CANDIDATE INSTRUCTIONS

You are a resident year 1 doctor working in the GP Clinic. A 46-year-old lady presents with a blurry vision for 2 months. She also notices a numbing sensation in her legs.  

  1. Take a focused patient's history. 

  2. At 7 minutes, the examiner will stop you to ask you some questions.

2 Minutes Reading Time

10 Minutes Station Time

Total 12 Minutes

EXAMINER INSTRUCTIONS

Timing Instructions: At 7 minutes, stop the candidate and ask the following questions:

Question 1: What is your provisional diagnosis?

Answer 1: Newly diagnosed Diabetes Mellitus

Question 2: What are the relevant examinations you will be conducting for this patient?

Answer 2

  • Vital Signs: Heart Rate, Respiratory Rate, Blood Pressure, SpO2, Temperature, BMI

  • Random Blood Sugar (RBS)

  • Cardiovascular Examination

  • Diabetic Foot Examination

  • Sensory Examination

Question 3: What are the non-pharmacological interventions that the patient can do?

Answer 3:

  • Diet: Change to a low-carbohydrate diet, high in protein and fibre

  • Exercise: Moderate aerobic exercise for 30 minutes, 5 days a week

  • Loose Weight

  • Avoid sugary food and drinks

Question 4: What does HbA1c tell about the patient?

Answer 4: HbA1c is the amount of glucose in the patient's blood for the past recent 3 months

PATIENT INSTRUCTIONS

MARK SCHEME

Introduction


Chief Complaint


History of Presenting Complaint


Systems Review


Past Medical History


Drug History


Family History


Social History


Questions


Patient Scores


Enter Your Score Here: /27

SCORE GUIDE

Pass: 18-27

Borderline Pass: 12 – 17

Fail: 0-11

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