 50s is planning to go on a

4 week caravan trip soon. He saw you a week ago and you found a pulsatile mass in
his abdomen. The results of the ultrasound scan show a dilatation measuring 5.8cm
which extends from the renal arteries to the bifurcation of the aorta.
Your task is to explain the results of the ultrasound scan to him.
Outline your initial management.
2. You are working in a general practice. A 75 year old gentleman has been having
difficulty in breathing for the past 3 months.
Explain the chest X-ray to him. (X-ray displayed outside the room showing a large
pleural effusion on the right side with indirect evidence of collapse trachea is pulled
towards the effusion) What are the possibilities?
Take an appropriate history. You should not take more than 5 minutes.
A physical examination is NOT required.
You are NOT required to explain treatment.
3. You are working in a general practice. A lady who is 32 weeks has been seen in the
past without any complaints. She has had her Glucose Challenge Test which was
normal. All her antenatal screening results were normal so far.
She has suddenly developed changes in her urine (Proteins: +++) and she has swelling
of the extremities.
Take a history for not more than 4 minutes.
Ask physical examination findings from the examiner.
Outline your initial management.
4. You are working in a general practice. A lady who has had Type 1 Diabetes for
more than 20 years is here to have her feet examined. Examine both lower limbs and
describe your findings.

5. You are working in a general practice. A mother is concerned about her 3 year old
daughter who has begun to pass very dark coloured urine for the past 3 days and has
also developed swelling of the extremities. Take a history for not more than 5 minutes.
Then describe your diagnosis and outline your management.
6. You are working in a general practice. A 26 year old woman has been sent to see
you because her dentist was concerned about the damage to the enamel of her teeth
and she admitted selfinduced vomiting. Her BMI is in the normal range. Take a history for not more than 4
minutes. Then explain your diagnosis and management plan.
7. You are an MO working in the ED. A young man was thrown out of the window of
a car in a road traffic accident. He was seated on the passenger side. Initial primary
survey did not reveal any abnormality and his cervical spine has been cleared. A FAST
scan has revealed a collection of fluid in the left upper quadrant of the abdomen. He
has now developed tachypnea (Resp rate; 32/min) and his pulse is 100/min. He is
complaining of pain.
Perform a chest and abdomen examination in about 5 minutes.
Discuss your findings and your differential diagnosis.
Management is not required.
8. You are working in a general practice. A 35 year old woman has presented because
she has noticed recent weight loss.
Take a history for 5 minutes. Then explain your management plan.