Highlights
Sample Question: Cardiovascular & Neurological Systems
Mr Laborde is a 64-year-old uber driver presenting with left shoulder and jaw pain that has progressed over the past few weeks. He also noticed increased episodes of breathlessness when his shoulder and jaw pain start. He relates his shoulder / jaw pain to driving and thinks it’s a “pulled muscle”
1. You suspect he may have (insert common cardiovascular condition) and / or (insert common cardiovascular condition); give a brief description of the differences between these conditions.
2. Select and justify one additional clinical examination you might do to learn more about
Mr Laborde’s cardiovascular health. (Observation can be included as one clinical examination, if student identifies and explains common observations found in cardiovascular disease).
3. Choose and explain two additional questions you might ask Mr Laborde if you suspected he had (insert common cardiovascular condition)
Mr Laborde then mentions that his low back pain seems to be spreading to his (insert area of body), traveling (insert area of body).
4. Select one neurological examination to explore these symptoms. Give a brief explanation of why you chose this specific neurological examination and what may indicate a positive finding.
At a later appointment Mr Laborde reports experiencing (insert common cranial nerve symptom) and a feeling of (insert common cranial nerve symptom).
5. Identify which cranial nerve could be involved in this case and give a brief description of the functions of this cranial nerve.
6. Name a clinical test used to assess this cranial nerve.
Sample Question: Respiratory & Neurological Systems
Ms Fontenot is a 58-year-old woman presenting with pain in her shoulders and neck. She also reports pain in her “upper ribs” when breathing deeply. In the past few months, she has had a persistent productive cough which she believes is related to the cold weather.
1. You suspect she may have (insert common respiratory condition) and / or (insert common respiratory condition); give a brief description of the differences between these conditions.
2. Select and justify one additional clinical examination you might do to learn more about Ms Fontenot’s respiratory health. (Observation can be included as one clinical examination, if student discusses common observations found in respiratory dysfunction).
3. Choose and explain two additional questions you might ask Ms Fontenot if you suspected she had (insert common respiratory condition)
Ms Fontenot then mentions that her shoulder pain seems to be spreading to the (insert body area). She has also noticed that her (insert body area) (insert symptoms).
4. Select one neurological examination to explore these symptoms. Give a brief explanation of why you chose this specific neurological examination and what may indicate a positive finding.
At a later appointment Ms Fontenot reports experiencing a (insert a common cranial nerve symptom).
5. Identify which cranial nerve could be involved in this case and give a brief description of the functions of this cranial nerve.
6. Name a clinical test used to assess this cranial nerve.
Abdominal Examination & Neurological
Mr Jeansonne is a 58-year-old with a history of smoking and hypertension who presents with a constant dull ache across his abdomen that started a week ago. He also reports increasing episodes of diarrhoea and flatulence. You are concerned about the nature of these symptoms and would like to investigate further.
1. You suspect (insert common lower GI condition) or (insert common lower GI condition) may be involved with the abdominal symptoms, give a brief description of the differences between these conditions.
2. Select and justify one specific abdominal screening examination you might do to learn more about his abdominal health. (Observation can be included as one clinical examination, if student discusses common observations found in abdominal dysfunction).
3. Choose and explain two additional questions you might ask Mr Jeansonne if you suspected he had (insert common lower GI condition).
Mr Jeansonne also reports experiencing (insert common neurological symptom) in both his feet over the past few weeks.
4. Select one neurological examination to explore these symptoms. Give a brief explanation of why you chose this specific neurological examination and what may indicate a positive finding.
Mr Jeansonne returns to your clinic six months later with a new set of symptoms. Over the past few days he has started to notice (insert common cranial nerve symptoms).
5. Identify which cranial nerve could be involved in this case and give a brief description of the functions of this cranial nerve.
6. Name a clinical test used to assess this cranial nerve.
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