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JW Jamal Washington 69 yo · Male LIVE
Examiner

Jamal Washington, hombre de 69 años, presenta dolor torácico central de aparición repentina.

Tú

Hi Jamal, I'm Dr Lee. What's brought you in today?

Tú
Jamal Washington

Hola doctor, he estado teniendo un dolor terrible en el pecho.

Avatar de Jamal Washington
Tú

Can you describe the pain — where is it, and does it spread anywhere?

Tú
Jamal Washington

It's a heavy pressure right in the centre of my chest, and it spreads up into my jaw and down my left arm.

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Tú

Any nausea, sweating, or shortness of breath with it?

Tú
Jamal Washington

Yes — I feel clammy and a little short of breath, and I've broken out in a sweat.

Avatar de Jamal Washington
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Study Chat

How can heart failure occur with a normal ejection fraction?

In HFpEF, impaired relaxation and increased ventricular stiffness raise filling pressures. Congestion can occur even when the proportion of blood ejected is preserved.

Exam point

Ejection fraction describes emptying, not filling. A preserved EF does not exclude heart failure.

OSCE marksheet · auto-scored

Jamal Washington

35 pts

History of Presenting Complaint

5
  • Asks about onset and duration of chest pain (establishes acute onset 45 minutes ago at rest) +1
  • Asks about radiation of chest pain to the left arm or jaw +1
  • Asks Jamal to rate his pain on a 0–10 scale (he reports 8/10) +1
  • Asks about associated symptoms — shortness of breath, nausea, and diaphoresis +1
  • Asks whether anything makes the pain better or worse (Jamal reports no relief from rest or position change) +1

Past Medical History and Risk Factors

5
  • Asks about known cardiovascular conditions — hypertension, diabetes, and hyperlipidaemia +1
  • Asks about smoking history, diet, and exercise (Jamal: 20 pack-year history, quit 10 years ago; poor diet; minimal exercise) +1

+ 28 more criteria across 7 domains

Clinical MCQ 01:30
Georgia, de 38 años, presenta pérdida de peso involuntaria, aumento del apetito y diarrea. La exploración física revela un bocio indoloro y sin masas ni...

Which of the following is the most appropriate next step?

  • A enfermedad de Graves
  • B tiroiditis de Hashimoto
  • C Commence amiodarone 200 mg TDS for atrial fibrillation rate control
  • D Cáncer de tiroides
  • E Síndrome eutiroideo enfermo
Viva
Discussion · question 2 of 5

Explain your differential, investigations, and management under examiner prompts.

  • Prioritise the dangerous diagnoses. Lead with time-critical conditions before broadening the list.
  • Justify investigations. Explain how each result would change your next step.
  • Close with management. Show escalation, safety-netting, and patient-centred communication.
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Source
Paediatric febrile seizure OSCE — full history station with marksheet.
paediatrics-tutorial.pdf
Content type
  • SimPatient
  • Marksheet
  • Viva
  • Questions
  • Flashcards
Generated · ready in your library 5 items
  • SimPatient — Lily Chen, 6, fever + brief shaking episode
  • Marksheet — paeds Hx, red flags, safety-net (28 pts)
  • Viva — DDx for fever + seizure in a 6-year-old
  • MCQ — When does febrile seizure warrant LP?
  • Flashcards — NICE traffic-light triage · 6 cards
Case walkthrough
History · step 2 of 6

Follow the same case as a structured reasoning walkthrough.

  • Characterise the complaint. SOCRATES separates dangerous causes from benign ones.
  • Screen red flags and risks. They shift your differential and your urgency.
  • Reveal the findings. Check your reasoning against the model answer.

Study Chat

Answers for medical students and doctors. Explore pathophysiology, clinical reasoning and key exam points at your level of training. Included with paid plans.

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  • Explain the pathophysiology of heart failure.
  • What are the key examination findings in aortic stenosis?
  • Compare nephritic and nephrotic syndromes.

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Adelaide · Sydney | Australia

The team

  • Raymond

    GP, Adelaide, SA

    FRACGP, M.D. (Griffith University)

  • George

    Ophthalmology Registrar, Sydney, NSW

    M.D. (University of Melbourne)

  • Marie

    ENT Registrar, Adelaide, SA

    M.D. (Griffith University)

  • Tasneem

    GP, Adelaide, SA

    FRACGP, M.D. (Griffith University)

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