INDEX

I. CARDIOVASCULAR
1. Pulmonary Embolism
2. Chest Pain (Mastectomy)
3. Chest Pain (Transgender)
4. Acute Coronary Syndrome
5. Angina
6. Pericarditis
7. Musculoskeletal Pain
8. Musculoskeletal Pain (Von Willebrand Disease)
9. Herpes Zoster (Shingles)
10. Heart Failure (Shortness of Breath Post Myocardial Infarction)
11. Arrythmia
12. Peripheral Arterial Disease

II. RESPIRATORY
1. Dry Cough
2. Dry Cough (PCP)
3. Cough and Shortness of Breath (Tuberculosis)
4. Cough and Shortness of Breath (Pneumonia)
5. Elderly Confusion
6. Cough and Hemoptysis
7. Asthma Wheeze (Diagnosis)
8. Asthma (Discharge)
III. NEUROLOGY
1. Sub Arachnoid Hemorrhage
2. Giant Cell Arteritis
3. Tension headache
4. TIA
5. Guillain Barre Syndrome
6. Meningitis
7. Encephalitis
8. Head Injury Adult
9. Postural Hypotension
10. Postural Hypotension (Fall and Hip Fracture)
11. Vestibular Neuritis
12. Trigeminal Neuralgia
13. Facial Drooping
14. Hangover Headache
 15. Migraine
IV. GASTROENTEROLOGY
1. Blood Test Results (Hepatitis)
2. Abnormal LFT (Gilbert Syndrome)
3. Blood Test Results (Alcoholic Hepatitis)
4. Constipation (Talk to Patient)
5. Constipation (Talk to Nurse)
6. Indigestion
7. Dysphagia
8. Hematemesis
9. Acute Gastroenteritis
10. IBS
11. IBD
12. Diarrhea (Bowel Cancer)
13. Coeliac Disease
V. ENDOCRINOLOGY
1. Hyperthyroidism
2. Hyperthyroidism
3. Hypothyroidism
4. Hypothyroidism
5. Hyperparathyroidism
6. Hypoglycemia
7. DKA Refusing Admission
8. DKA
9. Hypoglycemia
10. DKA Refusing Admission (Mother refusal)
VI. HEMATOLOGY
1. Vitamin B12 Deficiency
2. Iron Deficiency Anemia
3. Anemia (Thalassemia)
4. Multiple Myeloma
5. Leukemia
6. ITP
VII. RHEUMATOLOGY
1. Rheumatoid Arthritis
2. Gout
3. Pain And Aches (Polymyalgia Rheumatica)
4. Chronic Fatigue Syndrome
5. Chronic Fatigue Syndrome
6. Reactive Arthritis
 7. Osteoarthritis
8. Raynaud Phenomenon
VIII. GENITOURINARY
1. Uremia & Hyponatremia
2. Tiredness (Citalopram)
3. Analgesic Nephropathy
4. Urinary Symptoms (Oxybutynin)
5. UTI Pregnant Woman
6. UTI in Female (Transition Male to Female)
7. Erectile dysfunction
8. UTI & BPH
9. UTI (Confusion)
10. UTI Female
11. Recurrent UTI
12. PSA demanding patient
13. Loin Pain
14. Hematuria
15. Erectile Dysfunction
IX. OPHTHALMOLOGY
1. Glaucoma
2. Subconjunctival Hemorrhage
3. Cataract
4. Age Related Macular Degeneration
5. Sudden Loss Of Vision (Fundoscopy)
6. Pituitary Adenoma
7. Open Angle Glaucoma
8. Optic Neuritis

X. ENT
1. Acute Tonsilitis
2. Recurrent Tonsillitis
3. Allergic Rhinitis
4. Otitis Media
5. Cholesteatoma
6. Unilateral Tinnitus
7. Meniere’s Disease (Dizzy Spells)
8. Benign Paroxysmal Positional Vertigo
9. Acoustic Neuroma
10. Sinusitis
11. Sinusitis
XI. DERMATOLOGY
1. Skin Lesion (Mole)
2. Skin Lesion (Melanoma)
3. Skin Lesion (Non Melanoma BCC/SCC)
4. Fungal Infection
5. Acne
6. Impetigo
7. Urticaria
8. Herpes Labialis
9. Genital Warts
10. Syphilis
11. Eczema
12. Scabies
13. Seborrheic Keratosis
14. Measles
15. Varicose Veins
16. Varicose Veins
XII. OBSTETRICS AND GYNECOLOGY
1. Pre- Eclampsia
2. PID (RIF Pain)
3. PID (Lower Abdominal Pain)
4. Gonorrhea
5. Ectopic Pregnancy ( LIF& PV Bleed)
6. Miscarriage
7. Polycystic Ovarian Syndrome
8. Conception
9. Cystic Fibrosis
10. Pre Menstrual Syndrome
11. Mood Swings
12. Pregnancy Teenager
13. Antenatal Check Up
14. Antenatal Check Up
15. Combined Pill Prescription
16. Premature Ovarian Insufficiency
17. Bacterial Vaginosis
18. Missed Abortion/Miscarriage/ Normal Bleed
19. Cervical Screening (Dyskaryosis)
20. Pre Menstrual Syndrome
XIII. PEDIATRICS
1. Twin Delay
 2. Temper Tantrum
3. Hemangioma
4. Otitis Media Child
5. Eye Infection in Neonate
6. Febrile Convulsion
7. Head Injury Child
8. Non Accidental Injury
9. Intussusception
10. Pyloric Stenosis
11. Constipation Child
12. Neonatal Jaundice
13. Bronchiolitis
14. Pediatric Telephonic Consultation
15. Child Milestones
16. Autism
17. Child waking up in night
18. Primary Enuresis
19. MMR
20. Vaccination (Flu Jab )
21. 8 weeks Vaccination
22. Epilepsy
XIV. SURGERY
1. Intestinal Obstruction
2. Acute Cholecystitis
3. Aortic Abdominal Aneurysm
4. Cyclical Breast Pain
5. Nipple discharge
6. Back Pain
7. Back Sprain
8. Post Op Hemiarthroplasty
9. Pre-Operative Assessment Ankle Pin Removal
10. Herniorrhaphy
11. Dermoid Cyst
12. Ductal Carcinoma Insitu
13. Ductal Carcinoma Insitu
14. Acute Pancreatitis
15. Biliary colic
16. Cholangitis
XV. PSYCHIATRY
1. Concerned Daughter MMSE
 2. Low Mood (Lesbian Miscarriage)
3. Depression (CBT Failed)
4. Depression (Weight Loss)
5. Psychosis
6. Psychosis
7. Post Partum Depression
8. Post Partum Psychosis
9. Psychotic Patient
10. Alcohol Dependency
11. Drug Dependency
12. Suicide
13. Grief
14. Paracetamol Overdose
15. Anorexia Nervosa
16. Insomnia (Cannabis)
XVI. ANGRY PATIENTS
1. Change IV Cannula
2. Talk to colleague IV Cannula
3. Delayed Discharge (Talk to colleague)
4. Angry Son talking about mother
5. Post op Wound Infection(Within National Guidelines)
6. Post op Wound Infection
7. Premature Child
8. Late Cancer Diagnosis
9. Late Cancer Diagnosis
10. Levothyroxine Dose Change
11. Mother fall in Ward.
XVII. COUNSELLING
1. Blood Pressure Management
2. Pregnancy (Hypertension on Ramipril)
3. Post MI Lifestyle
4. Psoriasis Lifestyle modification
5. Stroke Assessment
6. Recurrent TIA
7. Obesity Counselling
8. Statin
9. Diabetic Retinopathy
10. Diabetic Review
11. Hypoglycemia Fits
12. Hypoglycemia
 13. Smoking Cessation
14. COPD
15. Needle Stick Injury (Nurse)
16. Needle Stick Injury (Child)
17. Clostridium Difficile Associated Diarrhoea
18. Methicillin Resistant Staphylococcus Aureus
19. Osteoporosis
20. Warfarin
21. Clarithromycin & Warfarin
22. Epilepsy
23. Upper Respiratory Tract Infection
24. Colorectal Polyp
25. Barret’s Esophagus
26. Pain Management Breast Cancer
27. Pain Management Prostrate Cancer
28. Post Herpetic Neuralgia
29. Bullying at workplace (Lesbian)
30. Cervical Screening(Lesbian)
31. Coeliac Disease
32. Cerebral Palsy
33. Hematuria -Warfarin
XVIII. COUNSELLING NEW
1. Meningitis Prophylaxis
2. First Seizure
3. Chicken Pox (Pregnancy)
4. Discuss Blood Results
5. Polymyalgia Rheumatica Refusing Steroids
6. Dementia Mother
7. Homosexual Counselling
8. Homosexual Conception Counselling
9. Gender Dysphoria
10. Gender Dysphoria
11. Fall (Fainting)
12. Chicken Pox (Concerned Mother)
13. Learning Disability (Diabetes Mellitus)
14. Epistaxis Headache (Testosterone)
15. Heart Failure medication follow up
16. Knee Replacement
XIX. BREAKING BAD NEWS
1. Cerebral Bleeding
2. Talk to Daughter
3. Extradural Hemorrhage Child
4. Cerebral Bleed
5. Pelvic Fracture Child
6. Post op Bleed
7. Post Mortem
XX. MEDICAL ERRORS
1. Missed MI
2. Misdiagnosed Pneumonia
3. Hairline Fracture
4. Amoxicillin Rash
5. Foreign Body
6. Post Streptococcal Glomerulonephritis
7. Sample Not Labelled.
8. Missed Fracture
XXI. PROBLEM COLLEAGUE
1. Alcohol Colleague
2. Cocaine Colleague
3. Cocaine Colleague
4. Colleague Coming Late
5. Colleague Facebook Post
6. Alcohol Colleague Senior
XXII. ETHICS
1. Domestic Violence Burn (Sex Trafficking)
2. Domestic Violence
3. Insomnia Domestic Violence
4. Elderly Abuse
5. Euthanasia
6. Mother Wants Sick Note (Chicken Pox)
7. Refusal of Breast Cancer Treatment(Telephonic)
8. Refusal of Chemotherapy
9. Hospital Policy (Covid Policy) (Telephonic)
10. Hospital Policy (Two Person Policy) (Telephonic)
11. Cancer Withhold
12. Talk to Consultant Son about his mother
13. End of Life Care (DNAR)
14. End of Life Care (DNAR)
15. Multiple Sclerosis
 16. Infective Endocarditis
17. Patient doesn’t want Warfarin
18. Angiogram(Conflict of Opinion
19. Herbal Medication
20. Dementia
21. Elderly Wrist Fracture
22. Concerned Mother OCP
23. Emergency Contraception
24. Cerebral Palsy
25. Ankle Sprain
26. Sick Note Request After Accident
27. Changing the Counsellor
28. Gender Selection
29. DKA Refusing Admission
XXIII. MISCELLANEOUS
1. Prescription Writing
2. Prescription Writing
3. Prescription Writing
4. Prescription Writing
5. Prescription Writing (Apixaban)
6. Prescription Writing (Nosebleed Apixaban)
7. Insomnia
8. HIV
9. HIV
10. Neck Lump
CARDIOLOGY
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Helene Volmer 34 year old Female has come with complaints of
being short of breath.

Other Information: None

Special Note: None

What you must do: Take focused history, address her concerns and do appropriate
management

STATION 2
Where you are: You are F2 working in A&E

Who the patient is: Mrs. Maria Lowe, 45 year old female has come with complains of
shortness of breath and chest pain.

Other Information: None

Special Note: None

What you must do: Take focused history, address her concerns and do appropriate
management

STATION 3
Where you are: You are F2 working in A&E

Who the patient is: Chantelle Thompson aged 22, has come with complains of Chest
Pain.

Other Information: The Patient is in transition from Male to Female

Special Note: None

What you must do: Take focused history and do appropriate management

STATION 4
Where you are: You are F2 working in A&E

Who the patient is: John Smith , 49 year old Male, presented to the hospital with chest
pain

Other Information: None

Special Note: None

What you must do:Take focused history, and do initial management.

STATION 5
Where you are: You are F2 working in GP

Who the patient is: Alexander Brown, 78 year old presented with Chest Pain

Other Information: None

Special Note: None

What you must do: Take focused History and Manage the patient

STATION 6
Where you are: You are F2 in A&E

Who the patient is: Tim Burton, 37 year old presented to the hospital with chest pain

Other Information: None

Special Note: None

What you must do: Take focused history, and discuss the initial plan of management
with the patient

STATION 7
Where you are: You are F2 in Emergency Department

Who the patient is: Wayne Rooney, 29 year old male came to the hospital with Chest
Pain

Other Information: None

Special Note: None

What you must do: Take focused History and Manage the patient

STATION 8
Where you are: You are F2 in Emergency Department

Who the patient is: Gareth Bale, 33 year old male presented with Chest Pain

Other Information: None

Special Note: He has been diagnosed with Von Willebrand Disease

What you must do: Take focused History and Manage the patient

STATION 9
Where you are: You are F2 in General Practice

Who the patient is: Peter Gordon, aged 44 has came to the clinic with chest pain

Other Information: None

Special Note: None

What you must do: Take focused history and manage the patient
STATION 10
Where you are: You are F2 working in Emergency department

Who the patient is: Benjamin Matthews 56 year old has come with complaints of
Shortness of Breath

Other Information: He was diagnosed with an MI 6 Years ago for which he was
treated.

Special Note: None

What you must do: Talk to him take focused history and Do appropriate management

STATION 11
Where you are: You are F2 in General Practice

Who the patient is: Alexander Smith, 55 year old came with complaints of Chest
Discomfort

Other Information: This is the patients first visit

Special Note: None

What you must do: Take Focused history and discuss the plan of management with
the patient. Do not examine the patient.

STATION 12
Where you are: You are F2 in Emergency department.

Who the patient is: Mrs. Pattinson 60 year old came to the hospital with pain in her
leg.

Other Information: None

Special Note: None

What you must do: Take focused history and manage the patient.
RESPIRATORY
STATION 1
Where you are: You are F2 working in Respiratory Medicine

Who the patient is: Freddie Mercury aged 70 year old has come to you with
complaints of cough for a few months.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns. At 6 minutes
discuss differential diagnosis with examiner and discuss management plan with the
patient

STATION 2
Where you are: You are F2 working in Medicine

Who the patient is: Jack Sparrow, 33 year old male came with complaints of cough
and shortness of breath

Other Information: None

Special Note: He is homeless and is on benefits

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 3
Where you are: You are F2 working in Accident and Emergency department

Who the patient is: Richard Hammond 39 year old male came with cough and
shortness of breath

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 4
Where you are: You are F2 working in Accident and Emergency

Who the patient is: 72 year old James May came with Cough and shortness of breath
after being referred by the GP.

Other Information: Nurse colleague has seen the patient. NEWS chart is present in
the cubicle.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 5
Where you are: You are F2 working in Acute Medicine Unit

Who the patient is: Olive Green 74 year old female has been referred to the hospital
from a care home.

Other Information: She is confused and agitated. You are not able to take any history
from her. There is no medical record or reference letter from the care home. You are
unable to examine her. Vitals are recorded as follows: BP-90/60 mmHg. Pulse –
120/min Temperature- 38.7 O2 Saturation- 89%

Special Note: None

What you must do: Call the care home, Take focused history of the patient. At 6
minutes talk to the examiner and discuss management plan of the patient
STATION 6
Where you are: You are F2 working in Respiratory department

Who the patient is: Jacob Robertson 55 year old male came with complaints of cough
and hemoptysis.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 7
Where you are: You are F2 working in General Practice

Who the patient is: Marty McDream 22 year old male came to the hospital with chest
tightness and wheeze.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 8
Where you are: You are F2 working in General Medicine

Who the patient is: Peter Lewis 22 year old male came to the hospital 3 days back
because of severe asthmatic attack.

Other Information: He was diagnosed with Asthma four weeks ago and this is his first
asthmatic attack. He has recovered quickly and is stable now. He is getting discharged
today and was prescribed with three medications which are as follows:

Salbutamol PRN , Beclomethasone 400 microgram BD, Prednisolone 30 mg OD 3

days.

Special Note: None

What you must do: Talk to the patient, assess his fitness for discharge, explain
medications and address patient’s concerns.
 NEUROLOGY
STATION 1
Where you are: You are F2 working in Accident and Emergency department

Who the patient is: Michelle Markson 45 year old presented to the hospital with
headache

Other Information: None

Special Note: None

What you must do: Talk to the patient, take focused history and do initial
management.

STATION 2
Where you are: You are F2 working in General Medicine ward

Who the patient is: Chantelle Cameron, aged 55 female came to the hospital with
some headache

Other Information: None

Special Note: None

What you must do: Take focused history and do appropriate management.

STATION 3
Where you are: You are F2 working in General Practice

Who the patient is: Clarissa Shields 46 year old female came to the clinic with
complaints of headache.

Other Information: None

Special Note: None

What you must do: Take focused history and do appropriate management.

STATION 4
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Olivia Jackson 63 year old was brought to the hospital by her
husband due to weakness of one side of the body, slurred speech, drooping of the
angle of mouth and difficulty swallowing.

Other Information: Olivia’s condition improved after 2 hours and she is completely fine
now. Blood pressure was measured and was recorded as 150/100 mm of Hg. Routine
blood tests were done and the results are being awaited for the same. General and
Neurological examination was done and there is no findings present

Special Note: Consent has been taken from Olivia Jackson to talk to her husband
Michael Jackson.

What you must do: Talk to the patient’s relative and take focused history and discuss
appropriate further management with him.

STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: Andrea McKenzie aged 33 female came with complaints of
difficulty in walking

Other Information: None

Special Note: None

What you must do: Take focused history and do appropriate management.

STATION 6
Where you are: You are F2 working in General Practice
Who the patient is: Tony Rogers aged 27 has requested a phone consultation
regarding some rash that is bothering him.

Other Information: None

Special Note: He has sent over a photo of the rash via email to you which you will find
inside the cubicle.

What you must do: Take focused history and do appropriate management.

STATION 7
Where you are: You are F2 working in Accident and Emergency department

Who the patient is: Peter Parker 22 year old Male was brought to the hospital by his
father Mr. Parker after having a fit.

Other Information: Peter is now confused, drowsy and agitated. He is not

unconscious.

Special Note: None

What you must do: Talk to Mr. Parker, take focused history, explain his sons’ condition
and do appropriate management.

STATION 8
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Steve Stark 40 year old male was brought to the hospital by the
ambulance after having a fall

Other Information: None

Special Note: None

What you must do: Take focused history and do appropriate management.

STATION 9
Where you are: You are F2 working in Accident and Emergency department

Who the patient is: Mrs. Marley 72 year old female came to the hospital after having
a fall

Other Information: None

Special Note: None

What you must do: Take focused history and do appropriate management.

STATION 10
Where you are: You are F2 working in Surgery department

Who the patient is: Mrs. Sharon Courtney 78 year old Female recently had a fall.

Other Information: She had fractured the neck of her femur. She had undergone
surgery which went with no complications till now. Your consultant has asked you to
take history of the patient to find out the possible cause of the fall.

Special Note: None

What you must do: Take focused history and discuss appropriate management plans
with the patient. .

STATION 11
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Martin Harlow 23 year old male came with complaints of dizzy
attack.

Other Information: None

Special Note: None

What you must do: Take focused history and do appropriate management.

STATION 12
Where you are: You are F2 working in General Practice
Who the patient is: Damian Martin 60 year old Male came to you with complaints of
some pain.

Other Information: None

Special Note: None

What you must do: Take focused history and do appropriate management.

STATION 13
Where you are: You are F2 working in Emergency Department

Who the patient is: Mrs. Joanne Kaughlin aged 30 years has booked an urgent
appointment in the emergency department

Other Information: None

Special Note: She is 6 weeks Post partum

What you must do: Take focused history and do appropriate management.

STATION 14
Where you are: You are F2 working in University Clinic

Who the patient is: Jack Daniels 22 year old male came to you with headache

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 15
Where you are: You are F2 working in General Practice

Who the patient is: Miss Sam Holmes aged 26 came to you with headache.

Other Information: None

Special Note: None

What you must do: Take focused history and do appropriate management.
GASTROENTEROLOGY
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Diana Spencer 47 year old came to the hospital to discuss about
her blood tests which were done. The blood test reports are as Follows:

ALT – 530 (5-35) AST – 110 (5-35) ALP - 83 (30-150) Bilirubin -35 ( 3-17)

Other Information: None

Special Note: None

What you must do: Take focused history, discuss blood results address the patient’s
concerns and manage accordingly.

STATION 2
Where you are: You are F2 working in General Practice

Who the patient is: Adam Sandler 26 year old male has come for his blood reports.
The blood reports are as follows:

AST- 20 (5-40 IU/L) ALT- 30 (5-40IU/L) ALP – 87 (30-130 umol/L) GGT- 22 (9-22 IU/L)
Albumin – 43 (38-50 g/L) Bilirubin 39 (<21 umol/L) Direct Bilirubin- Normal, Indirect
Bilirubin- Elevated

Other Information: None

Special Note: None

What you must do: Take focused history, discuss blood results address the patient’s
concerns and manage accordingly.

STATION 3
Where you are: You are F2 working in Medicine
Who the patient is: Janet Molly 42 year old female came for her blood reports.

AST- 65 (5-40 IU/L) ALT- 30 (5-40IU/L)

Other Information: None

Special Note: None

What you must do: Take focused history, discuss blood results address the patient’s
concerns and manage accordingly.

STATION 4
Where you are: You are F2 working in Orthopedics

Who the patient is: Julia Michaels 70 year old female has been admitted to the
hospital. She underwent hip replacement 7 days back for her fractured neck of femur.
She has not passed stool since she was admitted.

Other Information: She was given Co-codamol for her pain which is controlled now.
She is now stable.

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 5
Where you are: You are F2 working in Orthopedics

Who the patient is: Julia Rose 85 year old female fell in her home 1 week ago and
sustained a fracture. She was admitted in the ward. Your Nurse colleague Jonathan
Smith has now come to you regarding some concerns regarding the patient.

Other Information: None

Special Note: None

What you must do: Talk to the nurse, address his concerns and discuss the
management plan.
STATION 6
Where you are: You are F2 working in General Practice

Who the patient is: Tony Ferguson 55 year old has come with complaints of
indigestion

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 7
Where you are: You are F2 working in Surgery

Who the patient is: Adam Smith 60 year old male came with complaints of difficulty in
swallowing.

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 8
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Sasha Flair 27 year old came to the hospital with complaints of
vomiting blood. Her vitals at the moment are as follows

BP- 110/70 mm Hg , Pulse-100/min , Temp- 37 C, RR- 17/min, O2 Sat- 97%

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 9
Where you are: You are F2 working in Emergency department

Who the patient is: Alicia Parker 40 year old female came with complaints of vomiting
and diarrhea for the last 3 days

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 10
Where you are: You are F2 working in General Practice

Who the patient is: George Thomas 60 year old male has requested an telephonic
appointment regarding his complaints of loose motions

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 11
Where you are: You are F2 working in Medicine

Who the patient is: Rose Tate 55 year old female came to the hospital with complaints
of loose stools since 2 months.

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 12
Where you are: You are F2 working in Emergency Department

Who the patient is: Scott Sterling 65 year old Male came to the hospital with
complaints of diarrhea

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 13
Where you are: You are F2 working in Medicine department

Who the patient is: Emily Blunt 36 year old female came to the hospital for a follow up
appointment. You have her blood results with you which was done 3 months ago:

Hemoglobin – Reduced MCV- Reduced WBC, Platelets- Normal

Serum Iron, Ferritin- Reduced

Blood and tissue tests were done again before her visit now, who’s reports show Tissue
Transglutaminase +ve.

Other Information: None

Special Note: Consultant has decided to get an Endoscopy done confirm the diagnosis

What you must do: Take focused history, explain the test results address the patient’s
concerns and manage accordingly.
ENDOCRINOLOGY
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Sue Smith aged 22 female came to the clinic to see you regarding
some problem

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 2
Where you are: You are F2 working in General Practice

Who the patient is: Sue Smith aged 23 year old female came to clinic with complaints
of tremors and sweating

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 3
Where you are: You are F2 working in Medicine department

Who the patient is: Mrs. Matilda Matthews 60 year old came to the hospital with the
feeling of tiredness.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 4
Where you are: You are F2 working in General Practice

Who the patient is: Katie Grant 35 year old female came to the hospital for her blood
results which are as follows:

TSH – 6.1 (0.4-4.0 mIU/L) T4- 3.6 (5.4-11.5 mcg/dL)

Other Information: None

Special Note: None

What you must do: Explain the blood results, address patient’s concerns and discuss
management plan with the patient

STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: Ava Knight 55 year old female came for her blood reports

CBC, U&E HbA1C, ESR- Normal

Calcium Corrected- 3.05(2.2-2.6 mol/L)

Parathyroid hormone- 77(10-65 ng/L)

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
STATION 6
Where you are: You are F2 working in Emergency Department

Who the patient is: Charles Leclerc 32 year old male was brought by an ambulance
after having a fall.

Other Information: Blood tests were done and glucose levels were 2 mmol. He was
unconscious 30 mins ago. He is now conscious

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 7
Where you are: You are F2 working in Accident and Emergency department

Who the patient is: 30 year old Sarah Palin came with complaints of tummy pain

Other Information: None

Special Note: None

What you must do: Take focused history, address your and the patient’s concerns and
discuss management plan with the patient

STATION 8
Where you are: You are F2 working in Emergency department

Who the patient is: Misha Paul 16 year old came with tummy pain and weight loss.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
STATION 9
Where you are: You are F2 working in General Practice

Who the patient is: Eddie Murphy 35 year old Male came to the clinic with complaints
of dizzy spell.

Other Information: He Is a known case of Diabetes Mellitus and is on Insulin

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 10
Where you are: You are F2 working in Accident and Emergency

Who the patient is: John Oliver is 5 year old boy who was brought by the ambulance
after he fell down. His mother Mrs. Oliver had called the ambulance. Mrs. Oliver now
wants to talk to you regarding some concerns

Other Information: John Oliver was diagnosed with Diabetes. His blood tests now
show a Sugar level of 14 and Ketones +++. Initial medical management has been done.

Special Note: None

What you must do: Talk to the mother and address her concerns
HEMATOLOGY
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Sharon 40 year old female came to the clinic because of tiredness.
She was examined for the symptoms and blood tests were done. The Blood reports are
as follows:

Hb-100g/dl, Platelet-560,000/cmm WBC-4500/cmm

Ferritin/ Iron – Normal Vitamin B12- low

Other Information: None

Special Note: None

What you must do: Take focused history, discuss the blood results and address
patient’s concerns

STATION 2
Where you are: You are F2 working in General Practice

Who the patient is: Mary Wilkins 45 year old came to the clinic for well women check
up. She had a blood test done 3 weeks back and has now come to receive her blood
test reports. The Blood reports are as follows:

Blood Results – HB 110 g/dl(115-165) , MCV 65 (80-100), Platelet-430,000/cmm, WBC

– 4000/cmm Urea and Electrolytes Normal

After which she was advised another test 1 week back for which the reports are as
follows:

Serum ferritin – Low, Serum Iron- Low, Vitamin B12- Normal, Folate Normal

Other Information: None

Special Note: None

What you must do: Take focused history, discuss the blood results and address
patient’s concerns

STATION 3
Where you are: You are F2 working in General practice

Who the patient is: Maria Johnson 34 Year old female went to well women check up.

Other Information: She took a blood test 3 weeks back for which the reports are as
follows

Blood Results – HB 110 g/dl(115-165) , MCV 58 (80-100), Platelet-430,000/cmm, WBC

– 4000/cmm Urea and Electrolytes Normal

After which she was advised another test 1 week back for which the reports are as
follows:

Serum ferritin – Normal, Serum Iron- Normal, Vitamin B12- Normal, Folate Normal

Special Note: She has requested a phone consultation regarding her blood results

What you must do: Talk to her, discuss the blood results and Do appropriate
management

STATION 4
Where you are: You are F2 working in General Practice

Who the patient is: Mrs. Holly Holm aged 53 years old came in her for blood and urine
results.

Hb- 104 g/dl (115-165) MCV- 88(80-100) Platelet-460,000/cmm WBC- 4600/cmm

RA Factor- Normal, IgG- Raised

Urine- Bence Jones Proteins Positive

Other Information: None

Special Note: None

What you must do: Talk to her, discuss the blood results and Do appropriate
management
STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: John Bernard, aged 55 came to the clinic with complaints of gum
bleeding.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 6
Where you are: You are F2 working in General Practice

Who the patient is: Mark Anthony aged 29 year old has been feeling tires for the last
1-2 weeks and has now come to the clinic.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
RHEUMATOLOGY
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Maddison Ivy 50 year female came with complaints of Hand Pain

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 2
Where you are: You are F2 working in General Practice

Who the patient is: James Horton 45 year old male came with complaints of pain in big
toe.

Other Information: He is hypertensive and is on Amlodipine and Bendroflumethiazide

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 3
Where you are: You are F2 working in General Practice

Who the patient is: Ebanie Bridges 68 year old female came to the clinic with pain and
aches.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 4
Where you are: You are F2 working in General Practice

Who the patient is: Steve Barron 45 year old male came to the hospital with
complaints of tiredness.

Other Information: He came to the hospital 6 months ago with the same problem after
having the flu.

Special Note: The IT system of the hospital has crashed and no medical records of the
patient are present.

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: Molly Kimmel 38 year old female has requested a phone
consultation regarding the blood results which were done for her.

The blood results are as follows:

Hb, CBC, LFT, RFT, TFT, U&E- Normal

ESR, CRP, HbA1C, Folate, Ferritin- Normal

Other Information: None

Special Note: None

What you must do: Take focused history, discuss the blood results address patient’s
concerns and discuss management plan with the patient
STATION 6
Where you are: You are F2 working in Emergency Department

Who the patient is: Tyson Michaels 25 year old male came with joint pain

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 7
Where you are: You are F2 working in General Practice

Who the patient is: Alicia Robertson 50 year old female came with complaints of knee
and hip pain

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 8
Where you are: You are F2 working in General Practice

Who the patient is: Darren James 26 year old male has come with complaints of pain
in his fingers

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient.
GENITOURINARY
STATION 1
Where you are: You are F2 working in Accident and Emergency

Who the patient is: 82 year old Sam Billings was admitted in the hospital because of a
new problem.

Other Information: He is confused now.

Special Note: None

What you must do: Talk to his daughter Mel Billings ,take focused history, address her
concerns and discuss management plan with the patient

STATION 2
Where you are: You are F2 working in General Practice

Who the patient is: Avery Smith 50 year old came to the clinic with complaints of
tiredness. She was diagnosed with depression and she is taking Citalopram.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s

STATION 3
Where you are: You are F2 working in General Practice

Who the patient is: James Anderson aged 30 came to the clinic with some problem.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
STATION 4
Where you are: You are F2 working in General Practice

Who the patient is: Peter Wilkinson 72 year old male came to the clinic regarding
some urine problems 2 weeks back. He was prescribed Oxybutynin for that and was
sent home. He has now come to you regarding some problems

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns

STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: Miss Samantha Truce 30 year old came with urine problems

Other Information: She is 29 weeks pregnant

Special Note: None

What you must do: Take focused history, address patient’s concerns

STATION 6
Where you are: You are F2 working in General Practice

Who the patient is: Natalie Robbins 18 year old came with complaints of burning
sensation while passing urine

Other Information: None

Special Note: Patient is in transition from female to male

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 7
Where you are: You are F2 working in General Practice
Who the patient is: Ben Tennyson aged 57 came to you regarding some problems he
wants to talk about.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns

STATION 8
Where you are: You are F2 working in General Practice

Who the patient is: Arthur Mckenzie 75 year old came to the hospital with dysuria

Other Information: None

Special Note: None

What you must do: Take focused history, examine the patient address patient’s
concerns and discuss management plan with the patient

STATION 9
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Henry Cavill 75 year old was brought by his wife because of
confusion. He was diagnosed with UTI 3 days back

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 10
Where you are: You are F2 working in General Practice

Who the patient is: Janet Johnson 27 presented to the clinic with abdominal
discomfort.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 11
Where you are: You are F2 working in General Practice

Who the patient is: Sandra aged 25 year old had a history of painful urination 2 weeks
back. Her urine culture is negative. She was prescribed Trimethoprim and her
symptoms did not subside. She went her GP and was then given Nitrofurantoin for
another week. Her dysuria is still not resolved.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 12
Where you are: You are F2 working in General Practice

Who the patient is: Jason Roy, aged 55 to clinic requesting PSA.

Other Information: None

Special Note: None

What you must do: Talk to the patient, address patient’s concerns

STATION 13
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Mr. Patterson 28 year, presented to the hospital with loin pain.

Other Information: He was given Diclofenac by the nurse.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 14
Where you are: You are F2 working in General Practice

Who the patient is: Mr. Zimmerman, aged 57, presented to clinic with complaints of
hematuria

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 15
Where you are: You are F2 working in General Practice

Who the patient is: Mr. Lewis Hamilton aged 57, came to the clinic for a follow up.

Other Information: He suffered an MI 3 months back. A follow up was arranged 6

weeks back. During the follow up he was diagnosed with Left Ventricular Dysfunction
and was prescribed the following medications:

Aspirin,

Ticagrelor,

Bisoprolol,

Ramipril

Atorvastatin

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
OPHTALMOLOGY
STATION 1
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Taylor Starling 50 year old female came with complaints of
redness of her eye

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 2
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Luis Eriksen 75 year old male came to the hospital with complaint
of red eye

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 3
Where you are: You are F2 working in Medicine

Who the patient is: Evelyn Addison 67 year old female has come with some
concerns.

Other Information: She went to the GP last week who advised her not to drive.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 4
Where you are: You are F2 working in Medicine Department

Who the patient is: Monica Geller 85 year old female has some concerns regarding
her vision

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 5
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Savannah Marshall 59 year old female came the hospital with
sudden loss of vision

Other Information: None

Special Note: None

What you must do: Take focused history, assess her and address patient’s concerns
and discuss management plan with the patient

STATION 6
Where you are: You are F2 working in General Practice

Who the patient is: Keith Lee is 45 year old male who came with complaints of
bumping into objects

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
STATION 7
Where you are: You are F2 working in Ophthalmology

Who the patient is: Suzy Robbins is 75 year old female went to the optometrist
because she wanted to change her glasses. The optometrist told her that there is
increased intra ocular pressure and has referred her to you.

Other Information: None

Special Note: Results of the tonometry is present in the cubicle

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 8
Where you are: You are F2 working in General Practice

Who the patient is: Jody Lee is 45 year old female who came with complaints of eye
pain, and vision problems

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
EAR NOSE AND THROAT
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Sameera Reddy aged 35 year old came to the clinic with sore
throat.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 2
Where you are: You are F2 working in General Practice

Who the patient is: Mrs. Anne the mother of 6 year old boy Vince, who is diagnosed
with Tonsillitis has come to you to talk about her son’s referral to ENT surgery that was
rejected. The child has already had 5 episodes of infection over the last six months.

Other Information: None

Special Note: Referral to the ENT surgery was made by GP after request of the
mother.

What you must do: Talk to Mrs. Anne and address her concerns

STATION 3
Where you are: You are F2 working in General Practice

Who the patient is: Simon Miller 25 year old male came with complaints of runny nose

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 4
Where you are: You are F2 working in General Practice

Who the patient is: Jay Richardson aged 24 year old male came to the hospital with
complaints of pain in ear and fever

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: Luke Gallows 26 year old male came to clinic with complaints of
ear pain

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 6
Where you are: You are F2 working in General Practice

Who the patient is: Mr. Seth Rollins aged 40 years came to the clinic with complaints
of hearing noises

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
STATION 7
Where you are: You are F2 working in General Practice

Who the patient is: Miss Helena Banks 35 year old female came to the clinic with
complaints of Dizzy spells

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 8
Where you are: You are F2 working in General Practice

Who the patient is: Mr. Benjamin Rao 45 year old, came to the clinic because of
dizziness

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 9
Where you are: You are F2 working in General Practice

Who the patient is: 50 year old female Alexa Bliss came with complaints of hearing
problems

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 10
Where you are: You are F2 working in General practice

Who the patient is: Naomi Osaka 55 year old female came with complaints of
headache

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 11
Where you are: You are F2 working in General practice

Who the patient is: Karen Serrano 55 year old female came with complaints of nasal
discharge

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
DERMATOLOGY
STATION 1
Where you are: You are F2 working in Surgery

Who the patient is: Maria Swindon 32 year old came to the clinic with complaints of a
lesion over her left shoulder.

Other Information: She has a letter from her GP stating that she has some concerns
regarding the lesions and wants to remove it.

Special Note: None

What you must do: Take focused history, address patient’s concerns

STATION 2
Where you are: You are F2 working in General Practice

Who the patient is: Felix Billings 38 year old male came to the clinic because of lesion
on her shoulder.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 3
Where you are: You are F2 working in General Practice

Who the patient is: Mark Douglas aged 60 came to you with skin lesion present on his
ear.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 4
Where you are: You are F2 working in General Practice

Who the patient is: Brandon Lee 45 year old male came to you with some concerns

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: Maddison Phoenix 23 year old came to you with complaints of
acne. She is requesting Isoretinoin medications for it.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 6
Where you are: You are F2 working in General Practice

Who the patient is: 23 year old Sophie Turner came to the clinic with complaints of
rash on her face

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
STATION 7
Where you are: You are F2 working in General Practice

Who the patient is: Mrs. Amber Heard mother of 5 year old Colton has some concerns

Other Information: None

Special Note: None

What you must do: Take focused history, address mother’s concerns and discuss
management plan

STATION 8
Where you are: You are F2 working in General Practice

Who the patient is: Sarah Bridges 24 year old lady came to the clinic because of rash
on her lower lip

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 9
Where you are: You are F2 working in General Practice

Who the patient is: Linus Sebastian 26 year old male has made an urgent
appointment

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 10
Where you are: You are F2 working in General Practice
Who the patient is: Ben Stokes 24 year old male came to you because of a lesion
present on his penis

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 11
Where you are: You are F2 working in General Practice

Who the patient is: Dennis Clark 15 year old male came to the hospital with some
concerns. He has come with his mother.

Other Information: None

Special Note: Mother is waiting next door

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 12
Where you are: You are F2 working in General Practice

Who the patient is: Parents of Doug Jones, who is 2 years old came to you with some
concerns

Other Information: None

Special Note: None

What you must do: Talk to Mr. Jones, take focused history, address his concerns and
discuss management plan

STATION 13
Where you are: You are F2 working in General Practice
Who the patient is: Jessie Bee 70 year old has emailed you a picture of a skin lesion
she has. She has requested a telephonic consultation for the same

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 14
Where you are: You are F2 working in General Practice

Who the patient is: Harry Potter 20 year old male has requested a phone call
regarding some skin rash that he has.

Other Information: None

Special Note: Photo of the lesion is present inside the cubicle

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 15
Where you are: You are F2 working in General Practice

Who the patient is: Amelia Arden 43 year old has come to you with some complaints
of painful swelling in her leg.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 16
Where you are: You are F2 working in General Practice

Who the patient is: Nancy Ajram 37 year old female has come to you regarding some
concerns
Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

Who the patient is:

Other Information:

Special Note:

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
OBSTETRICS & GYNECOLOGY
STATION 1
Where you are: You are F2 working in Obstetrics and Gynecology Department

Who the patient is: Sherlyn Gardner 29 year old female is 26 weeks pregnant, has
been referred to the hospital by the midwife. The midwife has attached a note after
seeing her.

Vitals- BP-160/110, Urine Protein- +++ To be reviewed by a doctor

Other Information: The patient’s BP in her first booking was 110/70

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 2
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Mrs. Evelyn aged 28 came to the hospital complaining of right
lower abdominal pain.

Other Information: None

Special Note: Ask the examiner for the specific findings that you are looking for.

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 3
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Diana Pent 40 year old female came to the hospital complaining of
pain in her lower abdomen.
Other Information: Caesarian Section was done 15 years ago. She is taking
desogestral 150 mcg daily. She was diagnosed with depression and is on sertraline for
the same.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 4
Where you are: You are F2 working in GUM Clinic

Who the patient is: Mrs. Juliet Romavoff 24 year old female came to the clinic for her
test reports. Swab was taken and the result shows positive for gonorrhea.

Other Information: None

Special Note: None

What you must do: Take focussed, discuss test results, address patient’s concerns
and discuss management plan with the patient

STATION 5
Where you are: You are F2 working in Obstetrics and Gynecology Department

Who the patient is: Jenny 18 year old female came to the hospital complaining of Left
lower abdominal pain.

Other Information: She has 6 weeks of amenorrhea. Pregnancy test was done and it is
positive.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 6
Where you are: You are F2 working in Antenatal Clinic
Who the patient is: Emma Davidson 28 year old is referred by her GP for her first
ANC visit. She is 6 weeks pregnant.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 7
Where you are: You are F2 working in General Practice

Who the patient is: Kim Jenner 29 year old has come to the GP Surgery with
complaints of Acne and Amenorrhea. On her first visit, Pregnancy test was done and it
is negative. Hormonal Profile is done who’s reports are as follows-

LH- 18 mIU/mL(1-12mIU/mL), FSH- 6 mIU/mL(1-9mIU/mL), BMI- 32

Other Information: None

Special Note: None

What you must do: Talk to her, take focused history, discuss blood results, address
patient’s concerns.

STATION 8
Where you are: You are F2 working in General Practice

Who the patient is: 29 year old Amber Husnain came to the clinic to talk about some
concerns

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns

STATION 9
Where you are: You are F2 working in General Practice
Who the patient is: Alisha Mansfield 30 year old female has come to you regarding
some concerns

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns

STATION 10
Where you are: You are F2 working in General Practice

Who the patient is: Angela Martin 17 year old has come to you regarding some
headache

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 11
Where you are: You are F2 working in General Practice

Who the patient is: Katie Yale 29 year old female has come to you regarding some
concerns about her mood swings.

Other Information: One week ago blood tests and urine tests were done which have
come back normal.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 12
Where you are: You are F2 working in General Practice

Who the patient is: Leanne Bailey, 16 year old female has come to you as she is
feeling sick
Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 13
Where you are: You are F2 working in Antenatal Clinic

Who the patient is: Chelsea Stokes 30 year old female who is 14 weeks pregnant has
come to you for her test reports.

Rubella- Non Immune

Rh -ve

Blood – Normal, Urine Normal

Other Information: This is her second visit. Her first visit was when she was 12 weeks
pregnant.

Special Note:None

What you must do: Discuss test results, address patient’s concerns and discuss
management plan with the patient

STATION 14
Where you are: You are F2 working in Antenatal Clinic

Who the patient is: Chelsea Stokes 30 year old female who is 14 weeks pregnant has
come to you for her test reports.

Rubella- Non Immune

“O” Antibodies Negative

Blood – Normal, Urine Normal

Other Information: This is her second visit. Her first visit was when she was 12 weeks
pregnant.

Special Note:None
What you must do: Discuss test results, address patient’s concerns and discuss
management plan with the patient

STATION 15
Where you are: You are F2 working in Obstetrics and Gynecology Department

Who the patient is: Kiara Edwards 22 year old has come to you asking for 6 months
prescription of OCP.

Other Information: None

Special Note: None

What you must do: Talk to her and address patient’s concerns

STATION 16
Where you are: You are F2 working in Obstetrics and Gynecology Department

Who the patient is: Miss Sarah Plunkett, aged 26 year old came with complaints of
amenorrhea. She had some blood tests done and the results are as follows.

Oestrogen- Low, LH- 18 mIU/mL(1-12mIU/mL), FSH- 16 mIU/mL(1-9mIU/mL)

Diagnosis of Premature Ovarian Insufficiency has been made.

Other Information: None

Special Note: None

What you must do: Talk to her, explain the results and address patient’s concerns

STATION 17
Where you are: You are F2 working in Obstetrics and Gynecology Department

Who the patient is: Ashley Addison aged 25 year old has requested a telephone call
for the swab results which was done 2 days ago.

The swab test has come back positive for Bacterial Vaginosis

Other Information: None

Special Note: None

What you must do: Talk to her, explain the results and address patient’s concerns

STATION 18
Where you are: You are F2 working in Antenatal Clinic

Who the patient is: Victoria Beckham aged 35 has come for her ultrasound result.

Transvaginal Ultrasound scan was done which shows 5 weeks of gestation. Fetal pole
was found but no fetal heart sound was detected.

Other Information: None

Special Note: None

What you must do: Talk to her, explain the results and address patient’s concerns

STATION 19
Where you are: You are F2 working in General Practice

Who the patient is: Ava Hardy 26 year old has come to you regarding her cervical
smear test results.

The cervical screening test result shows Mild Dyskariosis and HPV was found to be
negative.

Other Information: Consultant has been advised to have a regular follow up after 3
years

Special Note: None

What you must do: Talk to her, explain the results and address patient’s concerns

STATION 20
Where you are: You are F2 working in General practice

Who the patient is: Tanya Morrison 32 year old female came for her blood results

Other Information: Blood tests all normal

Special Note: None

What you must do: Talk to her, take focused history and Do appropriate management
PEDIATRICS
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Diana Wales the mother of 15 month old boy,Drake and 15 month
old girl, Megan came to the clinic because of some concern.

Other Information: None

Special Note: None

What you must do: Take focused history, address mother’s concerns and discuss
management plan.

STATION 2
Where you are: You are F2 working in General Practice

Who the patient is: Lisa James 30 year old is concerned about her 4 year old
daughter Jessica

Other Information: None

Special Note: None

What you must do: Take focused history, address mother’s concerns and discuss
management plan

STATION 3
Where you are: You are F2 working in General Practice

Who the patient is: David Wallace, who is a 12 month old boy is brought by his
mother Mrs. Wallace.

Other Information: None

Special Note: None

What you must do: Take focused history, address mother’s concerns and discuss
management plan with the patient

STATION 4
Where you are: You are F2 working in Pediatrics

Who the patient is: Daisy 15 month old, was brought to the hospital by her father Mr.
Windsor for fever, shortness of breath and tugging her left ear. They went to the GP and
gave them Paracetamol and referred her to the hospital.

Other Information: None

Special Note: None

What you must do: Take focused history, address the father’s concerns and discuss
management plan with him.

STATION 5
Where you are: You are F2 working in Pediatrics

Who the patient is: Natalie 23 year old lady has just delivered a baby boy Josh who is
10 days old. Josh was brought in for redness in his eyes. He was treated for the same,
swab was taken and was discharged with Chloramphenicol eye drops. The Swab has
come back positive for Chlamydia. Natalie has come to discuss the results of the swab.

Other Information: None

Special Note: None

What you must do: Talk to the mother and address her concern

STATION 6
Where you are: You are F2 working in Pediatrics

Who the patient is: Chelsea Hackett aged 2 has been brought to the hospital by her
mother Mrs. Hillary Hackett because she had a fit. She was managed in the Accident
and Emergency department and has been referred to you.

Other Information: Her Temperature is 38.9 C. On Examination there is redness over

the Left Eardrum.
Special Note: Child is not in the cubicle.

What you must do: Talk to Mrs. Hillary Hackett, take focused history, address her
concerns and discuss management plan.

STATION 7
Where you are: You are F2 working in Pediatrics

Who the patient is: Jessica Clark 9 month old girl was brought to the hospital by her
father Mr. Clark after she had a fall from the sofa.

Other Information: She is happy and playing well and moving all four limbs. She has a
bruise over her forehead.

Special Note: She is in another cubicle with your colleague

What you must do: Talk to the father and take focused history, address his concerns.

STATION 8
Where you are: You are F2 working in Pediatrics

Who the patient is: 4 month old Daniel was brought to the hospital by his mother Mrs.
Rachel Ricciardo this morning. She brought Daniel after she noticed swelling of his left
arm.

Other Information: Xray has been done and spiral fracture of the left humerus was
noticed by the consultant.

Special Note: She doesn’t know about the diagnosis of the fracture

What you must do: Talk to the mother, take focused history address her concern’s and
Address your concerns. Discuss further management plan with her.

STATION 9
Where you are: You are F2 working in Pediatrics

Who the patient is: 20 month old child Martin Guptill was brought to the hospital by his
mother Mrs. Jade Guptill due to tummy pain.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 10
Where you are: You are F2 working in Pediatrics

Who the patient is: 6 week old Mark Wood was brought to the hospital by her mother
Mrs. Christy Wood because of complaints of vomiting.

Other Information: None

Special Note: Child is not in the cubicle

What you must do: Talk to the mother take focused history, address her concerns and
discuss management plan with her.

STATION 11
Where you are: You are F2 working in General Practice

Who the patient is: Tom Curran aged 2 years is brought to you by his mother Miranda
Curran

Other Information: He is constipated. He was examined and the examinations were

normal. She was given dietary advise and was asked to come back after 2 weeks. She
has come back after 1 week.

Special Note: Child is not in the cubicle

What you must do: Talk to her and address her concerns.

STATION 12
Where you are: You are F2 working in Pediatrics

Who the patient is: 15 days old Mo Ali was brought to the hospital by her mother Mrs.
Laila Ali after being referred by the midwife.

Other Information: Weight of the child is 3.7 Kg.

Special Note: Child is not in the cubicle

What you must do: Talk to the mother take focused history, address her concerns and
discuss management plan with her.

STATION 13
Where you are: You are F2 working in Pediatric Emergency

Who the patient is: Saira the mother of Abdullah who is 4 months old has requested
an urgent appointment.

Other Information: None

Special Note: None

What you must do: Take focused history, address her concerns and discuss
management plan

STATION 14
Where you are: You are F2 working in Pediatrics

Who the patient is: 10 month old Samuel Jackson has been sick for 2 days and is on
triage care call. His mother Kate is worried and is on the line.

Other Information: None

Special Note: None

What you must do: Take focused history, address mother’s concerns and discuss
management plan with the patient

STATION 15
Where you are: You are F2 working in General Practice

Who the patient is: Hannah Williams the mother of Ross Williams who is 15 months
old came to the hospital because she is worried about her son who cannot walk.

Other Information: None

Special Note: Child is not in the cubicle.

What you must do: Take focused history, address her concerns and discuss
management plan with her.
STATION 16
Where you are: You are F2 working in General Practice

Who the patient is: Molly Smith 33 year old, the mother of Jasmine Smith who is aged
3 has come to you regarding some concern

Other Information: None

Special Note: Jasmine is not in the cubicle

What you must do: Take focused history, address her concerns

STATION 17
Where you are: You are F2 working in General Practice

Who the patient is: Mrs. Meghan Williamson the mother of Kane Williamson who is 5
years old has come to you as she is concecrned about her son.

Other Information: None

Special Note: Child is not in the cubicle.

What you must do: Take focused history, address her concerns

STATION 18
Where you are: You are F2 working in General Practice

Who the patient is: Rachel Williams the mother of 4 year old David Williams has been
brought to the clinic as he is wetting his bed.

Other Information: None

Special Note: Child is being taken care of by the nurse

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
STATION 19
Where you are: You are F2 working in General Practice

Who the patient is: 12 month old Shannon Courtenay is due for her MMR Vaccine in
the next 2 weeks. Her mother Mrs. Gabriella Courtenay came to the clinic to discuss the
MMR Vaccine.

Other Information :You haven’t seen Shannon since birth.

Special Note: None

What you must do: Talk to her and address her concerns

STATION 20
Where you are: You are F2 working in General Practice

Who the patient is: 3 year old Luke Smith is due for his flu vaccination in one week.
His mother Lucia Smith has come to talk to you

Other Information: None

Special Note: None

What you must do: Talk to her and address her concerns

STATION 21
Where you are: You are F2 working in General Practice

Who the patient is: Ivanna 30 year old mother of 7 weeks old boy Vladimir. She wants
to know about the vaccines that can be given to her baby.

Other Information: None

Special Note: None

What you must do: Talk to her and address her concerns.
STATION 22
Where you are: You are F2 working in General Practice

Who the patient is: Ellyse Perry mother of Lance aged 10 came to the hospital
because he had fits. Diagnosis of epilepsy was made. Lance has been managed
medically and is fit for discharge. Neurology consultant has prescribed her some
medications. Mrs. Perry has some concerns.

Other Information: None

Special Note: None

What you must do: Talk to her and address her concerns.
SURGERY
STATION 1
Where you are: You are F2 working in Surgery

Who the patient is: Susie Rankins 32 year old female has come with complaint of
tummy pain

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 2
Where you are: You are F2 working in Emergency Department

Who the patient is: Tommy Harding 57 year old male came to the hospital with
abdominal pain.

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.
STATION 3
Where you are: You are F2 working in Emergency department

Who the patient is: Robert Lewandowski aged 56 Make came to you with complaints
of back pain.

Other Information: He is a known case of Hypertension since last 15 years

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 4
Where you are: You are F2 working in General Practice

Who the patient is: Jenny Jamison aged 40 has booked an urgent appointment to
discuss her problem

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: Miss Yara White 29 year old female came to clinic because of
complaints regarding discharge from the nipple

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.
STATION 6
Where you are: You are F2 working in Accident and Emergency department

Who the patient is: Jeremy Clarkson 30 year old came to you with complaints of back
pain

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 7
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Richard Hammond 40 year old has come to the hospital after
complaints of Back Pain

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 8
Where you are: You are F2 working in Trauma and Orthopedics Department

Who the patient is: Mrs. Haylee Bond 78 year old female came to the hospital due to
fracture of neck of femur. She has been planned to undergo Hemiarthoplasty.

Other Information: None

Special Note: Anesthetist has already explained Pain Management. Consultant has
already explained the procedure to her.

What you must do: Talk to the patient about post operative management and
complications of the surgery.
STATION 9
Where you are: You are F2 working in Surgery

Who the patient is: Pat Murphy 48 year old Male came to the hospital for his Pre-
operative assessment. He has been arranged to have an operation under general
anesthesia for removal of screw in his ankle. His operation is due in 2 weeks.

Other Information: He had an accident resulting in ankle fracture 18 months ago and
underwent surgery because of it.

Special Note: None

What you must do: Talk to the patient, assess his pre-operative fitness for day case
surgery and address his concerns.

STATION 10
Where you are: You are F2 working in Surgery department

Who the patient is: Alistair Cook aged 46 year was planned to have a right inguinal
hernia repair done.

Other Information: Anesthetist have done their assessment. Your nurse colleague has
measured his BP as 156/88 mm Hg.

Special Note: The consultant will conduct another visit later on to take the consent

What you must do: Please talk to the patient and explain the procedure to him and
address his concerns.
STATION 11
Where you are: You are F2 working in Surgery

Who the patient is: Yulia Varkey aged 24, came to the hospital with tummy pain.

Other Information: Ultrasound was done and it was found that pain was due to the
Dermoid Cyst present in the right ovary. Consultant has decided to Open Ovarian
Cystectomy with an incision of 8.5 cm. Consultant has also decided to keep her in the
hospital 2 days after her Surgery.

Special Note: None

What you must do: Talk to the patient and address her concerns.

STATION 12
Where you are: You are F2 working in Surgery

Who the patient is: Sarah Silverman 47 years old.

Other Information: She presented to the well Women checkup for regular checks.
There she was examined and a Mammogram as well as an FNAC was done. The
histopathology reports of tissue show that there is cell changes which confirm Ductal
Carcinoma Insitu of the Left breast. She is awaiting for a call from you regarding the
results of the tissue sample.

Special Note: She was informed of the risk of there being a chance of “Early Cancer”
Diagnosis.

What you must do: Talk to her, discuss the diagnosis address concerns and do
appropriate Management
STATION 13
Where you are: You are F2 working in Surgery

Who the patient is: J47 years old.

Other Information: She presented to the well Women checkup for regular checks.
There she was examined and a Mammogram as well as an FNAC was done. The
histopathology reports of tissue show that there is cell changes which confirm Ductal
Carcinoma Insitu of the Left breast. She is awaiting for a call from you regarding the
results of the tissue sample.

Special Note: None

What you must do: Talk to her, discuss the diagnosis address concerns and do
appropriate Management

STATION 14
Where you are: You are F2 working in Accident and Emergency department

Who the patient is: Mikaela Mayer 47 year old female came with complaints of severe
tummy pain

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.
STATION 15
Where you are: You are F2 working in the Accident and Emergency

Who the patient is: Michelle James 47 year old Female came with complaints of
Tummy Pain below her Right rib.

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 16
Where you are: You are F2 working in the Accident and Emergency

Who the patient is: Becky James 50 year old Female came with complaints of Tummy
Pain.

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.
PSYCHIATRY
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Nimisha Mary 55 year old female has come to the clinic with some
concerns

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns

STATION 2
Where you are: You are F2 working in General Practice

Who the patient is: Nora Smithson 30 year old female has come to you with low mood

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns

STATION 3
Where you are: You are F2 working in General Practice

Who the patient is: Steven Douglas aged 35 male, divorced his wife and is in
depression. He saw a psychiatrist and was given CBT treatment for 8 weeks. He has
come now after 6 weeks to talk to you.

Other Information: None

Special Note: None

What you must do: Talk to the patient and address patient’s concerns
STATION 4
Where you are: You are F2 working in General Practice

Who the patient is: Mrs. Jacqueline Fernandez aged 30 years came to the clinic
because of her weight loss concerns.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: Amanda Smith is concerned about her son Michael Smith, aged
40, as he is behaving strange for the last 3 weeks. She has now requested a telephonic
consultation for her son.

Other Information: None

Special Note: None

What you must do: Talk to the son and address his concerns

STATION 6
Where you are: You are F2 working in General Practice

Who the patient is: Sophie Smith is concerned about her son Michael Smith, aged 40,
as he is behaving strange for the last 3 weeks. She has now requested a telephonic
consultation for her son.

Other Information: None

Special Note: None

What you must do: Talk to the mother and address her concerns
STATION 7
Where you are: You are F2 working in General Practice

Who the patient is: Rachel Shelly 31 year old female has come to with complaints of
insomnia

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 8
Where you are: You are F2 working in General Practice

Who the patient is: Sarah Thompson 31 year old female has come to with complaints
of insomnia

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 9
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Jim Gordon 29 year old male is brought to the hospital by the
police.

Other Information: He thinks he is being followed by the police, so he went to the

police to give himself up. Police has investigated him, confirmed that he has done
nothing wrong and there is no evidence to his claim. He works in the post office.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
STATION 10
Where you are: You are F2 working in Surgery

Who the patient is: Sasha Gray aged 50 year old has undergone hysteroscopy. The
results of the tests were normal and she is about to be discharged. The Nurse has
raised some concerns regarding her alcohol intake and has asked you to talk to her
regarding her alcohol habit.

Other Information: None

Special Note: None

What you must do: Talk to the patient about her alcohol consumption, address your
concerns and discuss management plan with the patient

STATION 11
Where you are: You are F2 working in Psychiatry

Who the patient is: Jack Sparrow 35 year old male has come to you as he wishes to
quit drugs.

Other Information: None

Special Note: None

What you must do: Talk to the patient about his opioid abuse, take focused history,
and discuss management plan with the patient

STATION 12
Where you are: You are F2 working in Psychiatry

Who the patient is: Mona aged 16 year old has taken some tablets last night and cut
her wrist this morning. She has been medically managed and patient is medically
stable.

Other Information: None

Special Note: None

What you must do: Talk to the her ,take focused history, address patient’s concerns
and discuss management plan with the patient

STATION 13
Where you are: You are F2 working in General Practice

Who the patient is: Sebastian Vettel has requested a telephonic consultation has he
has difficulty sleeping

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 14
Where you are: You are F2 working in Accident and Emergency

Who the patient is: James Gunn, 19 year old male has taken some paracetamol
tablets.

Other Information: None

Special Note: Ask the Examiner for the blood reports that you require.

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 15
Where you are: You are F2 working in Psychiatry

Who the patient is: Emma Watson 18 year old female is sent the hospital from the
General Practice as she is losing weight over the last 6 months

Other Information: She has not been diagnosed with any other medical condition. She
is Her BMI is 17.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 16
Where you are: You are F2 working in General Practice

Who the patient is: Ron Weasley 40 year old male has come with sleep disturbance

Other Information: He is requesting for sleeping pills.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient
ANGRY PATIENT
STATION 1
Where you are: You are F2 working in Accident and Emergency department

Who the patient is: Sarah River aged 50, presented to the hospital because of insect
bite that happened 48 hours ago.

Other Information: Patient has been diagnosed with cellulitis. Your consultant has
seen the patient and decided to giver her IV antibiotics for 24 hours. Patient is upset
and wants to talk to you.

Special Note: Dr. Wilson is a FY1 who has started her training recently.

What you must do: Talk to the patient and address patient’s concerns

STATION 2
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Sarah Lawrence 50 year old female was diagnosed with cellulitis.

Other Information: She was supposed to receive antibiotics but her IV cannula was
blocked so she didn’t receive her medication. Mrs. Lawrence asked Dr. Wilson to
change her cannula one hour ago, but she hasn’t shown up. Patient is angry and wants
to complain.

Special Note: Cannula hasn’t been inserted yet.

What you must do: Talk to your colleague Dr. Wilson about the incident and discuss
about further plan.

STATION 3
Where you are: You are F2 working in Acute Medicine

Who the patient is: Dr. Gupta is an F1 working in your department. Mrs. Clark is about
to be discharged. Dr. Gupta has to write the discharge notes and discharge the patient.
Other Information: She has asked Dr. Gupta 2-3 times already to get the discharge
notes typed up. He didn’t do that & now the patient wants to complain. She has asked
the nurse to contact the daughter. The ward manager came to the ward saying that
beds are not empty and the patients in the A&E are waiting to get their bed.

Special Note: One F1 is sick and is on sick leave.

What you must do: Talk to Dr. Gupta and manage the situation.

STATION 4
Where you are: You are F2 working in Medicine

Who the patient is: Emma Dakota aged 65 female and was admitted to the hospital
with heart failure and receiving treatment for it. Son Mr. Dakota has some concerns
regarding his mother’s health.

Other Information: None

Special Note: None

What you must do: Talk to the son and address his concerns

STATION 5
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Conan O’Brian 50 year old male came to the hospital with pain and
swelling in the site of operation.

Other Information: He had an open operation for his right inguinal hernia three weeks
ago which was a day case surgery. The nurse told you that the patient is angry.

Special Note: Post surgical infection rate in this hospital is within the national
guidelines.

What you must do: Talk to the patient, address patient’s concerns and discuss
management plan with the patient

STATION 6
Where you are: You are F2 working in Surgery
Who the patient is: Diane Kidman, 29 year old female underwent an operation to
remove a cyst on her led 2 weeks back. 3 days after the operation she developed an
infection of the wound at the site of the operation. She was admitted in the hospital for
one week. She received antibiotics for 2 days as IV and then 5 days per oral. She is
alright now. She came today for the review and she is angry.

Other Information: None

Special Note: None

What you must do: Talk to the patient and address patient’s concerns

STATION 7
Where you are: You are F2 working in Pediatrics

Who the patient is: Mother of 9 month old baby came to see her child, who has been
admitted to the hospital since birth as she was born at 26 weeks of gestation. She is
angry and has some concerns.

Other Information: None

Special Note: None

What you must do: Talk to the mother, address her concerns

STATION 8
Where you are: You are F2 working in Medicine

Who the patient is: Samantha Bee, aged 67, had presented to the hospital with
breathlessness and was diagnosed with lung cancer. She visited the hospital previously
with cough and was treated for lung infection. Son Josh Bee is angry as he thinks the
diagnosis was made late.

Other Information: None

Special Note: Consent has been taken from the patient to talk to her son.

What you must do: Talk to the son, address his concerns

STATION 9
Where you are: You are F2 working in Medicine

Who the patient is: Samantha Bee, aged 67, had presented to the hospital with
breathlessness and was diagnosed with lung cancer. She visited the GP previously
with cough and was treated for lung infection. Son Josh Bee is angry as he thinks the
diagnosis was made late.

Other Information: None

Special Note: Consent has been taken from the patient to talk to her son.

What you must do: Talk to the son, address his concerns

STATION 10
Where you are: You are F2 working in General Practice

Who the patient is: Michelle Armstrong, daughter of 65 year old Rose Armstrong,
living in care home presented to you to know why she has not been informed about the
dose reduction of her mother’s thyroid medication.

Other Information: Daughter has got the power of attorney and her mother doesn’t
have the capacity. Thyroid function tests were all normal and will be repeated after 6
weeks.

Special Note: None

What you must do: Talk to the daughter, address her concerns

STATION 11
Where you are: You are F2 working in Elderly Care ward

Who the patient is: Jane Robertson 78 year old female was brought to Emergency
department yesterday after a fall. Her son Thomas Robertson is calling to know about
her mother’s condition

Other Information: None

Special Note: Her son has the legal power of attorney and is the next of kin.
department note of the incident has been placed in the cubicle.

What you must do: Talk to him and Discuss the plans of Management
COUNSELLING OLD
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Lewis Doug aged 55, presented to you for his first follow up.

Other Information: Patient has diabetes mellitus. Patient has been admitted to the
hospital due to cellulitis four weeks ago and was as treated for it with antibiotics. During
the admission, patient was newly diagnosed with hypertension. On discharge the
patient was prescribed with some medications.

Special Note: This is the first visit to the GP after being diagnosed with high blood
pressure.

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 2
Where you are: You are F2 working in General Practice

Who the patient is: Amy Travis aged 42 has come to see you regarding some
concerns.

Other Information: The patient is a known hypertensive and is being treated for it by
Ramipril.

Special Note: None

What you must do: Talk to the patient and address patient’s concerns

STATION 3
Where you are: You are F2 working in Medicine department

Who the patient is: Jasmine Brown aged 55 had a Myocardial Infarction 4 days back.
He was admitted in the hospital and is medically managed. He is about to be
discharged.
Other Information: Patient is prescribed the following medications:

Aspirin, Bisoprolol, Simvastatin, Clopidogrel, and Ramipril.

Special Note: None

What you must do: Talk to the patient, discuss lifestyle modifications and address
patient’s concerns

STATION 4
Where you are: You are F2 working in Medicine Department

Who the patient is: Margaret Williams 55 year old female has come to you regarding
some concerns.

Other Information: She is diagnosed with psoriasis and is using skin medications. Her
Psoriasis is well controlled

Special Note: None

What you must do: Talk to the patient and address patient’s concerns

STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: Henry Cavill 60 year old male came to clinic regarding some
concerns about stroke.

Other Information: Your Nurse colleague has checked his Blood pressure and it was
150/100 mmHg.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 6
Where you are: You are F2 working in Medicine Department

Who the patient is: Samuel aged 50 years old male has had 3 episodes of TIA. Your
consultant has asked him to stop driving for 3 months.
Other Information: None

Special Note: None

What you must do: Talk to the patient about his driving and address his concerns

STATION 7
Where you are: You are F2 working in General Practice

Who the patient is: Eve Hunter 52 year old female came to clinic because of
complaints of being overweight.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 8
Where you are: You are F2 working in General Practice

Who the patient is: Emily Blunt 55 year old came to the clinic for a health check up.

Other Information: All the blood tests were done and the rerports are as follows:

Blood sugars, LFT, U&E - normal.

Serum Cholesterol- 6.4, Q RISK Score- 14%

Consultant has decided that she is to be started on statins.

Special Note: None

What you must do: Discuss test results, address patient’s concerns and discuss
management plan with the patient

STATION 9
Where you are: You are F2 working in General Practice

Who the patient is: Neil Washington aged 48 came to the clinic with a new problem.
Other Information: He is diagnosed with Non-Insulin dependent Diabetes Mellitus,
which is controlled with diet.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 10
Where you are: You are F2 working in General Practice

Who the patient is: Michael Caine 52 year old male was diagnosed with Type I
Diabetes Mellitus and has come for his diabetic follow up. He is on Insulin.

Other Information: Examintation has been done by nurse. He has loss of fine
sensation and pain below ankle bilaterally.

Urine Glucose- ++, Urine Protein .

He was seen by an optician as well. Fundoscopy shows dots and blots. Optician has
made a note stating that Patient is to be refereed to the Opthalmologist. His prescription
is one month old.

Special Note: Do not examine the patient

What you must do: Talk to the patient about diabetes control and discuss the initial
plan of management with the patient

STATION 11
Where you are: You are F2 working in

Who the patient is: Himesh Patel 35 year old male had an episode of hypoglycemia 2
weeks back. He has now come for diabetic review.

Other Information: Blood test was done and HbA1C is 61.

Special Note: None

What you must do: Talk to the patient and address patient’s concerns.

STATION 12
Where you are: You are F2 working in Emergency Department

Who the patient is: Aaron Taylor 22 year old male was brought by an ambulance after
he was found collapsed. He doesn’t want to stay in the hospital.

Vitals – B.P- 100/60, RR- 20, Sats-95% Blood sugar – 2.1

Other Information: None

Special Note: None

What you must do: Take focused history, negotiate with him

STATION 13
Where you are: You are F2 working in General Medicine

Who the patient is: Mrs. Dimple Parker aged 50 came to the hospital. She has been
diagnosed with unstable angina and has been planned to have an angioplasty. Patient
has high cholesterol and she is on statin and aspirin. Her condition is now well
controlled.

Other Information: Patient is known smoker. She smokes 20 cigarettes per day for the
last 30 years. She is not willing to stop smoking.

Special Note: None

What you must do: Talk to her about smoking cessation and address your concerns

STATION 14
Where you are: You are F2 working in Medicine

Who the patient is: Mr. Zimmerman 65 year old has come for annual check up.

Other Information: He was a diagnosed with COPD and is taking inhalers. From time
to time he is taking antibiotics for chest infections.

Special Note: The nurse colleague examined him.

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 15
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Your nurse colleague Mendez aged 25 pricked herself while taking
blood from her patient. She has now come to see you regarding this.

Other Information: None

Special Note: You are the first person seeing her after the incident.

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 16
Where you are: You are F2 working in Accident and Emergency

Who the patient is: 3 year old Carla was brought to the hospital by her nanny. She
has a needle stick injury.

Other Information: None

Special Note: Child is in the next room with a nurse colleague looking after her.

What you must do: Talk to the nanny Take focused history, address patient’s
concerns and discuss management plan with the patient

STATION 17
Where you are: You are F2 working in General Medicine

Who the patient is: Anthony Davies aged 75 year old male came to the hospital 10
days back. His son Trent Davies has come to meet you.

Other Information: The diagnosis of pneumonia was made. The patient was admitted
and treated with antibiotics and recovered from pneumonia. Patient developed diarrhea
2 days before he was to be discharged. Investigations were done. On examining the
stool sample, diagnosis of Clostridium Difficile Associated Diarrhea has been made.
Patient is now moved to another ward with similar conditions. Patient is now receiving
IV Fluids and antibiotics.

Special Note: Consent has been taken from the father to talk to his son.
What you must do: Talk to the son, explain the patient’s condition and address his
concerns

STATION 18
Where you are: You are F2 working in Respiratory department

Who the patient is: Mr. Steve Smith 68 year old male was admitted to the hospital few
days back. Patient has been diagnosed with COPD. Nasal swab has been taken. The
result has come back positive for MRSA. Patient has been isolated and all necessary
precautions have been taken. His wife, Mrs. Susan Smith has some concerns

Other Information: None

Special Note: Consent has been taken from the patient to talk to his wife.

What you must do: Talk to the patient’s wife, address her concerns

STATION 19
Where you are: You are F2 working in General Practice

Who the patient is: Helen Mirren 62 year old female presented to the clinic for her
scan results. She had a wrist fracture 3 months back which was managed. DEXA Scan
was ordered 2 weeks back which showed osteoporosis.

Other Information: None

Special Note: None

What you must do: Discuss blood results, address patient’s concerns and discuss
management plan with the patient

STATION 20
Where you are: You are F2 working in Medicine

Who the patient is: Sally Field aged 35 presented to the hospital with leg pain. She
has been diagnosed with Deep Vein Thrombosis(DVT). She has been prescribed
warfarin and is about to be discharged.

Other Information: None

Special Note: Anticoagulant folder contains a booklet/ leaflet, record book and an Alert
Card.

What you must do: Talk to the patient, explain her medications and address patient’s
concerns

STATION 21
Where you are: You are F2 working in General Practice

Who the patient is: Morgan Bale 36 year old male has been sent to you from the
warfarin clinic.

Other Information: He has Thrombophilia Leiden Factor 5 which causes

Thrombophilia. He has a history of DVT and is on lifelong Warfarin. His INR is 6, and he
now has a chest infection and was given Clarithromycin by a locum GP.

Special Note: None

What you must do: Talk to him, discuss blood results and address patient’s concerns

STATION 22
Where you are: You are F2 working in Medicine

Who the patient is: Aaron Ledger 27 year old male came to the hospital for his follow
up.

Other Information: He was admitted to the hospital four weeks ago after having fits.
Diagnosis of epilepsy has been made. He got discharged and now is on medication.

Special Note: You have discharge summary beside you in the cubicle.

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 23
Where you are: You are F2 working in General Practice
Who the patient is: Tom Hardy 27 year old male came to the clinic with some
concerns.

Other Information: Patient came to the clinic 2 days back because of runny nose, sore
throat, sneezing and cough. Patient has been seen by a nurse practicioner. Swab was
taken and no bacterial growth has been found. Diagnosis of Viral Upper Respiratory
Tract Infection has been made. Mild analgesics and Steam inhalation has been advised.

Special Note: None

What you must do: Talk to the patient and address patient’s concerns

STATION 24
Where you are: You are F2 working in Gastroenterology

Who the patient is: Karen David 52 year old female presents with complains of
bleeding per rectal for the last 6 weeks. Sigmoidoscopy has been done which revealed
colorectal polyp. Consultant has decided to do a Colonoscopy.

Other Information: None

Special Note: Reports of the Sigmoidoscopy is present in the cubicle

What you must do: Talk to her and address her concerns

STATION 25
Where you are: You are F2 working in Surgery

Who the patient is: Jeff Daniels 40 year old male had an endoscopy and biopsy done
and is here for the reports.

Other Information: The diagnosis of Barrett’s Oesophagus has been made. He was
advised for repeat endoscopy after 3 years.

Special Note: Reports are present in the cubicle

What you must do: Talk to the patient, Take focused history, address patient’s
concerns and discuss test results.

STATION 26
Where you are: You are F2 working in Medicine Department.

Who the patient is: Lucy Russel, 60 year old female, has been referred from Oncology
department to Acute Medicine Unit for pain management.

Other Information: She has been diagnosed with Breast Cancer 5 years ago and now
she has presented with back pain.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 27
Where you are: You are F2 working in Medicine Department.

Who the patient is: Paul Rudd 60 year old has been referred from Oncology
department to Acute Medicine Unit for pain management.

Other Information: He has been diagnosed with Prostrate Cancer 5 years ago and
now he has presented with back pain.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 28
Where you are: You are F2 working in General Practice

Who the patient is: Stephen Colbert aged 72 has come for a consultation.

Other Information: He was diagnosed with Shingles 2 months back and was given
Acyclovir for that. He saw his GP 1 month back for the pain on the right side of his chest
and was given paracetamol and codeine.

Special Note: None

What you must do: Talk to the patient and address patient’s concerns
STATION 29
Where you are: You are F2 working in General Practice

Who the patient is: 34 year old Allison Garfield presented to you with some new
symptoms.

Other Information: None

Special Note: She is lesbian and her colleagues are bullying her at work.

What you must do: Take focused history, address patient’s concerns

STATION 30
Where you are: You are F2 working in General Practice

Who the patient is: Sara Stewart 26 year old female presented to you with a new
concern. She has recently been sent a letter to undergo cervical screening tests.

Other Information: None

Special Note: None

What you must do: Talk to the patient and address patient’s concerns

STATION 31
Where you are: You are F2 working in Medicine

Who the patient is: Anne Hathaway 47 year old female came to the hospital because
of tiredness and was prescribed Iron Tablets by the GP for her Iron deficiency anemia.
She had undergone some tests. The test reports come back positive for Tissue
Transglutaminase 2 Antibody (tTGA2) Test. She has been diagnosed with Coeliac
Disease. She has been planned for the endoscopy and duodenal biopsy. She has
some concerns.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns
STATION 32
Where you are: You are F2 working in Pediatrics

Who the patient is: Teddy Vettel aged 5 was admitted to the hospital with Pneumonia.
This is the 4th admission with Pneumonia. He has been prescribed a course of IV
Antibiotics for 5 days. This is the 2 nd day of treatment. Patient has fever and tachypnea.
On X-ray there is consolidation. His mother Katie Vettel has come to you with some
concerns.

Other Information: None

Special Note: None

What you must do: Talk to the mother and address her concerns

STATION 32
Where you are: You are F2 working in General Practice

Who the patient is: Mrs. Maria, aged 63 came to the clinic for her lab reports.

Other Information: She was asked to see a doctor by the nurse. She went to the well
women clinic for a normal check-up 2 weeks back. A Urine dip was done which showed
RBC+. Another Urine Dip was done yesterday which showed RBC+. Her blood pressure
is 120/80 mm of Hg. She was diagnosed with Atrial Fibrillation 5 years ago and is on
Bisoprolol and warfarin. Her warfarin dose is managed according to her INR. Her last
INR is 6.0.

Special Note: None

What you must do: Talk to the patient, explain the test results and address her
concerns
COUNSELLING
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Mrs Olivia Parker 50 year old female has come concerns

Other Information: None

Special Note:None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 2
Where you are: You are F2 working in Medicine Dept

Who the patient is: Mike Taylor 10 year old Male is brought to you by his mother
Michelle Taylor

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 3
Where you are: You are F2 working in General Practice

Who the patient is: Sophia Jenkins 30 years old Female has come to you with some
concerns

Other Information: She is 32 weeks pregnant

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.
STATION 4
Where you are: You are F2 working in General Practice

Who the patient is: Elene Petrovitch, 81 year old female has come to you for
medication review. Blood tests were done for her.

Other Information: She is on Amlodipine 10mg, Atorvastatin 20mg and Levothyroxine

125mcg.

Special Note: Blood tests were done for her and the reports are as follows.

TSH- <0.02 , T4- 24

Lipid Profile, Urea and Electrolytes, LFT - Normal

What you must do: Take focused history, address the blood results and review the
medications

STATION 5
Where you are: You are F2 working in General Practice

Who the patient is: Janet Jackson, 50 year old female has been diagnosed with
Polymyalgia Rheumatica.

Other Information: She is on Steroids, Aspirin, Lansoprazole, and bisphosphonates.

ESR and CRP- Normal

Special Note: None

What you must do: Talk to her, explain the blood results and address her and your
concerns
STATION 6
Where you are: You are F2 working in General Practice.

Who the patient is: Elaine Perkins, 78 year old female was diagnosed with dementia 3
years ago. Her daughter Dorothy Perkins has requested a telephonic consultation for
the deteriorating condition of her mother.

Other Information: Mrs. Elaine Perkins is diagnosed with Hypothyroidism and High
blood pressure. She is taking Thyroxine and Amlodipine for the same.

Special Note: Blood tests were done for her thyroid levels. TSH, T4 Normal

What you must do: Talk to the daughter and address her concerns.

STATION 7
Where you are: You are F2 working in General Practice

Who the patient is: Martin Mann, 16 year old male has some concerns for which he
has requested a telephonic consultation.

Other Information: He stays with his family and his 20 year old sister.

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 8
Where you are: You are F2 working in General Practice

Who the patient is: Dani Daniels 30 years old female has come with her partner Molly
Aniston regarding the process of conceiving a child

Other Information: None

Special Note: None

What you must do: Talk to Dani and explain the options that are available to her.
STATION 9
Where you are: You are F2 working in General Practice

Who the patient is: Nathan Wright, aged 16 years old has requested a telephonic
consultation

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 10
Where you are: You are F2 working in General Practice

Who the patient is: Michael Lewis 36 years old has requested a telephonic
consultation

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 11
Where you are: You are F2 working in Emergency Department

Who the patient is: Tom Hiddleston 56 year old male came to hospital after feeling
dizzy and had a fall.

Other Information: He was seen by your registrar who examined and his notes are as
follows: Dizziness and Fall today 4 hours back, Blood tests done – Hb- decreased,
WBC- normal, HbA1C- Normal, Iron- decreased, PR examination was done Blood?

Special Note: Consultant has made the plan as “Send home, Iron, Urgent
Colonoscopy”

What you must do: Talk to him, take focused history and Do appropriate management
.

STATION 12
Where you are: You are F2 working in General Practice

Who the patient is: Maggie Thatcher, the mother of George Thatcher aged 4 years
old, has come to the clinic as his son is not feeling well.

Other Information: None

Special Note: None

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 13
Where you are: You are F2 working in General Practice.

Who the patient is: James Atkinson 24 year old male was diagnosed with Type 1
Diabetes Mellitus has come for his diabetic review.

Other Information: He was diagnosed with Type 1 Diabetes Mellitus after he had an
episode of Diabetic Ketoacidosis. He was admitted and managed in the hospital. He
was put on short acting three times with meal and long acting insulin before going to
bed. The diabetic nurse has been going to his house to check on his blood sugar levels
and on two occasions they were on a higher side.

Special Note: The patient has a learning disability.

What you must do: Take focused history, address the patient’s and your concerns
STATION 14
Where you are: You are F2 working in General Practice

Who the patient is: Melissa Hernandez is 34 year old has come to you with
complaints of headache and Nose bleeds.

Other Information: None

Special Note: The Patient is awaiting an appointment from the Gender Clinic regarding

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.

STATION 15
Where you are: You are F2 working in general practice.

Who the patient is: Angie Watson 65 year old female has called you for her follow up.

Other Information: She had an heart attack 2 weeks ago and was diagnosed with
heart failure. She was discharged with the following medications :

Clopidogrel

Ramipril

Atorvastatin

Bisoprolol

Special Note: Consultant has advised her to follow up with the cardiologist in 3 weeks
and every week with the GP

What you must do: Talk to her and address the patient’s concerns

STATION 16
Where you are: You are F2 working in the Trauma and Orthopedics

Who the patient is: Becky James 50 year old Female came with complaints of Knee
Pain and has requested an appointment
Other Information: She has had knee pain 2 years back for which she visited the
department then. She was advised a knee replacement Surgery but refused the
treatment then. Her BMI is 33

Special Note: The guidelines for Knee replacement surgery was changed 6 months
ago, where the cut off BMI was changed from 35 to 30.

What you must do: Take focused history, address the patient’s concerns and manage
accordingly.
BREAKING BAD NEWS
STATION 1
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Mr. Ali 78 year old has collapsed and is brought to the hospital
unconscious by the ambulance.

Other Information: Initial Survey has been done. CT scan has been done which shows
a massive intra cerebral bleed. The neurology team has seen the patient and reviewed
his CT Scan. They decided that surgery cannot be done. He is breathing independently.
Patient is unconscious. His Wife Mrs. Ali has come to the hospital to know about her
husband’s condition.

Special Note: Patient is terminally ill and only palliative care is possible.

What you must do: Talk to Mrs. Ali, explain the condition of Mr. Ali to her and address
her concerns.

STATION 2
Where you are: You are F2 working in Surgery

Who the patient is: Mr. David aged 65 has had an Ischemic Stroke last week which
affected his left side. His daughter Mandy has come to discuss her father’s condition.

Other Information: He was admitted and recovering well and doing fine. He developed
another stroke yesterday and his GCS Score is now 3. They did a CT scan and it
showed a massive clot in both the hemispheres.

Consultant has seen the patient and written down the management plan as:

“Oral Analgesics and IV Fluids. If Patient deteriorates Do not Resuscitate.”

MDT has decided surgery cannot be done and only palliative care is possible.

Special Note: Daughter is pregnant. She doesn’t know about the stroke which
happened yesterday.
What you must do: Talk to the daughter, explain the condition of Mr. David to her and
address her concerns.

STATION 3
Where you are: You are F2 working in Pediatric Emergency

Who the patient is: Marshall, aged 9 year old had road traffic accident.

Other Information: He was brought in to the hospital and initial survey was done. He
was examined and he had a head injury. No other injury was found. CT scan was done
which shows Extradural Hemorrhage. You have not seen the patient. A team of doctors
are resuscitating the child and planning to take him to the theatre. His Parents Mr. and
Mrs. Barnes are waiting for an update.

Special Note: None

What you must do: Talk to Mr. Barnes, address his concerns , take consent discuss
further management plan with the patient

STATION 4
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Mr. Ali 78 year old has collapsed and is brought to the hospital
unconscious by the ambulance.

Other Information: Initial Survey has been done. CT scan has been done which shows
a massive intra cerebral bleed. The neurology team has seen the patient and reviewed
his CT Scan. They decided that surgery cannot be done. He is breathing independently.
Patient is unconscious. His Wife Mrs. Ali has come to the hospital to know about her
husband’s condition.

Special Note: Patient is terminally ill and nothing can be done.

What you must do: Talk to Mrs. Ali, explain the condition of Mr. Ali to her and address
her concerns.

STATION 5
Where you are: You are F2 working in Accident and Emergency
Who the patient is: Salman aged 9 year old had road traffic accident.

Other Information: He was brought in to the hospital and initial survey was done. He
had an unstable pelvic injury. He has lost a lot of blood and is hypotensive. Initial
management was done and he has been resuscitated. He is being prepared to go for
surgery. His Parents Mr. and Mrs. Khan are waiting for an update.

Special Note: None

What you must do: Talk to Mr. Khan, address his concerns and discuss further
management plan with the patient

STATION 6
Where you are: You are F2 working in Surgical Ward

Who the patient is: Alice Brown 56 year old Female has undergone an operation of
Aorto-femoral bypass. While she was in the recovery room, nurses noticed that there
was blood present in the surgical site which was placed during the operation. She has
been taken back into the operating theater. All the registrars and consultants are in the
operating room.

Other Information: Mr. Brown the husband of Alice Brown is awaiting to know the
condition of his wife.

Special Note: This is a known complication of the surgery and no error has been made
in the surgery. She has been transfused with 6 units of blood.

What you must do: Talk to Mr. Brown and inform him and manage the Situation

STATION 7
Where you are: You are F2 working in Respiratory department

Who the patient is: Mr. Trent Alexander 60 year old male came to the hospital 4 days
ago and waws diagnosed with chest infection. He passed away yesterday. The most
probable cause of death is respiratory failure due to chest infection. His wife Mrs. Sarah
Alexander has come with some concerns.

Other Information: Post mortem has been considered to determine the cause of death.

Special Note: Death certificate can be issued.

What you must do: Talk to the wife and address her concerns
MEDICAL ERROR
STATION 1
Where you are: You are F2 working in Cardiac Care Unit

Who the patient is: Mr. Andrew Garfield aged 40 year old presented to the hospital 48
hours ago with chest pain and has bee admitted to the hospital.

Other Information: Patient attended the Accident and Emergency department

complaining of chest pain, three days before his admission. In the A&E department,
ECG was done, but the diagnosis was not picked up. Patient was sent home with the
diagnosis of musculoskeletal pain, before getting the troponin results. Troponin results
came back positive while the patient was already discharged. When he came for the
second time, cardiologist consultant reviewed his ECG, which was done for his first
attendance to the hospital. T wave inversion was found and diagnosis of inferior wall MI
was made. Patient was admitted to the Cardiac Care Unit and has been medically
managed and will be shifted to the medical ward.

Special Note: None

What you must do: Talk to the patient, explain the error that has occurred and
address patient’s concerns

STATION 2
Where you are: You are F2 working in Medicine

Who the patient is: Andy Parker 52 year old male came to hospital for his review.

Other Information: Patient presented to the hospital 4 weeks ago with cough and
shortness of breath. Investigations including blood tests and Xray were done. Patient
was diagnosed with Pneumonia. He was then admitted to Acute Medicine Unit and then
later shifted to the ward. Patient was prescribed Amoxicillin. One of the doctors read
another patient’s X-ray and the diagnosis of Pneumonia was made on the basis of that
mistake. The Patient’s formal ECG came a few days back, which was normal.

Special Note: None

What you must do: Talk to the patient, explain the error that has occurred and
address patient’s concerns

STATION 3
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Joe Biden had brought his 4 year old son Clark to the hospital 2
days ago after having a fall while playing

Other Information: . He had a swelling on his right arm. Doctor in duty saw him. The
X-ray was done. He was treated as a soft tissue injury. Patient has been discharged
with analgesia. Radiologist reviewed the lateral view of the X-ray and found a minor
hairline fracture of the radius. Orthopedic specialist reviewed the X-ray and planned for
cast and review him after 2 weeks. He has been called by the nurse to bring back his
son again to the hospital for review.

Special Note: There is no evidence suggestive of Non Accidental Injury and it has been
ruled out

What you must do: Talk to the father, explain the error that has occurred and address
his concerns

STATION 4
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Edison was brought to the A&E by her mother Susan yesterday.

Other Information: Your colleague saw the child and diagnosis of respiratory infection
was made. Child was prescribed Amoxicillin. The child was given the antibiotics by her
mother. Mother Susan noticed a rash and is concerned about it. She has come to the
A&E and wants to talk to a doctor.

Special Note: Child is not present in the cubicle

What you must do: Talk with the mother, address her concerns and discuss
management plan with her.

STATION 5
Where you are: You are F2 working in Accident and Emergency
Who the patient is: Amy 3 year old female child of Mrs. Jane came to the A&E today
morning after her mother noticed that she was choking.

Other Information: You assessed the child. X-ray was done. You reassured her and
discharged the child. As soon as you discharged the child, you received the X-ray report
from the radiology department which is as follows:

“ Round opacity seen in the neck, most likely to be button present in the Esophagus”

Special Note: X-ray is present in the cubicle.

What you must do: Call the mother Mrs. Jane, explain the situation and ask her to
bring Amy to the Accident and Emergency department for further evaluation.

STATION 6
Where you are: You are F2 working in Urology department

Who the patient is: Ashley Kutcher 27 year old male has been referred by the GP. The
diagnosis of Post Streptococcal Glomerulonephritis was made. It was decided by the
nephrologist to do a kidney biopsy. Renal biopsy has been done and the specimen was
taken 2 days ago. The patient is now here for his biopsy report.

Other Information: You called the lab to enquire about the renal biopsy report and to
trace the specimen. The lab informed that no such specimen was received. Hospital has
been searched intensively but the specimen hasn’t been found.

Special Note: No valid reason has been found for not getting the sample.

What you must do: Talk to the patient, explain the situation that has occurred and
address patient’s concerns

STATION 7
Where you are: You are F2 working in Trauma and Orthopedics

Who the patient is: Jackson Quill 40 year old male had pre-operative assessment
yesterday.

Other Information: As a part of pre-operative assessment you took some blood

yesterday from him and other patients as well Everything about the surgery and post
operative management has already been discussed with the patient. Today you called
the lab for the test result. They said that you need to take the sample again because the
sample was not labelled.

Special Note: None

What you must do: Talk to the patient over the phone, explain the error that has
occurred and address patient’s concerns. Inform him that he has to come to the
hospital again for bloods again.

STATION 8
Who the patient is: Jane Robertson 78 year old female was brought to Emergency
department yesterday after a fall. Her son Thomas Robertson is calling to know about
her mother’s condition

Other Information: None

Special Note: Her son has the legal power of attorney and is the next of kin.
department note of the incident has been placed in the cubicle.

What you must do: Talk to him and Discuss the plans of Management
PROBLEM COLLEAGUE
STATION 1
Where you are: You are F2 working in Surgery Rotation

Who the patient is: Your colleague Robin Smith aged 23 who is an FY2 has just
started his surgical rotation. You saw him in the ward round last week ad he smelt of
alcohol. You have noticed it again today morning that he smells of alcohol. A few other
staff members have also noticed the same.

Other Information: None

Special Note: You have arranged a meeting in a quiet room with your colleague after
you have finished your work

What you must do: Talk to your colleague, assess his situation and manage
accordingly

STATION 2
Where you are: You are F2 working in General Medicine

Who the patient is: Phil Hughes is 25 years old final year medical student. You saw
him at a birthday party last night. He was drinking heavily and taking some white
powder. The following morning you overheard the nurse colleague talking about his
behavior. During the ward rounds they noticed that he was hyper excited and agitated.

Other Information: None

Special Note: You have arranged a meeting in a quiet room with your colleague after
you have finished your work

What you must do: Talk to your colleague and address your concerns

STATION 3
Where you are: You are F2 working in General Medicine

Who the patient is: John Figo is 25 years old final year medical student. You saw him
at a birthday party last night. He was drinking heavily and taking cocaine . The following
morning you overheard the nurse colleague talking about his behavior. During the ward
rounds they noticed that he was hyper excited and agitated.

Other Information: None

Special Note: You have arranged a meeting in a quiet room with your colleague after
you have finished your work

What you must do: Talk to your colleague, assess his condition and manage
accordingly.

STATION 4
Where you are: You are F2 working in Medicine

Who the patient is: Darren Hill a final year medical student who is a part of the medical
team is coming late to the wards for the last few weeks. Your colleague has also noticed
this.

Other Information: None

Special Note: None

What you must do: Talk to your colleague and manage the situation accordingly.

STATION 5
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Your colleague Max Hamilton is an FY1 doctor who made a post
regarding an elderly lady in the emergency department with confusion on Facebook.
The patient was confused and thought herself to be the queen of England.

Other Information: None

Special Note: None

What you must do: Talk to your colleague and manage the situation accordingly.

STATION 6
Where you are: You are F2 working in Medicine Ward.
Who the patient is: Joseph Diaz aged 53 who is a consultant, smelt of alcohol this
morning . You saw him in the ward round last week ad he smelt of alcohol. A few other
staff members have also noticed the same.

Other Information: None

Special Note: You have arranged a meeting in a quiet room with him after you have
finished your work

What you must do:, Talk to him, assess his situation and manage accordingly
ETHICS
STATION 1
Where you are: You are F2 working in General Practice

Who the patient is: Helen Jackson 18 year old came to the clinic because of scalded
injury on her tummy.

Other Information: Nurse has seen the patient and has done the dressing.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 2
Where you are: You are F2 working in Obstetrics and Gynecology

Who the patient is: Alicia Patterson 26 year old female is 12 weeks pregnant. She
came to the hospital complaining of vaginal bleeding. She is here for her antenatal
checkup.

Other Information: Your colleague examined her and found no vaginal bleeding.
Ultrasound shows a viable 12 week pregnancy. Examination results were also normal.
Your nurse colleague has noticed some finger print like bruises present on her right
wrist, but she didn’t disclose it to the patient.

Special Note: None

What you must do: Talk to the patient, review the patient, address patient’s concerns
and discuss management plan with the patient

STATION 3
Where you are: You are F2 working in Medicine

Who the patient is: Elena Reid 32 year old female came to the hospital with complaints
of sleep disturbance
Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns

STATION 4
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Mrs. Blake 85 year old was brought to the hospital by her
daughter Ms. Pam, after having a fall. On examination there are multiple bruises of
different ages on her body. She has tenderness present on her chest.

Other Information: Mrs. Blake is not available to talk as she is now taken for an X-ray.

Special Note: Consent has been taken to talk to her daughter.

What you must do: Talk to her daughter and discuss management plan with her

STATION 5
Where you are: You are F2 working in Medicine ward

Who the patient is: 75 year old Elizabeth Regina had a stroke and now is in the care
home. She was diagnosed with Colon Cancer which has metastasized. No further
active treatment can be done and only palliative care can be given to the patient. She is
currently on NG Tube and Fluids. She is unconscious at the moment. His son George
lives in Switzerland wants to arrange a telephonic consultation with you.

Other Information: None

Special Note: None

What you must do: Talk to the son, and discuss the condition of her mother with him.

STATION 6
Where you are: You are F2 working in General Practice

Who the patient is: Janet Mayweather aged 26 year old has come to you with some
concerns regarding her daughter who has chicken pox.

Other Information: None

Special Note: None

What you must do: Talk with her and negotiate with her.

STATION 7
Where you are: You are F2 working in General Practice

Who the patient is: Susan May 40 year old was diagnosed with breast cancer 2 weeks
ago. The Multidisciplinary team has discussed the plan with her.

Other Information: None

Special Note: None

What you must do: Talk to her and address her concerns.

STATION 8
Where you are: You are F2 working in Medical ward

Who the patient is: John Smith 66 year old male was admitted in the hospital after
developing neutropenic sepsis. He is being given IV Antibiotics and fluids for his
condition at the moment.

Other Information: He was diagnosed with Small Cell Carcinoma of the Lung 6
months back, for which he is receiving Chemotherapy. He has received 3 cycles of
Chemotherapy. He is now refusing Chemotherapy

Special Note: On the last scans it was seen that there was decrease in the size of the
tumor after the 3rd Cycle of Chemotherapy

What you must do: Talk to him and negotiate with the patient

STATION 9
Where you are: You are F2 working in Medicine Ward

Who the patient is: Vanessa Kirby aged 85 was admitted to the hospital due to
respiratory failure. She is terminally ill and was put on palliative care. Her grandson
Mike has removed his name from the visitor list. Her husband who is 94 year old wants
to be added to the list to see her.
Other Information: None

Special Note: The hospital policy regarding visitors during the COVID-19 pandemic is
in the cubicle.

What you must do: Talk to the husband Mr. Kirby and address his concerns

STATION 10
Where you are: You are F2 working in Medicine

Who the patient is: Mr. Philip Morris aged 92 is admitted to the hospital due to
respiratory failure. She is unconscious and terminally ill. All family members are coming
here praying and making loud noises.

Other Information: None

Special Note: None

What you must do: Talk to the grandson Mr. George Morris and tell him only 2
relatives can visit the patient at a time. According to hospital policy, 2-5pm is silent time
and no visitor is allowed

STATION 11
Where you are: You are F2 working in Surgery Department

Who the patient is: Kylie Anderson 78 year old female came to the hospital with
confusion die to chest infection. Investigations including CT scan has been done and
diagnosis of bowel cancer has been made. Your consultant has decided to talk with her
daughter to explain the condition of her mother as the patient is confused. The patient’s
son Jimmy Anderson was not present at the time. He has now come to the hospital to
talk to the consultant urgently. The consultant is not available at the moment. Mr. Jimmy
Anderson has asked the nurse that he doesn’t want anyone to talk to his mother about
her cancer.

Other Information: Patient has been assessed now and has full mental capacity.

Special Note: Consent has been taken from Mrs. Kylie Anderson to talk to her son.
Diagnosis of Cancer has not been disclosed to the patient yet.

What you must do: Talk to the son and address his concerns
STATION 12
Where you are: You are F2 working in Surgery

Who the patient is: Julie Robertson 80 year old female was referred from a nursing
home as she was losing weight. CT scan of her abdomen was done that showed
suspected malignancy in the ascending colon. Her son Dr. Robertson

Other Information: None

Special Note: You haven’t spoken to the patient

What you must do: Talk to her son and address concerns

STATION 13
Where you are: You are F2 working in Oncology ward

Who the patient is: Stephen Colbert 75 year old presented to the hospital with
symptoms of severe pneumonia yesterday. The consultant has advised to take IV
antibiotics and he is receiving it since admission. He now wants to talk to a doctor

Other Information: Patient has had triple bypass graft (CABG). Patient’s health has
been declining over the last 2 years since he developed heart failure 2 years back.He
has been taking medications for heart failure as well.

Special Note: None

What you must do: Talk to the patient, assess whether the patient knows the
implications of his decisions and address his concerns.

STATION 14
Where you are: You are F2 working in Medical ward

Who the patient is: Arthur Kimmel 66 year old male was admitted in the hospital after
developing Chest Infection. He is being given IV Antibiotics and fluids for his condition
at the moment. His condition has improved and the consultant is happy with the result.

Other Information: He was diagnosed with Small Cell Carcinoma of the Lung 3 years
back, for which he is receiving Chemotherapy. He has received Chemotherapy for the
last 3 years . He is now refusing treatment
Special Note: None

What you must do: Explore the patient’s thoughts and assess whether the patient
knows the implications of his decisions.

STATION 15
Where you are: You are F2 working in General Medicine

Who the patient is: Mrs. Patterson 75 year old female has been diagnosed with
multiple sclerosis 10 years ago. Her condition is now deteriorating and is in terminal
stage now. She wants to sign a DNAR form.

Other Information: None

Special Note: None

What you must do: Talk to the patient and address patient’s concerns.

STATION 16
Where you are: You are F2 working in General Medicine Ward

Who the patient is: Sally McQueen is a 27 year old female who was admitted in the
hospital a week ago and the diagnosis of infective endocarditis was made. The has
received IV antibiotics in the last 5 days. She needs to further receive treatment for a
few more weeks. She is required to stay in the hospital for a few more days to receive
IV antibiotics through her veins. The patients want to be self-discharged. Patient has
already talked to the nurse and now wants to talk a doctor. She is a known IV drug
abuser.

Other Information: None

Special Note: None

What you must do: Talk to the patient, address patient’s concerns and assess why she
wants to be discharged.

STATION 17
Where you are: You are F2 working in General Medicine
Who the patient is: Simon Miller aged 55 has been admitted in the hospital because
of shortness of breath and palpitations. He has been diagnosed with atrial fibrillation. He
was commenced on digoxin and his condition has improved. .He is now supposed to
receive warfarin. Your colleague has already talked with the patient about warfarin and
is not willing to take it.

Other Information: . Patient has history of two strokes in the past

Special Note: Your colleague has already assessed his mental capacity.

What you must do: Talk to the patient, address patient’s concerns

STATION 18
Where you are: You are F2 working in Cardiology Department

Who the patient is: Laura Smith 65 year old female was admitted in the hospital with
MI 2 days ago. She had angiography and angioplasty for that. Physiotherapist advised
her to walk but she is afraid. She has asked the nurse if she can talk to you.

Other Information: None

Special Note: None

What you must do: Talk to the patient, address patient’s concerns

STATION 19
Where you are: You are F2 working in Pediatrics

Who the patient is: Monica Geller aged 15 months is diagnosed with neuroblastoma
abdomen. She has been admitted in the hospital due to neutropenic sepsis. Few nurse
colleagues noticed that the mother Mrs. Rachel Geller is feeding her green fluid to her
child and they want you to speak to the mother.

Other Information: None

Special Note: None

What you must do: Talk to the mother and address your concerns

STATION 20
Where you are: You are F2 working in Neurology

Who the patient is: Mrs. Caroline Parker 88 year old female has been admitted
because of weight loss.

Other Information: She has been suffering from dementia in the last 3 years and has
not been taking food properly, recently. All the investigations including Blood tests, ECG
, X-ray, Ultrasound and CT scan of the abdomen has been done and have come back
normal. Patient has been given some fluids and is able to tolerate a bit now. It has been
decided that invasive and aggressive management is not appropriate. Palliative care
has been decided by the consultant. She was very weak on admission, but she has
been medically managed

Special Note: Patient is not available to talk. Consent was taken from the patient to talk
to her daughter. The weight loss is only due to dementia

What you must do: Please talk to her daughter Ms. Gwen Parker, take focused history,
explain her mother’s condition, address her concerns and discuss management plan
with her.

STATION 21
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Mrs. Sara Gill 82 year old had a wrist fracture on her non
dominant hand after having a fall 3 weeks ago. The cast has been placed. She was
given a walking aid to help her be mobile. Patient has been assessed and is able to use
the walking aid. Patient is lucid. Patient is willing to be discharged. All the investigations
including Blood tests, Urine test, ECG , X-ray, Ultrasound are normal. MDT including
physiotherapist, occupational therapist, social service, nurse and doctor are satisfied
that the patient is fit for discharge. She has been planned to come to the fracture clinic
twice a week. “Home to hospital Services scheme” has been arranged to visit the
patient twice per week. Her son Mark Gill has got some concerns.

Other Information: None

Special Note: Mother has given consent to talk to the son

What you must do: Talk to the son and address his concerns
STATION 22
Where you are: You are F2 working in General Practice

Who the patient is: Mrs. Bella Hadid has arranged an urgent appointment to talk to
you about her daughter, Katie Hadid.

Other Information: Her daughter Katie Hadid is 15 years old. Mrs. Bella, her husband
and her daughter have been registered with this clinic for 15 years. This is the first time
meeting anyone from the family

Special Note: None

What you must do: Talk to the mother and address her concerns

STATION 23
Where you are: You are F2 working in General Practice

Who the patient is: Julia Roberts 14 year old female came to the clinic as she had
unprotected sex and has some concerns.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 24
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Mr. Calum Elliott, aged 22, male who is suffering from cerebral
palsy, presented to the hospital with a bruise on his ankle after having a fall from his
wheelchair a few days back.

Other Information: He was assessed by the medical team. Examination was done and
showed no bony tenderness. Your colleagues decided that there was no indication for
X-ray as it would not change the management plan. He was then discharged with some
painkillers. Calum’s father, Mr. Elliott, has come to the hospital with some concerns as
he is not happy with the treatment of his son.
Special Note: None

What you must do: Talk with the father and address his concerns

STATION 25
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Mrs. Suzie 28 year old female came to the hospital regarding the
results of her Ankle X-ray.

Other Information: She came to the Emergency department yesterday because of pain
and swelling in her ankle. You talked to the patient, examined the patient and ordered
an X-ray for the patient yesterday.

Special Note: Ankle X-ray as well as the record of the yesterday’s visit to the A&E is
present inside the cubicle.

What you must do: Talk to the patient, discuss the X-ray, address patient’s concerns
and discuss management plan with the patient

STATION 26
Where you are: You are F2 working in Accident and Emergency

Who the patient is: Mandy Hill, 28 year old female came to the hospital 2 weeks ago
after suffering an accident. Record in the Emergency Unit showed that she had no
injuries and was certified fit. She has now come here for a sick note.

Other Information: None

Special Note: None

What you must do: Talk to the patient and address patient’s concerns

STATION 27
Where you are: You are F2 working in General Practice

Who the patient is: Katy Fairman 30 year old female is going for counselling sessions
for depression and she is taking sertraline for that. She is now requesting an
appointment as she wants to change her counsellor.
Other Information: None

Special Note: None

What you must do: Talk to the patient and address patient’s concerns

STATION 28
Where you are: You are F2 working in General Practice

Who the patient is: Isabella Hadid 35 year old female came to the clinic for some
concerns.

Other Information: She is the mother of 3 daughters who are aged 7, 4 and 1
respectively. She is currently on Contraceptive pills.

Special Note: None

What you must do: Talk to the patient and address patient’s concerns
MISCELLANEOUS
STATION 1
Where you are: You are F2 working in Medicine,

Who the patient is: Ms Elizabeth Regina Windsor, aged 95, is suffering from
Pancreatic Cancer and is terminally ill.

Other Information: She cannot tolerate eating or drinking. You consultant Dr. Derek
McDreamy has decided to put her on palliative care with these medications. Please
write them down as required.

As required:

Morphine 5mg SC 4 hourly for pain Cyclizine 50 mg SC 6 hourly

Midazolam 2 mg SC 4 hourly for agitation

Hyoscine hydrobromide for secretion

Paracetamol 1gm IV 6 hourly

Regular: Atorvastatin 10 mg NOCTE review after 4 weeks

Special Note: None

What you must do: Write down the prescription address

STATION 2
Where you are: You are F2 in Medicine unit

Who the patient is: Harry Windsor Spencer who is a known case of COPD came to the
hospital with complaints of Shortness of breath, Cough and Fever.

Other Information: He was seen by the consultant and the following medications were
prescribed

1. Atorvastatin ON

2. Levothyroxine OD
3. Tiotropium bromide 2 puffs QAM

4. Sertraline 250 evohaler 2 puffs OD

5. Co- Amoxiclav 500mg TDS

Special Note: He is allergic to Penicillin.

What you must do: Explain the Medications, Address Patient’s concerns and discuss
management plan with the patient

STATION 3
Where you are: You are F2 in Medicine unit

Who the patient is: Harry Windsor Spencer who is a known case of COPD came to the
hospital with complaints of Shortness of breath, Cough and Fever.

Other Information: He was seen by the consultant and the following medications were
prescribed

1. Atorvastatin 10 mg ON

2. Amlodipine 5 mg OD

3. Ramipril 3 mg OD

4. Salbutamol 5 mg QDS

5. Co- Amoxiclav 500mg TDS

Special Note: None

What you must do: Explain the Medications, Address Patient’s concerns and discuss
management plan with the patient

STATION 4
Where you are: You are F2 working in Surgery

Who the patient is: Marina Myers 62 year old was admitted in the ward with a pelvic
fracture and was diagnosed with Osteoporosis. She developed urosepsis while she was
under treatment which was managed with antibiotics. She is mot being discharged and
wants to know about the medications that have been prescribed to her which are as
follows:
 1. Amoxiclav 500 mg TDS 5 days
2. Codeine 1 tab PRN
3. Alendronate 70 mg mane
4. Calcitriol BD
5. Lisinopril 5 mg OD
6. PCM 2 tabs BD
7. Atorvastatin 10 mg OD
8. Laxido sachet PRN

Other Information: She was previously on Lisinopril 10 mg which has been changed to
5mg due to dizziness.

Special Note: None

What you must do: Explain the Medications, Address Patient’s concerns and discuss
management plan with the patient

STATION 5
Where you are: You are F2 working in Medicine

Who the patient is: Amelia Clark 50 year old female came to the hospital because of
DVT. This is her third admission of DVT. She is prescribed Apixaban.

Other Information: None

Special Note: None

What you must do: Talk to the patient, explain her about medication and address
patient’s concerns

STATION 6
Where you are: You are F2 working in Medicine

Who the patient is: James Carter 25 year old male has had a nosebleed.

Other Information: He is on Apixaban

Special Note: None

What you must do: Talk to him and complete the prescription
STATION 7
Where you are: You are F2 working in General Practice

Who the patient is: Ashley Adams 65 year old female came to the clinic for
assessment.

Other Information: Patient has been diagnosed with Rheumatoid Arthritis. Patient is on
the following medication: Methotrexate PO 7.5 mg per week, Paracetamol PO up to 8
tablets, Folic Acid PO. Her arthritis is under control and blood levels for methotrexate is
normal.

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 8
Where you are: You are F2 working in General Practice

Who the patient is: John Bernard aged 40 year old male came for his blood results.

Other Information: He came to the clinic because of generalized lymphadenopathy 2

weeks back. Blood test was done 2 weeks ago.

FBC, LFT, U&E, Urine Chlamydia Screen – Normal

HIV antibody and p24 antigen test are positive.

Special Note: Blood test report is present in the cubicle.

What you must do: Discuss blood results, take focused history, address patient’s
concerns and discuss management plan with the patient

STATION 9
Where you are: You are F2 working in GP

Who the patient is: Harry Styles 21 year old male presented with lumps in the groin
area.

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient

STATION 10
Where you are: You are F2 working in General Practice

Who the patient is: William Harding aged 35 year old male has come to you with a
neck swelling

Other Information: None

Special Note: None

What you must do: Take focused history, address patient’s concerns and discuss
management plan with the patient