Questions for you to consider |
Clinical exam assessment area |
Domains |
What strategies would you use to communicate with a teenager who presents with a parent?
If Lisa was an Aboriginal or Torres Strait Islander, how would you carry out the consultation?
What if they were both recent immigrants who spoke little English?
How would you sensitively obtain a menstrual and sexual history from Lisa?
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- Communication and consultation skills
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1,2,5 |
What other information would you want to know to identify the possible cause of Lisa’s pallor and lethargy?
What examination would you do?
What other information would you need to understand about how the symptoms are impacting Lisa?
What dietary or family history would you like to know in relation to Lisa’s symptoms?
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- Clinical information gathering and interpretation
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2 |
What preliminary investigations would you consider to confirm your provisional diagnosis?
If you consider anaemia as your diagnosis, what would you consider and look for to identify the type of anaemia?
Are there any other investigations you might consider if Lisa were a refugee? What if she were 70 years old, or 5 years old?
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- Making a diagnosis, decision making and reasoning
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2 |
What factors would you consider when treating anaemia?
How would you manage the underlying causes of these symptoms?
To manage anaemia, what guidelines or protocols would you refer to?
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- Clinical management and therapeutic reasoning
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2 |
What strategies would you use to prevent dietary-induced anaemia?
If Lisa was of Mediterranean descent, would you consider any additional screening for her and her family?
If Lisa lived in a remote community, how would you change your approach?
If she was an Aboriginal or Torres Strait Islander, how would that change your approach?
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- Preventive and population health
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1,2,3 |
How would you manage Lisa’s confidentiality if her mother insisted on staying during the consultation?
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- Professionalism
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4 |
How would you assess Lisa’s capacity to consent for an iron infusion if this was needed?
What would your approach be if the patient was a child who needed a transfusion of blood products, but the parents refused based on their beliefs?
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- General practice systems and regulatory requirement
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5 |
What do you need to consider before planning for an iron infusion?
How would you gain the skills to do a transfusion or an iron infusion?
How would you manage and report an adverse reaction after an iron infusion?
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- Procedural skills
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2 |
What factors would you consider while managing an asymptomatic patient with a haemoglobin level (Hb) of 80g/l?
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- Managing uncertainty
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2 |
How would you manage a symptomatic patient with an Hb of 6? With an Hb of 10?
Is there any other information apart from the Hb level that might change your management?
If Lisa was diagnosed with acute leukaemia and lived in a remote location, how would that change your management approach?
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- Identifying and managing the significantly ill patient
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2 |