FOSCE 4

Question 1

what are we doing in initiate the session

Answer 1

we are greeting, introducing self and role, asking for consent, asking for presenting problem, then screening for more - then negotiate agenda if possible

Question 2

what is in Sequence

Answer 2

when did it start
how did it come about
what causes it to come about
is it always the same
does it alter during the day
does it stop
how long will it last, when it is current is it the same the whole time

Question 3

for a CVS what do we ask about in the biomedical aspects area

Answer 3

SOCRATES - site, onset, character, radiation, associated symptoms, time course, exacerbating/ alleviating, severity.
then the associated is the stuff like chest pain, breathlessness (laying down, waking you up), leg swelling, leg pain (vice like), palpatations, syncope or pre-syncope.
then the sort of questions you’d need to ask in that realm.

Question 4

for a Respiratory what do we need to ask about

Answer 4

SOCRATES.
pain, shortness of breath, added breathing sounds (wheeze), hoarseness, cough, sputum, haemoptysis.
then like, how much, how often what colour, what sort and so on where applicable.

Question 5

for the MSK presentation what do we need to ask about

Answer 5

SOCRATES,
swelling, redness, heat, locking, deformities, weakness, altered function, instability, stiffness, pain.

Question 6

when we are doing the biomedical asking stuff, whats our process of asking

Answer 6

get presenting problem(s)
do the Sequence for it
as SOCRATES related things
any of the associated symptoms like the SOB and cough or whatever.
the more general associated symptoms - SEAWTM
then ICEEF

Question 7

What is included in SEAWTM and ICEEF

Answer 7

SEAWTM - this is our general symptoms - ask after the system specific symptoms
Sleep, energy, appetite, weight, temperature, mood.
ICEEF - this is the patient perspective, do this after the symptoms of things
Ideas, concerns, effects, expectations, feelings

Question 8

after biomedical things what do we then do

Answer 8

the background of the patient

Question 9

whats included in background

Answer 9

personal history
medical history, medications, allergy, family
social history
home, exercise/diet/employment, alcohol, drugs, smoking/vaping

Question 10

whats included in the conclusion of the session

Answer 10

summary - anything else to add
thank you
next steps

Question 11

whats in a consult

Answer 11

greet
introduce
presenting problem
screen - negotiate agenda if applicable
initial question
sequence
SOCRATES
CVS, MSK, RESP associated symptoms
SEAWTM
ICEEF
personal history
social history
summary
anything else
thank
what next