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Standardized Patient Case: Ruth Dwyer - Acute Confusion

Standardized Patient Case: Ruth Dwyer - Acute Confusion

University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine
Pamela Basehore, Sima Bennett, Anita Chopra, MBA
National Institute on Aging
POGOe Id: 
Date Posted: 
Date Reviewed/Updated for Clinical Accuracy: 



A standardized simulated patient case on acute confusion used as a component of Fundamentals of Medicine, a review course preparing MSIV students for COMLEX Level II and Level II PE board exams. This product coordinates with the lecture module presented as part of Fundamentals of Medicine course. The student will engage in this standardized patient encounter which is videotaped and critiqued to assess specific competencies necessary to ensure receiving a high score on similar SP exercises in a high stakes testing situation.

The document is available to faculty members only. Request materials above.

Educational objectives: 

A component of Fundamentals of Medicine, a review course preparing MSIV students for COMLEX Level II and Level II PE board exams. The standardized patient case provides students with the opportunity to practice their history taking skills on a patient with acute confusion.

During the SP encounter, the student should:

  1. Demonstrate patient interaction competencies as described on the Patient Interaction Performance Competencies (PIP-C) handout.
  2. Demonstrate history taking using lines of questioning appropriate to exploring confusion:
    • -Head trauma
    • -Neurologic episodes
    • -Medications
    • -Food intake/hydration
  3. Perform a Mini Mental Status Exam
  4. Generate a list of differential diagnoses.
  5. Generate a plan of post-encounter assessment for the patient to include:
    • -Lab studies
    • -Observation
  6. Generate a management plan to include:
    • -Supervision
    • -Re-evaluation
Additional information/Special implementation requirements or guidelines: 

Medical Students IV, COMLEX Level II PE candidates Simulated patient lab - context for experience is primary care patient office

Intended learner audience: 
Learning resource types: 
Contact Person/Corresponding Author:
Pamela Basehore

Suggested Citation:
Pamela Basehore, Sima Bennett and Anita Chopra. Standardized Patient Case: Ruth Dwyer - Acute Confusion. POGOe - Portal of Geriatrics Online Education; 2009 Available from:


Submitted by maccullp on

These competencies are also necessary and appropriate for Advanced Practice Nurses, Nurse Practitioners.  These learning modules should also address CEU requirements for APRN's.  Would you please consider having CEU available as well?


Patricia MacCulloch NP, DNP student