Table 2 Example of a clinical vignette with items from the diagnostic section of the SC test. Clinical Vignette: A 25 year-old male patient is admitted to the emergency room after a fall from a motorcycle with a direct impact to the pubis. Vital signs are normal. The X-ray reveals a fracture of the pelvis with a disjunction of the pubic symphysis.
From: Online clinical reasoning assessment with the Script Concordance test: a feasibility study
If you were thinking of | And then you find | This hypothesis becomes | ||||
|---|---|---|---|---|---|---|
Urethral rupture | Urethral bleeding | -2 | -1 | 0 | +1 | +2 |
Retroperitoneal bladder rupture | Bladder distension | -2 | -1 | 0 | +1 | +2 |
Urethral rupture | Upward and bulging prostatic apex at the digital rectal examination | -2 | -1 | 0 | +1 | +2 |
Intra-peritoneal bladder rupture | Spontaneous micturition after the accident | -2 | -1 | 0 | +1 | +2 |
Urethral rupture | Perineal haematoma | -2 | -1 | 0 | +1 | +2 |