Objective Structured Clinical Examination

Information for Student

Your next patient is new to you.
Adopt a patient-centred approach to maintain good relation with him and solve his problem.
Vital signs were all normal i.e. (T, BP, PR & Body weight).
This is about 8 minutes consultation.

Your name is Khalid, 40-Years old, married, you have six children, all in school.
For the last month, you are feeling not like before, you feel sad and your mood is low.
You lost interest in everything, you are shouting to your children.
Start by saying that you want pills to help you sleep.

Tell your doctor only if she specifically asked you:

You are working as a Taxi-Driver, you are not coping well with your job.
This is because your sleep is disturbed & you wake early, so you feel tired all the time.
During the last Month or 2 Weeks, your mood is low & you lost interest and pleasure, you are not happy at all.
Before your habit is watching TV, now not enjoying that.
One Year ago, you have a loan from the bank to buy a taxi, but because of your family commitments and you are renting a house, you were unable to pay for the bank their monthly fees, the bank threatening you that they might take the car.
Your appetite is poor & you lost some body weight.

You are unable to concentrate.
You want to be alone and unable to talk to friends.
You are a smoker/20 cig/day for more than 10 Years.
You neglect yourself & your children.
You see the future dark.
You think of harming yourself but no suicidal ideation, because you think about your children & of being Muslim.

Ask your doctor about what wrong with you.
The doctor will tell you – This is depression, ask him whether you have a mental illness.
Ask about the treatment. Ask that you heard this treatment you are going to use to (Addicted).
If your doctor gave you 2 sorts of treatment – say you want both treatments.
Ask for how long you will be on this treatment.