PA Mock OSCE Clinical Skills II Flashcards
Hurting Throat
Circumstances
The patient is sitting on the exam table comfortably
Presenting Complaint
My throat hurts
Onset (When did this start?)
Yesterday morning
Location (is there any other areas of pain?)
Just my throat
Duration (it is constant or just sometimes)
It is constant, but it been gradually getting worse since it started
Characteristics (Tell me about your symptoms)
It is like a bad soreness in the back of my throat
On a pain scale of 1-10
It is a 5/10
Aggravating factors (Does anything make symptoms worse?)
Swallowing make it hurt even more
Alleviating factors (Does anything alleviate the symptoms?)
Not really, tried salt water and gargles which lead to minimal relief (pain goes down to 4/10)
Radiation (Does the pain move anywhere?)
No it just stay there
Timing (Are your symptoms better or worse at a certain time of day?)
It is the same throughout the day but I do feel like it is getting worse
Have you ever had these symptoms in the past?
No
Any runny nose?
No
Watery eyes?
No
Sneezing?
No
Fever?
No
Joint pain?
No
Rashes?
No
Nausea
No
Vomiting
No
Any sick contact?
Not that I aware of
All other questions?
No
Did you have any childhood illnesses?
I had chickenpox when I was 7
Do you have any adult illnesses?
No
Have you had any surgeries?
No
Are you up to date on your immunizations?
Yes
Do you have a history of psychiatric illnesses?
No
Have you had any regular screening tests? Or are you are up to date on your screenings?
Yes I am up to date on all that
Last time you saw a medical provider?
One year ago
Do you take any medications?
Daily probiotics
Effect from Amoxicillin
Diarrhea
Are you allergic to medications
Amoxicillin
Environmental/Latex allergies
None that I know of
Do you drink alcohol?
One glass of wine on weekends
Do you smoke, dip or vape?
No
Do you use any recreational/illicit drugs
I did marijuana a few times in high school but nothing since then
What do you do for a living?
Administrative assistant for an oil company
Do you exercise?
Yes I walk, hike, bike: do cardio for at least 30 minutes for 4-5 days a week
What is your typical diet?
I eat a balanced diet of meat, fish, fruits and veggies
What is your marital or relationship status?
I have been married for the past 6 years
What is your sexual orientation?
Heterosexual
What gender do you identify as
Male
Do you have sexual intercourse?
Yes with my spouse only
Do you have any other sexual partner
No
Do you have any children?
No children
Do you use protection or contraception during intercourse
Not with my spouse
Do you have any past history of STDs?
No
Whom do you live with
My spouse only
Family Medical History
Grandparents-deceased on both sides
Mother hypothyroidism alive. 25 years older than you
Father-hypertension alive. 25 years older than you
Brother- well alive
How old are you?
41