[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-317089-105":59,"doc-detail-317089-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","year-4-formative-osce-1-dysuria-history-station-1","Year 4 Formative OSCE - 1 - Dysuria History Station 1","","Year 4 Formative OSCE #1 (July 2019) provides a clinical station on dysuria history taking for a 4th year medical student in GP placement. The simulated patient is Mr Robert Barrett with 3 days of dysuria, urinalysis showing protein, leucocytes, nitrites, and blood, and mild systemic symptoms without back pain. The task focuses on taking a focused genito-urological history within eight minutes, presenting top two differential diagnoses with rationale at five minutes, and listing further investigations.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/year-4-formative-osce-1-dysuria-history-station-1/317089/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/year-4-formative-osce-1-dysuria-history-station-1/317089.png","ImageObject",300,407,{"name":92,"@type":93},"Emma Wilson","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What information must the candidate gather during the station?","Question",{"text":113,"@type":114},"The candidate must take an appropriate focused history aimed at determining the cause of dysuria, especially genito-urological history. The examiner expects completion within the allotted time.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What are the key urinalysis findings and vital signs in the scenario?",{"text":118,"@type":114},"Urinalysis is positive for protein, leucocytes, nitrites, and blood, with negative results for everything else. Vitals include temperature 37.6°C, BP 135/85 mmHg, HR 80 bpm, and RR 14.",{"name":120,"@type":111,"acceptedAnswer":121},"What does the candidate need to provide at the 5-minute mark?",{"text":122,"@type":114},"At five minutes, the candidate must provide the top two differential diagnoses with rationale and list further investigations to perform.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},317089,1790437713,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},3848291630094,"https://eur-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Year 4 Formative OSCE \\#1 (July) 2019  \nReading for Station 1  \nCandidate Instructions  \nClinical Scenario  \nYou are a 4th year medical student on GP placement. 50 year old Robert Barrett presents with a 3-day history of dysuria. The GP has performed a urine dipstick and has asked you to take a focussed history to determine the cause of his symptoms.  \nUrinalysis: positive for protein, leucocytes, nitrites and blood. Negative for everything else.  \nVitals:  \nTemp: 37.6oC  \nBP: 135/85mmHg  \nHR: 80bpm  \nRR: 14bpm  \nTask  \nIn a total of eight (8) minutes:  \n• Take an appropriate history  \n• At five (5) minutes:  \no Please provide your top 2 differential diagnoses and rationale  \no Please list further investigations you would perform  \nYou do not need to examine the patient.  \n[The examiner in the room will assume the role of the GP]  \nSimulated Patient Information  \nThe candidate has the following scenario and task  \nClinical Scenario  \nYou are a 4th year medical student on GP placement.  \nMr Robert Barrett presents with a 3-day history of dysuria. Take a focussed history to determine the cause of his symptoms.  \nUrinalysis: positive for protein, leucocytes, nitrites and blood. Negative for everything else. Vitals:  \nTemp 37.6 BP 135/85 HR 80 RR 14  \nTask  \nIn a total of eight (8) minutes:  \n• Take an appropriate history  \n• At five (5) minutes:  \no Please provide your top 2 differential diagnoses and rationale  \no Please provide further investigations you would perform You do not need to examine the patient.  \n[The examiner in the room will assume the role of the GP]  \nInstructions for simulated patient  \n- Your name is Robert Barrett and your DOB is 01/01/1969 (aged 50)  \n- You are wearing casual clothes and you are sitting on a chair in front of a table.  \nPresenting complaint: UTI  \nHistory of presenting complaint  \n- Increase frequency feels like you’re going every few minutes  \n- Some discomfort on urination  \n- Volume only small amounts  \n- Smells horrible and is much darker than usual  \n- Nothing makes it better has tried Panadol, but it didn’t help  \n- Nothing makes it worse  \n- Nil previous episodes.  \n- Has been feeling a bit unwell, some hot and cold feeling and shaking a bit  \n- No back pain  \n- Has not had this before  \n- Impact: has not been able to work, feeling tired due to lack of sleep  \nUrogenital history  \n- For the last 18 months:  \n-  Difficulty starting: needs to stand for 20 minutes over a toilet bowl before urine finally comes out  \n-  Poor stream: slow and with straining  \n-  Dribbling: Some dribbling at the end  \n- Volume: It does not feel like you have completely emptied your bladder. Less volume of urine and more frequently with an urge to go to the bathroom  \n- Frequency: Every few hours – overall 12 times/day  \n- Nocturia 3-4 times/day  \n- Nil incontinence, Nil retention  \n- Nil haematuria, Nil discharge, Nil catheter use  \nSexual history  \n- One long term partner, wife of 25 years  \n- No discharge  \n- No previous STIs  \nPast medical history  \n- Mild COPD – diagnosed 2 years ago. Managed well  \n- No UTIs ever, Nil prostate issues, Nil renal failure, Nil previous stones/kidney infections  \n- Nil diabetes  \nMedication history  \n- Salbutamol (PRN) and Seretide (2 puffs BD) inhalers  \n- Nil known drug allergies  \nSocial history  \n- Smoking: Ex-smoker (one pack for 20 years)– quit 2 years ago  \n- Alcohol: Drinks a can of beer per night  \n- Recreational drugs: Nil  \n- Occupation: Electrician  \n- Lives at home with wife  \nFamily history  \n- Nil  \nAt 5 minutes the examiner will stop the student and ask her/him to:  \n- “What are your top 2 differential diagnoses?”  \n- “What further investigations would you like to perform?”  \nExaminer Instructions  \nPlease verify that you are examining the correct student by checking the name on the student’s ID card against the name on the score sheet, as the student enters the room.  \nThe candidate has the following scenario and task  \nClinical Scenario  \nYou are a 4th ye","cbCairnsq6E4K5aJ","https://ap.wps.com/l/cbCairnsq6E4K5aJ","pdf",245380,"English","# Station 1: Dysuria history\n## Candidate instructions and task\n## Clinical scenario and urinalysis/vitals\n## Simulated patient information\n## Examiner instructions\n## OSCE score sheet","[{\"question\":\"What information must the candidate gather during the station?\",\"answer\":\"The candidate must take an appropriate focused history aimed at determining the cause of dysuria, especially genito-urological history. The examiner expects completion within the allotted time.\"},{\"question\":\"What are the key urinalysis findings and vital signs in the scenario?\",\"answer\":\"Urinalysis is positive for protein, leucocytes, nitrites, and blood, with negative results for everything else. Vitals include temperature 37.6°C, BP 135/85 mmHg, HR 80 bpm, and RR 14.\"},{\"question\":\"What does the candidate need to provide at the 5-minute mark?\",\"answer\":\"At five minutes, the candidate must provide the top two differential diagnoses with rationale and list further investigations to perform.\"}]","Year 4 Formative OSCE - 1 - Dysuria History Station 1 | PDF",1789928592,13]