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Plab-QuestionsAnswers-Doctor-Patient-3-Plab-Resources

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Plab-QuestionsAnswers-Doctor-Patient-3-Plab-Resources

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It's nice to meet you Mr Johnston. You've been referred to me by Dr Bruce. Why don't
you tell me why you're here.
M

Uh… Well… Yeah… So, about a week ago, I was in a (1) car accident. Nothing really
happened at the time… Um… I spoke to a doctor that day, uh… but he was still a bit
concerned. So, uh… a couple of days later, I think it was about that, I was definitely
starting to feel different.

F

What happened when you first went to the doctor?
M

Well, right after the accident, there was really no problem. I didn’t feel anything. It
didn’t hurt at all. He did say … the doctor I mean… he said that I should watch out,
just pay attention, to see if I had a sore neck, or sore back or anything. Um… And
that’s what happened. Uh… a few days later, I was starting to feel a little bit (2)
dizzy, um… and then…That’s when he said it was definitely (3) whiplash and he
referred me to you.
F

Okay. And how have you been feeling since then?
M

Well, I’ve definitely had a (4) sore neck. It’s really been bothering me the last day
or so. And, like I said, I’ve been feeling a bit dizzy. Actually, I have to sit down every
once in a while ‘cause it gets a little… disruptive, difficult to work and that sort of
stuff. I’ve been feeling a bit (5) sick too. I actually had to take yesterday and today
off work ‘cause I’m finding it quite difficult. I’ve just been really tired as well.
F

Is there anything else in your medical history I should be aware of? Any allergies, any
other recent visits to the doctor?
M

I don’t think there’s anything that pertains to uh… to my… to this… to this injury.
I’m allergic to (6) penicillin. I just found that out recently. That could have been
quite dangerous. And last year, I had the flu really bad… Nothing that really relates
to this.

,F

It says here you play hockey.
M

Yeah, yeah, every weekend.
F

Any injuries I should know about?
M

Not really, I’ve been pretty lucky, actually. A couple of months ago I had a (7)
sprained ankle, which is pretty common in hockey. Uhh... we usually we have good
trainers though and they keep an eye on us. We take very good care of ourselves.
F

Nothing serious then.
M

No, I've been pretty lucky.
F

And just take me through your family's medical history.
M

Um… Well, there’s (8) hypertension and (9) heart disease. Those are two things
that have been there for my grandparents and my parents. My parents are actually
taking it quite seriously, so they’re eating a lot better these days. I do as well.
And my grandfather had a stroke a few years ago. That was pretty hard, and now,
he’s showing some early signs of (10) Alzheimer’s.

F

Okay, well, I'd like to examine you in a minute, but first I need to make sure you
understand that you're going to have to stop the sports for the moment.
M

Oh, really? That’s kind of a tough one. Sports are a pretty big part of my life. I
mean, I really don’t know how I feel about…like, it’s pretty tough for me to sit still.
And um… I do have… I mean… we do have this big (11) hockey tournament coming
up next week. Is there really no way I can play in that? I mean, I can take it easy
when I’m playing. There’s got to be a way I can get out there. I mean… I’ve been

, working towards this all year.

F

Well, I can't stop you from playing but I strongly advise against it because if you get
hurt, you can cause permanent serious damage. You really need to rest
and (12) stay off your feet.
M

What if I'm feeling okay by next week? Would it be all right to.. you know, to play
then? If that was the case, I mean... (FADE OUT)




So, Mrs
Wilcox,
your GP
referred
you to me
because
you've
been
having a
bit of
trouble
sleeping.
Why don't
you tell
me what's
been
happening
.
F
Okay, yes, that’s right. I suppose I’ve always had some trouble breathing fully through my nose,
um… especially (1) through my left nostril… but I feel like it’s been worse in the past few
years. I used to play a lot of sport, especially netball, but I’ve ah… I’ve had to give it away
because I was getting so terribly (2) short of breath. So, while it’s there during the day, the
blockage, ah… it’s even worse at night. When it’s time for bed, well, sometimes the left side of
my nose can feel completely stuffed up. My husband tells me that I’ve been (3) snoring as well.
It started a little over 12 months ago, I suppose. Yes, probably 12 to 18 months.

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