Welcome to MEDI 81000+ virtual patients for OSCE Preparation

• Who you are: FY2 in the GP Surgery.
• Who the patient is: 25-year-old Ms Charleston came to the clinic with complaints of vaginal
• discharge.
• What you should do: Talk to the patient, assess, and address her concerns. 

You are a F2 in general medicine.  Mr. Dakar, aged 25, came to the hospital with headache. 

Take a focused history, assess the patient, do examination and discuss further management with the patient 

You are FY2 in the GP clinic.  A 35-year-old lady made an appointment because her 3-year-old child Austin is acting strangely. What you should do : Talk to her and address her concerns. 

You are an FY2 in GP clinic. Mr. Hamburg aged 46 has come with complain of tiredness. Talk to him, take history & discuss the management plan with the patient. 

Who you are: You are FY2 doctor in the oncology department.  Who the patient is: Mr. Michael Robert is 82 years old; He was admitted 2 days ago with neutropenic sepsis. He was diagnosed with lung cancer 8 months ago and he is  receiving chemotherapy for it. Cancer has shrunk after the chemotherapy.  What you should do: Talk to him and address his concerns. 

Who you are: You are a F2 in medicine. 

Who the patient is: Mr.Vail, aged 28, presented to the hospital with a cough and shortness of breath for the past few weeks. Patient is homeless and he is losing weight.

What you should do: Please talk to the patient, assess the patient, do relevant examination and do initial management with patient. 

Who are you:

• You are the F1 in the surgical ward. Who is the patient:
• Milan Rodriguez, a 28-year-old female, admitted for investigation of a painful breast lump. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns

Who you are: You are a FY2 in ED. 

Who the patient is: A 17-year-old fell down and sustained an ankle injury. He was brought to the ED 1 week ago with an ankle injury which he had after falling from his wheelchair. When he came to the ED, he had an ankle bruise, but no bone tenderness was found. He was assessed and discharged home without x-ray. He still has the bruise, and his dad has brought him back to the hospital. 

What you should do: Speak to the dad, assess the situation and address his concerns. 

You are an FY2 doctor in GP.

Who your patient is: Mariah Smith, aged 60, came to the clinic because her daughter has some concern regarding her situation.

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

Where are you:  You are an FY2 doctor in the Orthopedics Department. 

Who the patient is:  Mrs. Kimberly Pam, 82 years old, was admitted to the hospital 2 weeks ago after sustaining a fracture of the left leg. She was successfully treated and ready to be discharged home. She has gone for a physiotherapy session and was noticed to be unwell.  The nurse has asked you to come and review her. 

What you must do:  Take focused history, do relevant examination

TIP Ask 'How are you feeling now?' to prompt discussion of vital signs and relevant physical findings

Who are you:

• You are the consultant in the oncology department. Who is the patient:
• Geneva Brown, a 62-year-old female, referred for evaluation of a suspicious breast lump found on mammogram. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns

Where you are: You are FY2 in GP.

Adam Jones, 19yr old boy, sent by the student counsel of his school

Talk to him, manage him accordingly and address his concern.

Who you are: You are FY2 doctor in the GP clinic, 

Who the patient is: Mrs. Nicole Jolie, 48 years old, has come today after booking an urgent appointment because she has a concern. Family, including her husband and daughter have been registered at your clinic for the last 10 years. 

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

Who you are: You are an FY2 in GP clinic. Who the patient is : Clare Josh, aged 35, is coming to you with some concerns. What you should do : Talk to her and address her concerns. 

Who are you:

• You are the F2 in the breast clinic. Who is the patient:
• London Taylor, a 50-year-old female, presenting with a newly discovered breast lump. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns

Where you are:  You are an FY2 working in the Obstetrics and Gynecology. 

Who the patient is:  Mrs. Julie Perry aged 58 had a hysterectomy done an hour ago. She is bleeding. The nurse called you.

What you must do: Assess the patient and manage the patient accordingly. 

TIP Ask 'How are you feeling now?' to prompt discussion of vital signs and relevant physical findings

Who you are : You are an FY2 in the Emergency Department. Who the patient is : Mrs Chelsea, aged 55 years old, went to the optometrist who told her that the pressure inside her eye is raised. What you should do : Talk to her and address her concerns. 

Where you are : You are an FY2 in GP surgery. Who the patient is : Jack Wilson, aged 25 , has had a nosebleed. He is on Apixaban. What you must do : Talk to him and assess his concern.

Where you are:
15-year-old Samantha Green came to the clinic with a fever.  What you should do:
Talk to the patient, assess, and address her concerns 

Who you are: You are an F2 in Emergency department. Who the patient is: Mr. Denver, aged 52, presents with a vision problem in the right eye. What you should do : Talk to him and address his concern. 

Mother of George Zeya, a 25-year-old gentleman booked a video call appointment for his son because he is not behaving himself for the last few weeks.

What you must do: Talk to him, manage him accordingly and address his concern.

Who are you:

• You are the F1 in the gynecology department. Who is the patient:
• London Martinez, a 25-year-old female, presenting with lower abdominal pain and vaginal discharge. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who are you:

• You are the F1 in the ophthalmology outpatient clinic. Who is the patient:
• Vienna Chen, a 70-year-old female, presenting with gradual bilateral blurring of vision and glare around lights. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Where you are : You are FY2 in GP surgery. Who the patient is : Julia, mother of a 6 year old boy, who is diagnosed with tonsillitis, has come to you to talk about her son's referral to ENT surgery that was rejected. The child had previously 5 episodes of infections over 6 months. What you must do : Talk to the mother and address her concerns. On request of the mother, GP made the referral to the ENT surgery. 

Who you are: You are an FY2 doctor on the ward.

Who the colleague is: Adam Jones a 5th year medical student who is undergoing rotation in your department. Last night you were at a dinner party with your fellow staff. Adam was there sniffing cocaine and nurses have been discussing the incident this morning. You noticed that he seems overly excited and hyperactive today.

What you should do: You have requested to talk to him in private to assess his situation. 

Who you are: You are an FY2 doctor. Who the patient is: Nina Callahan, a 70-year-old female, with some concerns regarding a skin lesion has booked a phone consultation today. Additional information : She has emailed you a picture of her lesion. What you are supposed to do: Talk to her and address her concerns and discuss a plan of management. 

Who you are:
You are an FY2 in an emergency department. Who the patient is:
GP referred 20-month-old Austin, he was crying, vomiting, lethargic. What you should do:
Take history, manage the patient and address the mother’s concerns. 

Who you are: You are an FY2 in surgical department

Who the patient is: Andrew Portland 45 years , been planned to have a right inguinal hernia repair. Additional information: Anaesthetist is due to have a chat and assess the patient. The consultant will come later to take his consent and some Hx for operation. Special note: Nurse has found BP 155/88.

What you should do: Do operation assessment, describe operation, address his concern. 

Who are you:

• You are the F2 in the emergency department. Who is the patient:
• Berlin Schulz, a 68-year-old male, presenting with severe abdominal pain and distension. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who are you:

• You are the GP in a primary care clinic. Who is the patient:
• Sydney Lee, a 52-year-old female with a history of poorly controlled diabetes, presenting with gradual bilateral blurring of vision. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who you are: You are an FY2 in the GP clinic.

Who the patient is: Laura Flick ,aged 10 days old, has been brought in by her mother.

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

Who you are: You are an FY2 in the GP Who you are talking to : you are talking to the Theodore MacBride, a 53 year old man, presenting to the GP clinic with some concerns about his bowel habits. He has been passing loose stools and he is worried about it. What you should do: Talk to the patient, take the relevant history and address his concerns. 

Who are you:

• You are the F2 in the obstetrics and gynaecology department. 

Who is the patient;

• Vienna Thompson, a 28-year-old female, 2 weeks postpartum, presenting to the clinic with breast pain. 

What you must do:

• Take a focused history, perform relevant examination, and address the patient's concerns

Who you are: You are an F2 in GP surgery. Who the patient is: Tony Jameson, aged 40, has presented to the clinic with chest pain. What you should do: Talk to the patient, assess him and discuss the plan of management. 

Who you are: You are an F2 in GP Clinic. Who the patient is : Amber Wilson, a 24-year-old lady, came in with rashes on her lower lip. She is concerned about it. What you should Do : Please talk to the patient, take history and address her concerns. 

Who you are:
An FY2 in General practice. 

Who the patient is:
75-year-old Steve Austin came to the hospital with some concerns. 

Additional Information:
He came to the clinic 2 weeks ago and was started on oxybutynin for stress incontinence. He used it for a week but that did not help, and the dose was doubled after a week. The patient has now booked an urgent appointment. 

What you should do:
Talk to the patient, assess, and address his concerns. 

Where you are: You are FY2 working in paediatric emergency. Who the patient is : Joshua, aged 9, had a road traffic accident an hour ago. 

Other information about the patient: Initial surgery has been done and there is a head injury. No other injury has been found. CT scan has been done and shows extradural haemorrhage. You have not seen the patient. A team of doctors is resuscitating the child and planning to take him to the theatre. 

What you must do : Please talk to the mother, Mrs. Parker and address her concerns. 

Who you are: You are an FY2 doctor in Psychiatry. 

Who your patient is: Jessica, aged 16, has taken some tablets last night and cut her wrist this morning. Medical management has been done and patient is medically stable.

What your task is: Please talk to the patient, take history and discuss about management with the patient. 

You are an FY2 doctor in GP surgery.

Michael Jones, a 32-year-old male, has come to you with some concern regarding lump in neck and chest.

Other information: He has previously been to his GP with same issue and had several investigations and all were normal.

Talk to the patient and address the concern.

Who are you:

• You are the F1 in the emergency department. Who is the patient:
• Dublin O'Brien, a 5-year-old boy, brought in by his mother with complaints of ear pain. What you must do:
• Take a focused history, perform relevant examination, and address the patient's and parent's concerns.

Where you are:  You are F2 working in the Accident and Emergency Department.

Who the patient is: Mr Jack Adams, a 28-year-old male, was brought in comatose by the ambulance after fainting in his work this morning. 

Other Information:  None.  Special Note:  Mr. Adams is represented as a High Fidelity Mannequin. 

What you must do:  Assess him and manage him accordingly. At the 2-minute bill discuss the case with the examiner. 

TIP Ask 'How are you feeling now?' to prompt discussion of vital signs and relevant physical findings

Who you are: You are F2 in GP surgery. Who the patient is: Mrs Julia Smith, wants to talk to you about her son , Adam, 3 years old , who is due for a flu vaccine in 1 week’s time. What you should do : Talk to her and address her concerns. 

Who you are:
An FY2 in Accident and Emergency.

Who the patient is:
40-year-old George Santos came to the hospital with some loin pain.

Additional Information:
The nurse has given him diclofenac.

What you should do:
Talk to the patient, assess, and address his concerns. 

Who you are : You are F2 in GP surgery. Who the patient is : Mr Orlando, aged 61 years presents to the clinic complaining of back pain. What you should do : Talk to the patient, take history, assess patient, and discuss further management with patient and address patient’s concerns. 

Who you are: You are FY2 in PICU. 

Who the patient is: 30-year-old lady who is here to visit her baby. She delivered her baby 5 days ago. The baby was born at 27 weeks. The baby is being kept in an incubator.

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

Who you are: You are FY2 doctor in GUM clinic,  Who the patient is: Mr. John Black, 34 years old, came with discharge from his penis a week ago. Gonorrhoea was confirmed and he has been started on antibiotics 2 days ago. Nurse talked to him about contact tracing, but he refused. What you should do: Talk to him, convince him and address his concerns. 

You are an FY2 in GP surgery.  Mother of Berlin, 3 years old, is concerned.  What you should do:
Talk to her and address her concerns. 

Where you are : You are an FY2 in GP. Who the patient is: Samira, aged 34, came to the clinic with a sore throat. What you must do : Talk to the patient, discuss plan of management with the patient and address her concerns. 

Who you are: You are an FY2 in the Acute medical unit.
Who you are talking to: You are talking to Amanda, the nurse from a care home where 89 year old Maria Atkinson is currently living. Maria was admitted to the hospital for a recent fall that was managed conservatively. She has been sent back to the hospital after her nurse Amanda had some concerns about her.
Special note: It is your first day in the Acute medical unit.
What you should do: talk to nurse looking after Maria and discuss the possible management

You are an FY2 in a GP clinic.  Ms Palma, aged 55, has presented with the complaint of hand-pain.  What you should do: Take history, assess her and discuss management with her. 

Where you are: You are a F2 working in the neurology department. 

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.

Who you are: You are a FY2 in the ED. 

Who the patient is: Mrs. Alice Jones has come to the hospital with an ankle injury. She fell over at home after slipping on wet grass. You have seen Alice 30 mins ago and examined her. She has bruising, swelling and tenderness on the left malleoli. You have sent her for an x-ray. 

What you should do: Talk to her, discuss the x-ray findings, and address her concerns. The x-ray will be normal

Where you are: You are an FY2 in in General practice.

Who the patient is: Angela White, aged 31, has come to you with some concerns. Her daughter Brianna has recently been diagnosed with chickenpox.

What you are required to do: Talk to her and negotiate with her. 

Where you are : You are an F2 in Paediatrics. Who the patient is : Lucy, 15 months old, was brought to the hospital by her father with fever, shortness of breath and was pulling her left ear. They went to the GP and he gave her PCM and referred her to the hospital. Her father is concerned about her condition. On examination, there is redness over her left ear drum. Her right ear drum is pink. NEWS chart: Before : Temp - 38, HR -130 (80-130), RR-40 (25-35) After : Temp -37, HR-100 (80-130), RR -30 What you must do: Please talk to her father, take history, discuss plan of management with the father and address his concerns. Nurse colleagues are looking after her in the next room. 

Who you are: You are a FY2 doctor in a Medical Department. 

Who the patient is: Mrs. Sofia Smith, 77 years old, was admitted to hospital 2 weeks ago and she is receiving treatment for heart failure. She is catheterized and has developed haematuria.

What you should do: Talk to her son and address his concern. Consent has been taken. 

Who you are: You are an F2 in A&E.

Who the patient is: Martin Atkinson, 60 years old, came to the emergency department with pain in his abdomen. 

What you should do : Please talk to him, assess and discuss your plan of management with him and address his concerns. 

Who you are: You are a FY2 in the GP surgery.

Who the is patient is: A 35-year-old lady presented with some concerns. She had RTA 2 weeks ago. The police and the ambulance brought her in, and she was examined. Everything was normal.

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

Where you are: You are FY2 in GP.

Father of Michael Jones, a 28-year-old gentleman booked a video call appointment for his son because he is not behaving himself for the last few weeks.

What you must do: Talk to him, manage him accordingly and address his concern.

Who are you:

• You are the F1 in the emergency department. Who is the patient:
• Cairo Johnson, a 35-year-old female, presenting with severe breast pain. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns

Where you are: You are FY2 in General practice. Who the patient is: Ms Isabel Clarke, 34 years old, presented a week ago with vaginal discharge. A swab from her vagina was taken and it came back positive for Gardnerella vaginalis but negative for Chlamydia and Gonorrhoea. What you must do: Discuss results with her and discuss further management. 

Where you are:  You are FY2 working in A&E. 

Who the patient is:  A 55-year-old male, Mr. Walker, presented with a history of severe pain in his right leg since this morning.

Other Information:  None. 

Special Note;  Mr. Walker is represented as a high-fidelity mannequin. 

What you must do:  Talk to him, take history, assess the patient, do relevant examinations and discuss appropriate management. 

Tip Ask 'How are you feeling now' to prompt discussion of vital signs and relevant physical findings

You are FY2 in Psychiatry department.

Who the patient is: Mrs. Amelia Thomson, 45yr old patient, admitted to hospital and had hysterectomy 2days ago. She has been wanting to go home soon

Other information: Your nurse colleague noticed that she has got a bad drinking habit What you must do:

Talk to her, address her concern.

Who are you:

• You are the F1 in the cardiology department. Who is the patient:
• Geneva Clark, a 68-year-old female, presenting with shortness of breath and ankle swelling. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Where you are: FY2 in GP Who the patient is: 14-year-old Sarah Perkins, who has come to request emergency contraceptive pills. Other information you have about your patient: She had unprotected sexual intercourse last night. What you must do: Talk to Sarah and address her concerns.

Who you are: You are an FY2 doctor in GP surgery Who the patient is: Michael Riley, aged 53, presented with a concern. What you should do: Talk to her and address her concerns. 

Where you are: You are an FY2 working in GP Surgery.

Who the Student is: Mr. Jason Roy, aged 57, presented to the clinic requesting PSA Special Note: None

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

Who you are: You are a FY2 doctor in the GP clinic.

Who the patient is: Julia is the daughter of Mrs. Margert James, 75 years old. Mrs. James has been diagnosed with dementia and lives in a care home and  recently the dose of levothyroxine has been reduced for her as her thyroid function tests are normal. Julia has come today to understand why she has not been informed about the change in the dose of her mother's medication.  Specific note Thyroid function tests will be repeated after 6 weeks. 

What you should do: Talk to her and address her concern. 

Who you are: You are an FY2 in a Neurosurgery Department.

Who the patient is: Mrs Stella Walker, an 80-year-old lady who had brain operation for a space occupying lesion. While in the recovery room, they noticed that she is not able to move one part of her body. CT scan of the brain was done which showed ischemic stroke. She is now at the intensive care unit. Other information: She is waiting to be reviewed by the stroke specialist.

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

Where are you? FY2 in the obstetrics and gynecology department

Who the patient is: Audrey Jones, a 25 year old lady who came for routine antenatal follow up Other information you have about the patient: Mrs. Audrey Jones had her last menstrual period 6 weeks ago. This is her first antenatal visit

What you must do: Please assess the patient and discuss further management plan

Where you are:  You are FY2 in A&E. 

Who the patient is:  • Mr. Barry Allen, aged 75, has come to the A&E with shortness of breath and palpitations.

Other information: None 

Special note:  •Patient is conscious and oriented. 

What is your task:  • Please talk to him, assess and manage him, and discuss the management plan with him. 

Where you are: You are FY2 in the Obstetric department.

Who the patient is: Mrs. Elena Wilson, a 35-year-old lady, had a cesarean section 8 hours back. 

What you must do:  Talk to Mrs. Wilson, assess her, address her concerns and discuss management with her. 

Tip Ask 'How are you feeling now' to prompt discussion of vital signs and relevant physical findings

Who you are: You are an FY2 in the GP clinic.  Who the patient is: Sally, aged 25 years old, has come to you with some concerns. She has been invited for cervical screening. What you should do: Talk to her and address her concerns. 

Who you are: You are an FY2 Dr in medicine department. Who you are taking to: 55-year-old Lydia Fryer, presented to the hospital with history of loose stool for the last 2 months. She has become too worried and has some concerns. What you should do: Talk to the patient, take relevant history, address her concerns, and discuss a plan of management with her. 

You are an FY2 in Cardiology Department.

Who the Student is:
Jay Monaco, a 5th year medical student who is undergoing a rotation in your department has come to you to learn about ECG. 

Special Note:
None 

What you must do:
Talk with Jay and teach him ECG. 

Who are you:

• You are the GP in a rural health clinic. Who is the patient:
• Dakar Sow, a 40-year-old female, presenting with unilateral hearing loss and recurrent ear infections. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who are you? - You are the F2 in the antenatal clinic. Who is the patient? - Mrs. Libby Roberts, 32 year old female who is 34 weeks pregnant presented to her antenatal appointment. Special notes: - The midwife noted that the fetus is in breech position. What you must do: - Take focused history, perform relevant examination and address the patient’s concerns.

Who you are: An FY2 in General practice.

Who the patient is: 65-year-old, Angela Stark, has come to the clinic for the results of the tests that she had a week ago. 2 weeks ago, she came for a well woman check-up and had her tests done. Her urine dipstick was positive for microscopic haematuria showing +++ RBC’s and the test was repeated again. You have the test results now which are again positive for haematuria showing +++ RBC’s.  Additional Information: She has been diagnosed with atrial fibrillation and is on regular medication including Bisoprolol and Warfarin. 

What you should do: Talk to the patient, explain test results and discuss further management. 

Who you are: FY2 in the GP surgery Who you are talking to: Ryan Helpart, a 54 year old male patient, came to the GP with the complaint of Dyspepsia and indigestion. What you should do: Talk to him & address his concern, take relevant hx and discuss a proper plan of management. 

Who are you:

• You are the F2 in the colorectal surgery department. Who is the patient:
• Sydney Patel, a 62-year-old male, presenting with changes in bowel habits and rectal bleeding. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who you are:
You are an F2 in A&E. 

Who the patient is:
Mr.Memphis, aged 25, presented to the hospital with chest pain. 

What you must do:
Please talk to the patient, take history, assess the patient and discuss your initial plan of management with the patient. 

Who you are: You are a FY2 doctor in a Medical Department. 

Who the patient is: Mrs. Ali, a 77-year-old lady, presented with confusion due to a chest infection. Investigations have been done which showed metastasis in her lung, liver and kidneys. She had colon cancer 5 years ago for which she was treated and declared cancer-free. Mrs. Ali was confused so the diagnosis was discussed with her daughter.  Her son, Adam Ali was not present at that time. He told the nurse today that he doesn't want anyone to tell his mother about her cancer. 

Additional information Consent has been taken from Mrs. Ali to talk to her son. Diagnosis hasn’t been disclosed to the patient yet. Patient has been assessed and has full mental capacity now. 

What you should do: Talk to Mr. Adam Ali and address his concerns. 

Who you are: You are an FY2 doctor in Psychiatry. 

Who your patient is: Jessica, aged 16, has taken some tablets last night and cut her wrist this morning. Medical management has been done and patient is medically stable.

What your task is: Please talk to the patient, take history and discuss about management with the patient. 

Who you are:
You are an FY2, in GP clinic.  Who the patient is:
The mother of 2-year-old, Harry, came for a follow-up for him as he is constipated. She visited the GP 2 weeks ago, and the examination was normal – PR: no faecal mass.  Additional information:
She was advised on dietary changes.  What you should do:
Talk to her and address her concerns.

Who you are:
An FY2 in General Practice.

Who the patient is:
70 years old Morgan Paxman came to the clinic with some burning sensation while passing urine.

What you should do:
Talk to the patient, assess, and address his concerns. 

Who you are: You are FY2 doctor in the GP clinic.  Who the patient is: Mrs. Tanya Jones, 38 years old, has been diagnosed with breast cancer and she is scheduled for breast surgery after 2 weeks. She is calling you because she wants to discuss her management plan. what you should do: Talk to her and address her concerns. 

Who you are: You are an FY2 doctor in GP.  Who your patient is: Mariah Smith, aged 60, came to the clinic with some concerns.  What is your task: Talk to her and address her concerns. 

Who you are: You are FY2 in acute medical unit 

Who the colleague is: 60-year-old Nando Manali who is supposed to be discharged today but Dr Gupta has not prepared the discharge letter to be sent to the GP. The ward manager has been asking the nurses for a bed for a new patient who is to be admitted from the ED. 

What you should do: Talk to your colleague about the situation. 

You are a F2 in general medicine.  Mr Bangkok, aged 27, came to the hospital with a headache.  Take a focused history, assess the patient, do examination and discuss further management with the patient. 

Who you are: You are an FY2 doctor in GP.  Who your patient is: Diana Wales, aged 30, came to the clinic because of concerns of weight loss.  What is your task: Please talk to her and discuss your plan of management with her and address her concerns. 

Where you are: You are an F2 in A&E. Who the patient is: Adam Willis, aged 22, presented to the hospital with pain in the ear. What you must do : Please take rapid history, do relevant assessment and discuss management with the patient 

Where you are: You are a FY2 doctor working in the Acute Medical Unit.

Who the colleague is: Adam Miller is a 5th year medical student undergoing a rotation in your department.

What the situation is: Last night, you were at a dinner party with your fellow staff and Adam was one of the guests. He was drinking alcohol and consuming cocaine with a group of friends. Today, during the ward round, you noticed he was hyperactive and more excited than usual.

What you should do: Talk to Adam, discuss the situation and handle the matter ethically. You have arranged a private meeting and he is waiting for you.

Where you are? You are an FY2 working in Surgery Department.

Who the Student is: Sammy Wilson, a 5th year medical student in clinical rotation in your department wanted to seek help regarding learning about inguinoscrotal examination.

What you must do: Talk to him and teach him inguinoscrotal examination.

Special Note: Do not ask him to repeat the steps of examination.

Who you are:
You are an F2 in A&E.  Who the patient is:
Mr Oslo, aged 82, admitted to the hospital because he is confused now.  What you should do:
Talk to his daughter and discuss management plan with her and address her concerns. There are some blood tests inside the cubicle.

You are an FY2 in A& E  Paris, a 54-year-old, presented with severe headache. 

Talk to the patient and address her concerns. 

You are FY2 in GP.

Who the patient is: A 33-year-old Michael Smith comes to see you because he has sleeping problems for 4 months.

What you must do: Talk to him, manage him accordingly and address his concern

Who you are: You are an F2 in GP surgery. Who the patient is: Mrs. Emily Harriet, Sophia’s mother, has phoned the GP surgery to discuss her daughter’s MMR vaccination. 12 month old Sophia is due to be given her MMR vaccine in the next two weeks. Additional information: You haven’t seen Sophia since birth. What you should do: Please talk to the mother and address her concerns. It is a non-emergency visit.

Who you are: You are a FY2 in the GP clinic.

Who the patient is: 30-year-old lady has made an appointment to see you.

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

Who you are: You are an F2 in A&E.

Who the patient is: Martin Atkinson, 60 years old, came to the emergency department with pain in his abdomen. 

What you should do : Please talk to him, assess and discuss your plan of management with him and address his concerns. 

Who you are:
You are a FY2 in A&E  Who the patient is:
Lydia Scar 67-year-old lady has been brought to the hospital by her husband due to weakness on one side of her body, facial dropping and slurred speech 3 hours ago. Symptoms lasted for 15 mins. General and neurological examination is normal. Her blood pressure is 150/90. Ct is normal.  Special note A referral to TIA clinic has been arranged. What you should do:
**** Talk to her husband, address his concerns and discuss management plan with him. 

Where you are: You are FY2 in GP.

Who the patient is: A 16-year-old Michael Smith was brought to the hospital by his mother because he has been feeling low for a few months.

What you must do: Talk to him, manage him accordingly and address his concern

Who you are: A FY2 in Elderly care medicine 

Who the patient is: Elizabeth Alexander, 96-year-old lady, who was admitted to the hospital a few days ago. She is terminally ill with metastatic cancer. She is on nasogastric tube for feeding, subcutaneous morphine, midazolam and fluids. Her son Charles, who is currently in Switzerland on holiday, would like an update his mother’s condition. He is expecting a call from you. 

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

Who you are:
You are FY2 in the medicine department. 

Who the patient is:
A 60-year-old man presented with cough. He had a CXR and was diagnosed with pneumonia 4 weeks ago. Based on his CXR, he was discharged on antibiotics. On looking at his X-ray, we found that he was treated based on another patient’s x-ray. Your consultant thinks that the patient was given antibiotics unnecessarily for 4 weeks. Today, he is coming for a follow up. 

What you should do:
Talk to the patient, explain the medical error and discuss the management with him. 

You are an FY2 in paediatrics.  April, 5 years old. Her mother is concerned as she wakes up in the middle of night screaming. What you should do:
**** Talk to her mother, child is not with her mum. 

Where are you? FY2 in the Maternity Assessment unit Who the patient is: Vivian, a 30 year-old lady who has come for routine antenatal follow- ир Other information you have about the patient: She is 36 weeks pregnant and she has been seen by the midwife who has made the following note: - Her Blood pressure today is 160/110 mmHg - Urine Dipstick shows protein +++ - The booking BP is 110/70 m m H What you must do: Take a focused history and discuss management with the patient

Where you are: You are FY2 working in the A&E.

Who the patient is: Mr. Stuttgart, aged 70, has collapsed and was brought to the hospital with loss of consciousness by an ambulance. The initial survey has been done. The CT scan was done and shows massive intracerebral bleeding due to ruptured berry's aneurysm. The neurology team has seen the patient and evaluated his CT scan. They decided that surgery cannot be done.

Other information about the patient: He is breathing independently. Patient is unconscious.

What you must do: Please talk to his wife, Mrs Stuttgart, explain her husband's condition and address her concerns.

Special Note: Patient is in terminal condition and only palliative care is possible. Patient's wife does not know about her husband's condition. 

Who you are: You are FY2 in Medicine. Who the patient is: Miss Greenland, aged 87, came with vision problem. What you should do: Talk to her and address her concerns.

Where you are:
You are an Fy2 in A&E. 

Who the patient is: Kingston, aged 55, presented to the hospital with chest pain. 

What you must do:
Please talk to the patient, take history, assess the patient and discuss your initial plan of management with the patient. 

Who you are:
You are an FY2 in paediatrics.  Who the patient is:
19-month-old Luke was diagnosed with neuroblastoma and has been having chemotherapy treatment. He has been feeling ill frequently and he was admitted 3 days ago due to neutropenic sepsis. Initially when he was admitted, he was very unwell. At the moment he is doing well and has started feeding. Additional information
**** The child is responding well to the treatment. Neuroblastoma has reduced in the size. The nurses have noticed that his mother is giving him green juice. What you should do:
**** Talk to the mother about the incident and address her concerns. 

Where you are : You are FY2 in GP clinic

Who the patient is : The mother of a 15-year-old boy is here with some concerns.

What you must do : Talk to her, take history and manage him accordingly. 

You are FY2 in GP.

A 32-year-old Michael Smith comes to see you because she has some concerns.

What you must do: Talk to him, manage him accordingly and address his concern.

Where you are: You are an F2 in A&E. Who the patient is : Harlow, aged 22, was out shopping in a supermarket, she turned her head and had a sudden episode of dizziness. What you must do: Talk to the patient, assess her condition. Discuss the initial plan of management with the patient. 

Where you are:
You are an FY2 in Medicine Department. 

Who the Student is:
Jamie Watson, a 2nd year medical student who is undergoing a rotation in your department. He has been on the ward for weeks and he would like to learn how to perform subcutaneous injection. 

Special Note : None. 

What you must do : Teach the student the basics of subcutaneous injection. 

You are a FY2 doctor working in the A&E Department.

Dr Patrick Clarke is one of the consultants in charge of the unit. For the past few weeks, the staff have been commenting on his atypical behavior and smell of alcohol. Today, after talking to him, you could tell by the smell and confused speech that he was not sober.

What you should do Talk to Dr Clarke, discuss the problem and handle the situation ethically. You have arranged a meeting in a quiet room and he is waiting for you.

Who you are: You are an FY2 doctor in GP. 

Who your patient is: Mrs. Ashley Adams, aged 67, has come with some concerns. 

Other Information: She has been diagnosed with Rheumatoid Arthritis. Patient is on the following medications: 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 your task is: Please talk to patient, take history, do examination, discuss management with the patient and address her concern. 

You are FY2 in the GP clinic.  Mrs October the mother of 15 month old, Augustine. She has some concerns regarding her son.  Talk to her and address her concerns. 

Who you are: An FY2 in General Practice.

Who the patient is: 25-year-old Allison McKenzie, came to the clinic with some burning  sensation while passing urine.

What you should do: Talk to the patient, assess, and address concerns. 

Who you are : You are an FY2 in A&E.

Who the patient is : Mrs. Blake, aged 85, was brought to the hospital by her daughter after having a fall. On examination there are multiple bruises of different ages on her body. She has tenderness in her chest. Additional notes: Patient is not available to talk, she has been sent for X-rays, consent has been taken from the patient to talk to her daughter.

What you should do : Please talk to her daughter, Angela, and discuss your further management plan with her. 

Where you are : You are F2 working in General Practice.

Who the patient is : Sandra Peters, the mother of Samuel aged 2, has come to you with a complaint.

Special Note : Samuel had gone for a pit walk with his father, he is not in the room.

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

Who you are: You are an FY2 doctor in medical department. 

Who the patient is: Mr. Alex Wilson is 55 years old; he was admitted 4 days ago with palpitations and he is diagnosed with AF. He is about to be discharged on warfarin. He has told the nurse that he doesn’t want to take warfarin. He had MI and stroke 2 years ago.

What you should do: Talk to him about it and address his concerns. 

You are an F2 in GP clinic.  Mrs. Valencia, aged 73, presents to the clinic with aches and pains She had been diagnosed with GE reflux 20 years back and she has been taking Omeprazole. 

You are FY2 in the GP clinic.  June is the mother of 4-year-old David, and she has some concerns.  What you should do:
Talk to her and address her concerns. 

Where you Are: You are an FY2 in the Medical Department.

Who the patient is: The nurses asked you to come review Mr. Peter Drink, a 50-year-old gentleman, as he is having rectal bleeding.

Your Task: Take a focused history, assess his condition and manage him.

TIP Ask 'How are you feeling now?' to prompt discussion of vital signs and relevant physical findings

Who you are:
You are an F2 in A&E. 

Who the patient is:
Mrs Luanda, aged 55, presented to the hospital with chest pain. 

What you must do:
Please talk to the patient, take history, assess the patient, and discuss your initial plan of management with the patient. 

Who you are: You are Fy2 in GP clinic.

Who the patient is: Mrs. Ashley Adams, 65, presented to the clinic for assessment. 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. Her arthritis is under control and blood levels of Methotrexate is normal

What you should do: Please talk to the patient, take history, management with the patient and address her concerns. 

Where you are : You are an FY2 in GP clinic. Who the patient is : Mr. Liam Jackson, aged 45, has come to you with dizziness. What you must do : Please talk to him, assess him, and address his concerns.

You are FY2 in GP Surgery

Who the patient is: Jaden Smith, a 18-year-old gentleman, comes to you with some concern.

Talk to him, manage him accordingly and address his concern.

Where you are: You are FY2 in the Obstetric department.

Who the patient is: Mrs. Elena Wilson, a 35-year-old lady, had a cesarean section 8 hours back. 

What you must do:  Talk to Mrs. Wilson, assess her, address her concerns and discuss management with her. 

Tip Ask 'How are you feeling now' to prompt discussion of vital signs and relevant physical findings

Who you are: You are an FY2 in A&E. Who you are taking to: Lilly Towsend is a 35 year old lady who is presenting to the hospital with diarrhoea and vomiting. What you should do: Take history and address her concerns, discuss with her a plan of management. 

Who you are: You are an FY 2 in a GP clinic.  Who the patient is: Mr Adazi, 35-year-old presented to the GP with tiredness.  What you should do: Take a history from him and talk to him about the further management. 

Who you are: You are an FY2 in GP surgery.

Who the patient is : John Edwards, aged 22, has made an urgent appointment.

What you should do : Talk to him and address his concerns. 

You are an FY2 in GP surgery. 65 years old Lyon came with back pain for long time 

Special note: He had blood tests that showed (anaemia decrease RBC/ blood electrophoresis increases IgG / urine Bence jones protein/ decrease platelets) 

What you are supposed to do: Talk to the patient discuss results and plan of management. 

You are FY2 in well-woman clinic

Who the patient is: Jasmine Smith, 56-year-old lady has come for routine check up

What you must do: Talk to her, manage her accordingly and address herconcern.

Where you are : You are an FY2 working in a GP clinic.

Who the patient is : Lippy Harrison, the mother of Robin Harrison aged 3 years old, has come to the clinic as her son is not feeling well.

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

Who are you:

• You are the nurse practitioner in a community health center. Who is the patient:
• Addis Ababa Tadesse, a 45-year-old male, presenting with bilateral hearing loss. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who are you:

• You are the GP in a primary care clinic. Who is the patient:
• Nairobi Ochieng, a 32-year-old female, presenting with ear pain and discharge. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

You are FY2 in GP.

Maria Smith, aged 24, has come for the follow-up of test results.

Other information: Her test results show that Na - 130 K - 3.0

What you must do: Talk to her, manage her accordingly and address her concern.

Where you are: You are F2 in Paediatrics. Who the patient is : Monica, aged 2 years old, has been brought to the hospital by her mother because she had a fit. She has been managed in the A&E department and has been referred to you. Her temperature is 38.9 C. On  examination, there is redness over her left eardrum. What you must do : Please talk to her mother, Mrs. Diana Julie, take history, discuss your plan of management with the mother and address her concerns. The mother is very concerned. The child is not in the cubicle. 

Who you are : You are an FY2 in the GP clinic.

Who the patient is: Alicia, a 20-year old girl, came complaining of a scalded burn on her tummy. A nurse has seen the patient and has done the dressing.

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

• Who you are: You are an FY2 in A&E department.
• Who the patient is: Adam, 55 years old, came complaining of back pain since yesterday. Additional information : Patient has been diagnosed with HTN for last 10 years .
• What you should do: Talk to him, manage him, and address his concern. 

Where you are  You are an FY2 in the AE Department. 

Who is your patient:  Mr. Lincoln Peterson, a 60 years old gentleman presented with confusion.

Your Task: Talk to him, take a focused history, and manage his condition. 

TIP Ask 'How are you feeling now?' to prompt discussion of vital signs and relevant physical findings

Where you are:  You are an FY2 working in the A&E. 

Who the patient is:  Mr. Garry Penman is a 75-year-old male in A&E. 

TIP Ask 'How are you feeling now?' to prompt discussion of vital signs and relevant physical findings

Who you are: You are an FY2 doctor in GP surgery.

Who your patient is: Michael Jones, a 32-year-old male, has come to you with some concern.

Talk to the patient and address the concern.

Where you are: You are F2 in GP clinic. Who the patient is: Jenny aged 40 booked an urgent appointment to discuss her problem. What you must do: Talk to the patient, take history, assess her, and discuss the plan of management and address her concerns. 

You are an FY2 in Gynecology and obstetric Department.

Who the Student is: Sam Peterson is a 5th year medical student who is attending a rotation at your department, and he wants you to teach him about per speculum examination.

Other information: None. Special Note: None.

What you must do: Talk to Sam and teach him how to perform per speculum examination.

Who you are : FY2 in the GP surgery Who the patient is : 35-year-old Clark Kent came to the clinic with pain in his hand. What you should do: Talk to the patient, assess, and address his concerns. 

Who you are: You are an FY2 in the GP clinic.  Who the patient is: Samantha, aged 25, has come to you with some concerns regarding her wishes to have a baby. What you should do: Talk to the patient, take history and address her concerns. 

Where you are: You are an FY2 in GP. Who the patient is: Miss Amanda Lowe, aged 31, came to you with complaint of insomnia. Other informations you know about the patient: none What you must do: Talk to her and address her concerns.

Who you are : You are an F2 in Surgery.

Who the patient is: Mr. David aged 65, had an Ischemic Stroke last week which affected his left side. He was recovering well and doing fine. He developed another stroke yesterday and his GCS is 3 now. They did CT scan and it showed massive clot in both the hemisphere. Only Analgesics and IV Fluids can be given to the patient. Other information: If patient deteriorates then Do Not Resuscitate the patient. His daughter came to you to discuss her father’s condition.

What you must do : Please talk to the daughter, explain her father’s condition and address her concerns. Special note: Daughter is pregnant. MDT has decided that surgery cannot be done and they have decided only palliative care is possible. 

Where you are:
You are an FY2 in Medicine Department. 

Who the Student is:
Jaden Smith, a nurse who started his first day in clinical attachment wants to learn about the urine dipstick test. 

Special Note:
There is a Urine Dipstick Test Equipment inside the cubicle. 

What you must do:
Please talk to Jaden and teach him about urine dipstick test. 

• Who you are : FY2 in the GP clinic.
• Who the patient is : 35-year-old Ariana James came to the clinic with some complaints. What you should do: Talk to the patient, assess, and address her concerns 

Who are you:

• You are the GP in a primary care clinic. Who is the patient:
• Sydney Martinez, a 42-year-old female, complaining of cyclical breast pain for the past 3 months. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns

Where you are: You are FY2 in GP.

Marcus Jordan, 35yr old man has booked an appointment to talk to you.

Talk to him, manage him accordingly and address his concern.

Who you are : FY2 in the GP clinic. Who the patient is : 30 year old Mr. Lyon came to the clinic with some problems with his eyes. What you should do : Talk to the patient, assess, and address his concerns 

You are a F2 in general medicine.  Mr.Lekki, aged 18, came to the hospital with headache.  Take a focused history, assess the patient, do examination and discuss further management with the patient. 

Who you are: You are F2 in GP. Who the patient is : Jeff Peterson, aged 16, came to the hospital with his mother with some concerns. He is a diagnosed case of Asthma. What you should do : Please talk to him, take history, discuss your plan of management with him and address his concerns. 

Who you are: FY2 in Surgery dep. 

Who the patient is: 40 year old, Tanya Markovic: had an operation in her knee last month. 10 days after, she had an infection at the site of the injury for which she was treated. Now, she is ok, but she is very angry and wants to know why she had infection.  Additional information: Post-surgical infection rate in this hospital is within the national guidelines.  Special note: The nurse told you that the patient is angry. The patient has booked a telephone consultation with your department.  What you should do: Talk to her address her concerns.  Note:  She is fine and no infection now, she only wants to know why she had infection.

Who you are: You are an FY2 doctor  Who the colleague is: Your colleague John (FY1) keeps arriving late for work in the hospital.  What you should do: Talk to him about this problem. 

Who you are: You are an FY2 doctor on the surgical ward. 

Who the colleague is: Your junior colleague Sarah who is an FY1 doctor did not insert an IV cannula into Mrs. Williams, a patient who was supposed to receive IV antibiotics for an insect bite. The patient is upset and angry that the doctor didn’t do this as she has missed her antibiotic dose. 

What you should do: Talk to the junior doctor about this. 

Who you are: You are an FY2 in the GP clinic.  Who the patient is: Gary, aged 16, has come to you with some concerns.  What you should do: Talk to the patient, take relevant history and address her concerns 

Who you are: You are an FY2 in the GP practice.

Who the patient is: Allen Porter, 37-year-old male, came to the GP with a complaint of neck swelling.

What you should do : Talk to the patient, take relevant history, discuss a plan of management and address his concerns. 

Who you are:
You are a FY2 in paediatrics. Who the patient is:
Sari Knowles has brought her 2-year-old son Alex Knowles. Alex had a fit at home which lasted for 2 mins. Additional information
**** His temperature is 38.5 Examination: redness of the left eardrum. Rest of the ENT investigations are normal. What you should do:
**** Talk to the mum, take focused hx and address her concerns. 

Who you are:
You are an FY2 in the Emergency Department. 

Who the patient is:
Simon Clark, 70 years old, came to the clinic with some concerns. 

What you should do:
Talk to the patient, assess, and address his concerns. 

Who you are: You are an FY2 doctor in Psychiatry department.  Who your patient is: Miss Jessy Paul aged 18, is sent to the hospital by the GP because she was losing weight for the past 6 months. She has not been diagnosed with any medical condition. She is not taking any medication. Her BM1 is 17. What your task is: Talk to the patient and discuss initial plan of management with her. 

Where you are?
You are an FY2 working in Pediatric Department. 

Who the student is:
Jackie Min, a final year medical student in clinical rotation in your department wants to perform toddler development assessment. 

Special Note:
You can find a chart for toddlers’ development inside the cubicle. 

What you must do:
Teach him how to perform toddler development assessment. 

Who are you:

• You are the F2 in the gastroenterology department. Who is the patient:
• Dublin O'Connor, a 45-year-old male, presenting with abdominal distension and ankle swelling. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

You are FY2 in GP.

Maria smith, a 17-year-old girl, has come and see you because her mother has booked in an appointment for her with the concern about her weight.

Other information: 2 BMI- 17kg/m

Talk to her, manage her accordingly and address her concern.

Who you are: You are FY2 doctor in the Emergency Department.

Who the patient is: Mrs. Monica Thomson, 86 years old, was brought to the hospital from the nursing home as the nursing staff noticed that she was unwell and confused. She is not giving history because of the confusion. On examination, Temperature= 38 R.R= 26 Blood pressure= 90/60 Heart rate= 110 O2 saturation= 88%.

What you should do: Take history over phone from nursing staff and discuss management with examiner at the 6 minutes bell. 

You are a FY2 doctor in the GP surgery Who your patient is: Elisa Jones, aged 26 has made an appointment for a repeat prescription of her contraception pills Other information we have about the patient: None What you must do: Talk to her and address her concerns

Who you are:
You are an FY2 in the Paediatrics unit.

Who the patient is:
An 8-year-old child, was given Amoxicillin last night after having a chest infection. He developed a rash; his mother is concerned and wants to speak to a doctor.

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

• Who you are:
• You are an FY2 in paediatrics.
• Who the patient is:
• Alex, 9-month-old, was brought in by his mum with a fever. He has been examined and findings are:
• t: 39 BP: 90/70
• HR: 140 TM: pink tm on left ear
• Nose and throat are normal.  What you should do:
  Talk to the mother and address her concerns. 

Who you are: You are an FY2 doctor in GP clinic. Who your patient is: Mother is concerned for her son, Michael Smith, aged 40, as he has been behaving strange for 3 weeks. The other day she made an appointment for face-to-face consultation for her son. What is your task: Talk to him and address his concerns. 

Who you are: You are an F2 in A&E. 

Who the patient is: Princeton, aged 53, presented with a cough. 

What you should do: Talk to the patient, take relevant history, assess the patient and outline the plan of management with him. 

Who you are:
You are an FY2 in the GP surgery.  Who the patient is:
Sarah, 18 years old, made an appointment to see you. She delivered a baby 10 days ago, who had red sticky eyes for the last 3 days, swab has been taken from the eye, it shows (chlamydia). Chloramphenicol was given 3 days ago.  What you should do:
Talk to mother and address her concerns. 

You are an FY2 in OBs/GYN.

Who the patient is ? Avery Smith, aged 22 has come to you asking for 6 months' prescription of OCP. She was not using condom for 5 months. Other informations you know about the patient: none

Talk to her and address her concerns

Who you are : You are an F2 in A&E. Who the patient is : Mr. Cleveland, a 78-year-old has presented to the hospital with complaint of red eye., What you should do: Take history, discuss the management with the patient and address his concerns. 

You are an FY2 in emergency department. Mr. Grey , 46 years old came with back pain.  What you should do: Take hx and manage him

You are FY2 in GP.

Who the patient is: A 32-year-old Maria Smith comes to see you because she has sleeping problems.

Talk to her, manage her accordingly and address her concerns.

Where you are: You are an FY2 in GP.

Who the patient is: Luke, aged 25, has come with complaints of a runny nose for the past 2 days.

What you should do: Take history and address his concerns. 

Where you are: You are FY2 in GP.

Who the patient is: Maria Smith, aged 24, has been booked in an appointment with you by her mother because of vomiting.

What you must do: Talk to her, manage her accordingly and address her concern.

You are FY2 in the renal unit. 

Mr. Dubai, A 21-year-old male, suspected post-streptococcal glomerulonephritis. You took a renal biopsy from him 2 days ago and have been waiting for the results. Lab said they didn't receive the specimen. A thorough search was conducted to find the biopsy and it was not found. 

What you should do:
Talk to the patient, explain what has happened and address his concerns. 

You are a F2 in sexual heath clinic.  Mr. Maputo, aged 25, came to the hospital with some concerns. 

Take a focused history, assess the patient, and discuss further management with the patient 

Where you are:
You are an FY2 working in pediatric department. 

Who the student is:
Mike James, a final year medical student in clinical rotation in your department wants to learn about vaccination. 

Special Note:
None. 

What you must do:
Teach him and address his concerns. 

You are an FY2 in GP surgery.  Kingston, aged 39, presented with headache. 

Talk to the patient; take history, assess her and discuss the plan of management with the patient. 

Who you are: You are an FY2 in the GP clinic.  Who the patient is: Alice Bonar has come to the GP clinic with some concerns.  What you should do: Talk to the patient, take history and address her concerns. 

Who you are:
You are FY2 in orthopaedics. 

Who the patient is:
Master Tehran. A 4-year-old boy was brought by his father 3 days ago with a wrist injury. X-ray was done, father was told that it's soft tissue injury and no bony injury. Radiologist noticed that there is hair line fracture, the father was asked to come back, he is on his way right now. 

Special note
The orthopaedic consultant has advised you to put a plaster cast and arrange a follow up in 2 weeks. What you should do : Explain the medical error, discuss the management with the father and address his concerns. 

Where you are?
You are an FY2 working in Surgery Department. 

Who the Student is:
Harold Thaw, a 3rd year medical student in clinical rotation in your department wants to learn about the informed consent. 

Special Note:
None. 

What you must do:
Teach him and address his concerns. 

You are an FY2 doctor in GP.  Who your patient is:
Adam Jones, a 40-year-old man, came in about his sleep disturbances. He is concerned about it, and he is requesting sleeping pills. What your task is:
**** Please talk to him, assess him and address his concerns. 

Who you are: You are an FY2 doctor in Psychiatry. 

Who your patient is: Mr. Robert Gray, 33 years old, brought to the hospital because he had taken an overdose of paracetamol. He was admitted and treated medically, and he is stable medically now.

What your task is: Please talk to the patient and at 6-minute bell talk to the examiner about your management plan. 

Who you are:
You are an F2 in A&E.  Who the patient is:
Mr. Santiago aged 75, brought to the hospital by his wife because of confusion. He was diagnosed with a UTI 3 days ago. What you should do:
**** Please talk to them and address their concerns. 

Where you are: You are an FY2 in Accident and Emergency Department.

Who the Student is: Alex Wilson is a 3rd year medical student who has not attended his Basic Life Support Class. He came today to you to learn about it now.

Other information: You will find the BLS mannequin inside the cubicle.

Special Note: +-Ask the student to perform chest compressions after you teach him.

What you must do: Talk to Alex and teach him the basics of BLS.

Who you are: You are an FY2 doctor in medicine. 

Who your patient is: Mrs. Elissa Banks, aged 32, came to the hospital with insomnia. 

What your task is: Please talk to patient and address her concerns. 

You are an FY2 in the GP clinic.  Florence, a 25-year-old lady, presented with some concerns.  What you should do: Talk to her and address her concerns. 

You are FY2 in Acute Medical Department,  Who the patient is: Ms. Nicole Harrison is 24 years old; she was admitted a week ago with infective endocarditis. She is supposed to receive 3 weeks course of IV antibiotics. She is IV drug user the nurse has been advising her to stay in the hospital. However, she wants to leave the hospital. The nurse has asked you to talk to her.  What you should do: Talk to her and address her concern. 

Who you are : You are an F2 in Vascular Surgery.

Who the patient is : Mrs. Sarah Khan, a 60 year old woman. Other information you have: She has undergone an Aorta-femoral bypass graft in her lower limb due to vascular insufficiency that caused calf pain. She was shifted to the recovery room, after the operation. Your nurse colleague noticed that she was bleeding heavily into the drain, a few hours after the operation. She was given six units of blood products. Your colleagues all scrubbed in to the theatre. She was taken to the theatre for re-exploration. Her husband has come to the hospital to see his wife.

What you must do : Talk to her husband and explain what has happened and address his concerns. Special Note: There was no error in surgery. This is a known complication of the surgery. Consent from Mrs. Khan has been taken to talk to her husband. 

Who are you:

• You are the F2 in the surgical assessment unit. Who is the patient:
• Vienna Rodriguez, a 45-year-old female, presenting with severe right upper quadrant pain. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who you are : You are an FY2 in GP. Who the patient is : George Seaholm, aged 45, has come to you with some concerns. What you should do : Talk to him & address his concerns. 

Who are you:

• You are the F1 in the urology department. Who is the patient:
• Sydney Parker, a 72-year-old male, presenting with inability to pass urine. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who you are: You are a F2 in GP clinic. 

Who the patient is: Mr. York, aged 70, presented with a cough and SOB. 

What you should do: Talk to the patient, take relevant history, assess the patient and outline the plan of management with him. 

Who you are: You are an FY2 doctor in Psychiatry. 

Who your patient is: Mr. Alex James, 23 years old, brought to the hospital by the police. According to the police, he thinks that he has done something wrong. After police investigations, police found it's a false claim.

What is your task: Talk to him and address his concerns. 

You are an FY2 in GP clinic.  Mr Trenton, aged 45, has come to you with the complaint of pain in the big toe. He is hypertensive and on Amlodipine and Bendroflumethiazide.  Talk to him, address his concerns and discuss the management with him. 

Who you are: You are a FY2 doctor in a Surgical Department. 

Who the patient is: Ms. Ellie Moon, 72 years old, was in the nursing home and brought to the hospital as she lost some weight. CT scan was done on the chest, abdomen and pelvis. Cancer in the ascending colon is suspected. Diagnosis has not been mentioned to the mother.

What you should do: Talk to her son, Dr Moon and address his concerns. 

Where you are : You are an F2 in GP surgery. Who the patient is : Mrs. Selina Richards, aged 50, presented with a problem in her ear. She has come to you for the first time. What you must do : Please talk to the patient, take focused history, do necessary examination, and discuss your initial plan of management with the patient. 

Who you are: You are an FY2 doctor in A & E.  Who your patient is: David, aged 19 years, took 16 paracetamol tablets in the morning.  What your task is: Please talk to the patient and discuss the initial management with the patient. 

Who you are:
You are a FY2 in the orthopaedic department.  Who the patient is:
A 70 year old woman, fell at home a few days ago. She was brought to A & E; she was diagnosed with fracture neck of femur. The fracture was treated & she is stable.  What you should do:
Talk to her, assess her to find out the cause of the fall. 

• Who you are:
  An FY2 in General Practice.

• Who the patient is:
  35 year old, Olivia Quagmire, came to the clinic with some concerns.

• What you should do:
  Talk to the patient, assess, and address his concerns. 

Where you are: You are FY2 in GP surgery.

Who the patient is: Mr. Josh Andrews, aged 26, came to the clinic complaining of pain in the ear. 

What you must do: Talk to the patient and discuss the management with him. 

Who you are: You are fy2 in the GP clinic. Who the patient is: Criss Smalling is a 21-year-old male who made an appointment to see you. What you should do: Talk to him and address his concerns. 

Who you are: You are an F2 in GP Surgery. Who the patient is: Mr. Nottingham, age 50, was referred by Optometrist for early diabetic retinopathy. Special note: A referral letter may be handed inside. Additional Information: He is diagnosed with non-insulin dependent diabetes mellitus, which is controlled with diet. What you should do: Please talk to the patient and discuss plan of management with the patient. 

Who are you:

• You are the F2 in the ENT department. Who is the patient:
• Cairo Nasser, a 58-year-old male, presenting with sudden onset of hearing loss in his right ear. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who you are: You are an FY2 doctor in GP clinic Who the patient is: 50-year-old, Sydney came with pain in knee and hip. What you should do : Talk to her address her concerns. 

Where you are: You are an FY2 in GP surgery. Who the patient is : Mr David Thomas, 33 years old, presented with ear pain and hearing difficulty for a week. What you must do: Talk to patient and address his concern.

You are an FY2 in the Gastroenterology Department. 

Who the patient is:  Peter Drink, a 50-year-old gentleman, presented with vomiting of blood.

Other Information: An upper GI Endoscopy was done on him 3 hours back, while he was in the recovery room he vomited blood again, and the patient is not feeling well. 

Your Task:  Take a focused history, assess his condition and manage him. 

Tip Ask 'How are you feeling now' to prompt discussion of vital signs and relevant physicall findings

Who you are:
You are an FY2 in the paediatric department. Who the patient is:
Alicia, 9-month-old, brought by her mum with hx of fall from the sofa. She has a bruise on her head. The child is well and actively playing in the department. What you should do:
**** Take hx, address concern and manage. 

Who are you? - You are the F2 in the obstetrics and gynaecology department. Who is the patient? - Libby Roberts, 30 year old female who is 24 weeks pregnant came for a follow up. Special notes: - She is 2nd Gravida, 1 Para and her Oirst baby is 3 years old. Her previous pregnancy was normal and she had a normal vaginal delivery. She had her check up 2 weeks ago and an ultrasound showed a low lying placenta. What you must do: - Take focused history, perform relevant examination and address the patient’s concerns.

Who you are: You are FY2 in GP clinic.

Who the patient is: Mr. Omer Khalil, aged 31, presented with pain in his fingers. What you should do:

Take history, assess the patient’s condition and discuss the management accordingly .

You are an FY2 in the A&E.  A mother brought in her 2-year-old child, Milan, due to him swallowing a foreign body. You examined the child and did an x-ray; you thought it was normal and sent the child home. Later, the radiologist found that there's a button in the oesophagus. 

What you should do : Talk to mother over the phone, tell her what happened and ask her to bring the child back in again. 

Who you are: You are an FY2 in the Emergency department.

Who the patient is: Andrew Bright 50-year-old male came to the emergency department with severe abdominal pain.

What you should do: Talk to him, take relevant history,(+/- Do the required examination) , discuss an appropriate plan of management and address his concerns. 

Where you are : FY2 in GP surgery.

Who the patient is : George White, 25-year-old man, who has come for his reports. Other information you have: Presented with generalised lymphadenopathy 2 weeks ago. Blood test was done, FBC, LFT, U&Es, Urine chlamydia screen was normal. HIV antibody and p24 antigen test are positive. He is diagnosed with HIV infection and has been referred to GUM clinic.

What you must do: Talk to the patient, discuss results, address his concerns, and manage the patient. 

Who are you: You are an FY2 in the GP clinic.  Who the patient is: 28 year old transman with the birth name of Samantha Mason who now goes by Peter Mason has come to see you with some urinary symptoms. What you should do: Talk to the patient, take relevant history and address his concerns. 

Where you are: You are an FY2 in the in the orthopedic department Who the patient is: 85-year-old Juliette Desmond was admitted to the hospital with neck of femur fracture. She had a hemiarthroplasty done one week ago, since after the operation she has not been able to pass stools properly. Additional Information: the patient is stable and her pain is currently controlled adequately by the appropriate pain killers (co-codamol) What you should do : Take history and address her concerns and discuss a proper plan of management. 

Who you are: You are an FY 2 in OBG.

Who the patient is : Alicia Peterson, aged 28, is 12 weeks pregnant and presented to the hospital complaining of vaginal bleeding. She is here for her antenatal check-up. Your nurse colleague examined her and found no visible bleeding in her vagina. Ultrasound showed a viable 12-week pregnancy examination result was normal. Your nurse colleague noticed burn marks and a fingerprint-like bruise on her right wrist, but she did not disclose it to the patient. 

What you should do : Please talk to the patient, review the patient, discuss necessary management and address her concerns. 

You are a F2 in general medicine.  Ms London, aged 55, came to the hospital with a headache.  Take a focused history, assess the patient, do examination and discuss further management with the patient. 

Who you are: You are an FY2 in a GP clinic. Who the patient is: Ms. London, aged 33, presented to the clinic with pain in both wrists  and hand. What you should do: Talk to her and address her concerns. 

Who you are: You are a FY2 doctor in a Medical Department.

Who the patient is: William Russell, 68 years old, was referred by the GP a week ago because he had shortness of breath and pneumonia to be admitted in the hospital. Unfortunately, He died yesterday, acute respiratory failure is the cause of death. Additional information: Death certificate can be issued with acute respiratory failure.

What you should do: Talk to his wife Mrs. Russell and address her concern. 

You are a FY2 in GP surgery. Ms Berlin aged, 30, presented with headache. Talk to the patient; take history, assess her and discuss the plan of management with the patient. 

Who you are:
An FY2 in the GP Surgery. 

Who the patient is:
25-year-old Stella Morris came to the clinic with some concerns. 

Additional Information:
She had dysuria 2 weeks ago and was diagnosed with a UTI. She has been taking antibiotics for the past 2 weeks. 

What you should do:
Talk to the patient, assess, and address her concerns. 

Who you are: You are an FY2 in GP surgery. Who the patient is: Wendy presented to the clinic with her 8 week old boy, Tom. She wants to know about the vaccines that can be given to her baby. What you should do: Talk to her, explain to her about the vaccines that can be given at 8 weeks and address her concerns. 

Who you are: You are an FY2 in A&E.

Who the patient is : Reggie Adams, 8 years old. Other information: Reggie Adams, an 8 year old boy, was brought in by his father, Ronald Adams, following a road traffic accident. Initial survey was done, and revealed that he had an unstable pelvic injury. He has lost a lot of blood and is hypotensive. Initial management was done and the patient was resuscitated. He is being prepared to go in for Surgery. 

What your task is : Talk to his father, explain about further management, and address his concerns.  time. 

Where you are : You are an FY2 in GP surgery. Who the patient is : Suzan James, 34 years old, presented with dizziness and hearing problems. What you must do : Talk to her and address her concerns. 

You are FY2 in the GP surgery.  Jade Chicago, the mother of 14-month-old, Boston. She has some concerns regarding her son.  What you should do:
Talk to her and address her concerns. 

Mr. Tory Jones is represented as a High Fidelity Mannequin. 

What you must do:  Take talk to the patient, assess his condition, examine him, do relevant management and discuss with the examiner management plan is asked after 2 minutes bell. 

TIP Ask 'How are you feeling now?' to prompt discussion of vital signs and relevant physical findings

Who you are: You are F2 in Orthopaedics.

Who the patient is : Mrs. Margaret Fletcher, aged 74, presented to the hospital after a fall with a fracture of neck of femur. She has been planned to have a hemiarthroplasty. Special note: Anaesthetist has explained pain management. The consultant has explained the procedure.

What you should do: Please talk to the patient, discuss about post-operative management and complications . Discuss about management once discharged and address her concerns . 

Who you are:
You are an FY2 in paediatric department.
Who the patient is:
9-month-old, Adam Yank, was brought in by his mum with a fever, crying & poor feeding. What you should do:
**** Talk to the mother, address her concerns, and discuss the management with her. 

Who are you:

• You are the F2 in the emergency department. Who is the patient:
• Madrid Santos, a 65-year-old male, presenting with sudden visual loss in his right eye. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who you are:
An FY2 in General practice. 

Who the patient is:
46-year-old Daphne Winston came to the hospital with some concerns. 

What you should do:
Talk to the patient, assess, and address his concerns 

Where you are : You are FY2 in GP surgery. Who the patient is : Mr. James Rickman presented with pain in forehead and Cheeks which started a few days ago. What you must do : Talk to him, take history and address his concerns. 

Who are you:

• You are the F1 in the gynecology department. Who is the patient:
• Paris Sinclair, a 58-year-old female, presenting with abdominal bloating and changes in bowel habits. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who are you:

• You are the F2 in the neurology department. Who is the patient:
• Paris Novak, a 28-year-old female, presenting with headaches and transient visual loss. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who you are: You are an FY2 in the Surgery clinic. Who the patient is: Jasmine Jay, 26 year old female, presented with swelling on shoulder. She has a letter from her GP. The letter states that patient has some concerns about the lesion and wants to remove it from her shoulder. What you should do: Take relevant history and discuss different management options. Take informed consent for surgery.

You are an FY2 in a paediatric department.  Who the patient is:
5-week-old, Adam, was brought by his mother for persistent vomiting for the past 2 days. What you should do:
**** Talk to the mother and address her concerns. 

Who you are: You are an FY2 doctor.

Who the colleague is: You were told to speak to your colleague, John, who is an FY1 doctor, as he has put up a social media post about one of the patients who came into the hospital and was pretending to be the queen. You saw the post and requested to talk to him.

What you should do Talk to him. 

Who you are: You are F2 in GP.  Who the patient is: Mr. Ronald Giggs, aged 64 has some concerns about a skin problem  he has.  What you should do: Please talk to the patient, assess his condition, discuss your management, and address his concerns. 

Who you are : FY2 in the GP

Who the patient is : 37-year-old Donald Bloom came to the clinic with some complaints.

What you should do : Talk to the patient, assess, and address his concerns. 

• You are an FY2 doctor in A & E.
• Who your patient is:
• Albert Peterson, aged 77, _has _been brought to the hospital by the police. He was wandering in the park and he was confused. He doesn’t know why he is in the hospital. What your task is:
• Please talk to the patient and assess his cognitive function. Explain your findings and your further plan of management to your examiner.
• Do not take psychiatric history. After 6 minutes, stop talking to your patient and talk to your examiner.
• Note: Sometimes patient may not allow you to introduce yourself and he will start 

Who you are: You are an FY2 in a GP clinic.  Who the patient is: Mrs. Adelaide, 35-year-old, presented to the GP surgery 6 months ago with tiredness. She has come for her follow up.  Special notes IT has crashed and his records are not available. What you should do: Take a history from her and talk to her about further management. 

Who you are: You are an FY2 in the Emergency Department. Who the patient is: Mrs Calgary, aged 58 years old, presents with sudden onset of severe pain in her left eye. What you should do: Assess the patient and address her concerns. 

Who You Are : You are an F2 working in GP clinic. Who the patient : Steven McAdams, 24 years old. He has come with a skin lesion on his private parts. He is concerned about it. What you should do : Talk to him, discuss management and address his concerns. 

Who you are: You are an FY2 in GP clinic.  Who the patient is: Wendy Stones, presented with some concerns.  What you should do: Talk to her and address her concerns.

Who you are: You are an FY2 in Medicine. Who the patient is: Mrs Charlotte 70 years old has some concerns. She went to her GP last week who advised her not to drive. What you should do: Talk to her and address her concerns. 

Who you are:
You are a FY2 in the GP clinic.  Mr. Tokyo, 56-year-old man, was admitted to the hospital 3 weeks ago and was diagnosed with MI. 3 days prior to his admission, he had come to ED with chest pain. He was seen by one of the ED doctors who performed an ECG which was reported as normal. The blood tests were done, but patient was discharged home on the basis of normal ECG, before troponin was checked. He was also discharged home with a diagnosis of muscle pain. The cardiologist has reviewed d ECG and blood tests which were performed in the ED-ECG shows T wave inversion and troponin is also positive. 

What you should do:
Explain the medical error to the patient, assess for any complications, address his concerns and discuss further management. 

You are an FY2 in emergency department. Mr. Santiago , 30 years old came with back pain.  What you should do: Take hx and manage him.

Who you are: Fy2 in Surgery department.

Who the patient is: Jack Ethan, a 35-year-old man, underwent herniorrhaphy one week ago as a day case surgery. Now he presents with discharge, swelling, oozing and redness at the site of the infection. Additional information: 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 should do : Talk to the patient address his concerns. 

Who you are: FY2 in the GP Who the patient is: 40-year-old MR Cairo came to the clinic with some  complaints. What you should do: Talk to the patient, assess, and address her concerns. 

Where you are: You are an FY2 in GP surgery.

Who the patient is: Mrs Nicole Harrop, 29 years old, presented with intermittent ear pain and hearing difficulty for the past month.

What you should do : Take history and address her concerns. 

Where you are_: _ You are an FY2 working in General Practice

Who the patient is: Mrs. Elaine Adams, mother of 5-year-old Colton has some concerns.

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

You are FY2 in A&E. George Smith, a 25-year-old gentleman, was brought to the hospital by the police because he handed himself over to them.

Other information: Polices have mentioned that he has not done anything wrong.

What you must do: Talk to him, manage him accordingly and address his concern.

Where you are: You are F2 in A&E. Who the patient is: Ms Chennai, 30 years old, presented to the hospital complaining of right lower abdominal pain (RIF). What you must do: Talk to the patient, discuss initial management and address her concerns. 

Who you are: You are an FY2 in paediatrics.

Who the patient is: Miss Tanya bought her 4-month-old son, Adam, with swelling on his left arm. X-ray was done and spiral fracture has been diagnosed.

What you should do: Talk to the mother and address the initial management plan with her. 

Who are you:

• You are the F2 in the emergency department. Who is the patient:
• Cairo Anderson, a 58-year-old female, presenting with right upper quadrant pain, fever, and jaundice. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

You are FY2 in psychiatry department. Jordan Grad, 35yr old man is on follow up. He is on treatment to quit heroin addiction.

What you must do: Talk to him, manage him accordingly and address his concern.

Where you are : You are an FY2 in GP. Who the patient is : Mr. Kieran Richards, aged 40, has come to you with complaint of hearing noises. What you must do : Talk to him and address his concerns. 

Who you are: You are FY2 in medical department,  Who the patient is: Mr. Jack Smith is 78 years old and was admitted yesterday with a chest infection. He has a history of COPD. 15 years ago, he had MI and 3 years ago he was diagnosed with heart failure. He is receiving IV antibiotics for chest infection. He doesn’t want to take the  medication.  What you should do Talk to him and address his concern. 

You are an FY2 in a GP surgery.  Mrs Atlanta, 55-year-old female, who has come for her follow up. She has had depression for the last 4 months. She comes now with tiredness. 

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

Who you are:
An FY2 in General practice.

Who the patient is:
60-year-old Mike Johnson came to the surgery with some concerns.

What you should do:
Talk to the patient, assess, and address his concerns. 

Who you are: Fy2 in the GP surgery. Who you are talking to: Mike Ross, 50 year old male, presented with difficulty in swallowing. What you should do : Take hx and discuss management. 

Who you are:
You are an F2 in A&E. 

Who the patient is:
Grey, aged 26, presented to the hospital with chest pain. 

What you must do:
Please talk to the patient, take history, assess the patient, and discuss your initial plan of management with the patient.

You are an FY2 working in the Obstetrics and Gynaecology.

Who the patient is : Mrs. Jefferson aged 35, multigravida, had her 5th Delivery an hour ago. She is bleeding. Nurse called you.

Special Note:
None.

What you must do:
Assess the patient and do the initial management. 

TIP Ask 'How are you feeling now?' to prompt discussion of vital signs and relevant physical findings

Who you are:
You are FY2 in the GP clinic.  Who the patient is:
A 15-day old baby, Joshua, has been refereed by the midwife because of jaundice. What you should do:
**** Talk to the mother and address her concerns. 

Who you are: You are an FY2 in the GP clinic.

Who the patient is: Jake, aged 15, has come to the clinic with some concerns.

What you should do Talk to the patient, take relevant history and address his concerns.

Who you are: You are a FY2 doctor in an Orthopaedic Department.

Who the patient is : Mrs. Emily Adams, 84 years old, had a simple fall and a sustained fracture in her non- dominant hand. The fracture was fixed, and she has been treated with MDT (Occupational therapist and physiotherapist). They decided that she could go home. And she will be visited by carers twice a day. She is also arranged for a follow-up every week. She has mental capacity and wants to go home, and she will be given a stalk. Her son David has a concern 

What you should do : Talk to him and address his concern. Consent has been taken. 

You are an FY2 doctor in A & E.

A 75-year-old man, Michael Jones was admitted in the medicine unit due to LRTI. He was well managed and due for discharge. The nurse noticed that he is having short term memory loss and called you to assess

Talk to the patient, perform cognitive assessment, and manage accordingly.

Who you are:
You are an F2 in GP clinic. 

Who the patient is:
Ms Genoa, aged 24, presented to the hospital with chest pain. 

What you must do:
Please talk to the patient, take history, assess the patient, and discuss your initial plan of management with the patient. 

Who are you:

• You are the F2 in the acute medical unit. Who is the patient:
• Milan Thompson, a 42-year-old male, presenting with severe epigastric pain. What you must do:
• Take a focused history, perform relevant examination, and address the patient's concerns.

Who you are: You are an FY2 in the Surgery department.

Who the patient is : Remy Adams, 32 years old. Other information: She had a FNAC following an abnormal mammogram result done as part of her routine breast screening. The FNAC was done in an outdoor clinic a few days ago. The test shows that she has low grade DCIS.

What your task is: Talk to the patient and address her concerns.

You are an FY2 in the general surgery department.

Mr. Taipei, is a 40-year-old, who came yesterday for pre-operative assessment for hernia. You took a blood sample from him. Today the lab called you to take another sample because you didn’t label the sample properly. The patient has been informed that he will receive a call from you. 

What you should do:
Ring the patient and tell him over the phone and convince him that blood sample needs to be taken. 

You are an FY2 doctor in the Emergency Department. 

Who the patient is:  Mr. Alex Fay, 60 years old, was admitted to the hospital for abdominal surgery. He was transfused 1 unit of blood. He is now complaining of shortness of breath. 

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

Tip Ask 'How are you feeling now' to prompt discussion of vital signs and relevant physical findings

Who you are: You are an F2 working in GP surgery. Who the patient is: Samantha Reid, 27 years old, has come with a rash on her face. She is concerned about it. What you should do: Talk to her and address her concerns. 

Who you are:
You are an FY2 in a GP surgery.  Who the patient is:
Miss Newark is a 22-year-old woman who come with some concerns. What you should do : Talk to her and address her concerns.   

You are an FY2 doctor in a GP surgery.  Ms Luanda, aged 44, presented with pain in her right hand.  Talk to her and address her concerns. 

Where are you? FY2 in the Maternity Assessment unit Who the patient is: Alice Smith, a 30 year-old lady who has come for routine antenatal follow- ир Other information you have about the patient: She is 36 weeks pregnant and she has been seen by the midwife who has made the following note: - Her Blood pressure today is 160/110 mmHg - Urine Dipstick shows protein +++ - The booking BP is 110/70 m m H What you must do: Take a focused history and discuss management with the patient

You are an FY2 in A&E  Beverly, a 33-year-old, presented with headache. 

Talk to the patient and address her concerns. 

You are an FY2 in GP Clinic. Mrs. Olivia Paris, 30 years old, presented a week ago to the clinic with a history of tiredness for the past 2 months. She has come to the clinic today to receive her test results done one week ago which show: Hb: 10.2 g/dl (11-15) TLC: 4300/cmm PLT: 400,000 U&E: Normal LFTs: Normal Serum Iron: Normal Serum Ferritin: Normal MCV: 120 (80-100) Vitamin B12: Low. What should you do : Discuss the test results with her and address her concerns. 

Who you are: You are a F2 in A&E. 

Who the patient is: Trenton aged, 29, presented with a cough and SOB. 

What you should do: Talk to the patient, take relevant history, assess the patient and outline the plan of management with him. 

Who you are: You are FY2 doctor in the urology department. Who the patient is: Mr. Robert Taylor, 74 years old, admitted in the morning with urine retention. Catheter was inserted and he is well right now. Mr. Taylor has history of prostate cancer. He wants to remove the catheter and go home. What you should do: Talk to him and address his concerns. 

Who you are:
You are FY2 in GP surgery.  Who the patient is:
Mr. Leeds, aged 63, has come to you with facial pain.  What you should do:
Talk to him and address his concerns. 

Who you are:
An FY2 in the Emergency department. 

Who the patient is:
35-year-old, Masha Rostova, came to the clinic with some concerns. 

What you should do:
Talk to the patient, assess, and address his concerns. 

Who you are: You are an FY2 doctor in psychiatry department. 

Who your patient is: 30 year old, Henry James, has been referred from GP to hospital because he is an opioid dependent and wants to quit.

What your task is: Please talk with him and address his concerns. 

You are an F2 in A&E.**** Paris Palma aged, 30, came to you with acute back pain.  What you should do: Talk to the patient, assess him and give the further plan of management. 

Where you are: You are an FY2 in Accident and Emergency Department.

Who the Student is: Alex Wilson is a 3rd year medical student who has not attended his paediatric Basic Life Support Class. He came today to you to learn about it now.

Other information: You will find the BLS mannequin inside the cubicle.

Special Note: +-Ask the student to perform chest compressions after you teach him.

What you must do: Talk to Alex and teach him the basics of BLS.

Who you are: You are an F2 in GP surgery . Who the patient is: Mrs. Martha, aged 41, presented to the clinic with a skin lesion on her shoulder. What you are required to do: Please talk to the patient, take focused history, discuss different options of management and address her concerns. 

Where you are : An FY2 in GP Surgery Who the patient is : Mr. Alexander, aged 40 years old, presented to you with a complaint of drooping of the mouth. What you must do : Take a history and manage him accordingly. 

Who you are:
You are a FY2 in A&E.  Who the patient is:
A 64-year-old lady, presented with complaints of few falls last week.  What you should do:
Please talk to the patient, take history, assess the patient and discuss your initial plan of management with the patient. 

Who you are: You are an F2 in GP Clinic.

Who the patient is: A 45-year-old man came in with sleep disturbance.

What you should do: Please talk to him, assess him and address his concerns. 

You are in FY2 in the GP clinic.

Miss Camden, a 50-year-old lady, came a week ago and had some investigations for gaining weight in the past year. She feels cold when others are comfortable. She has constipation and tiredness most of the time.  Tests results: TSH 10 (High) T4 low T3 low  What you should do: Talk to her, discuss the results and address her concerns. 

Who you are:
You are a FY2 in A&E.  Who the patient is:
Marcus Jones, 26 years old, booked an urgent appointment with you because he thinks he had fit at home. What you should do:
**** Please talk to the patient, take history, assess the patient and discuss your initial plan of management with the patient. 

Where you are: You are F2 in GUM clinic. Who the patient is: Maria, aged 24, has come to the clinic for her investigation results. Swab has been taken and the result shows gonorrhoea. What you must do: Please talk to patient, take sexual history, inform patient about the results, discuss further management and advise the patient. 

Who you are: You are an F2 in GP clinic. Who the patient is: Jumana Alby, aged 24, came to the clinic. She is having acne and wants Isotretinoin medications for it.  What you should do: Talk to the patient and discuss the plan of management with the patient.

Who you are:
An FY2 in the GP Surgery.

Who the patient is:
25-year-old Barney Stinson, came to the clinic with some concerns.

What you should do:
Talk to the patient, assess, and address his concerns. 

Where you are : You are an FY2 in Medicine. Who the patient is : Mr. Benjamin Rao, aged 30, has come to you with complaint of dizziness. What you must do : Talk to him, manage, and address his concerns.

who you are? You are FY2 in Antenatal clinic. Who your patient is ? A 32 year old lady is coming for her antenatal assessment. She is 14 weeks pregnant. Her lab results are: Blood group: O Rhesus type: Rh -ve Rubella: Non immune Al other blood tests like LFT's, RFTs and U and E's normal. USG: Singleton foetus other information you know about the patient: none what you need to do : Talk to her and address her concerns

Who you are:
You are FY2 in A&E.  Who is the patient:
Head injury
Randy smith, 46-year-old, brought to the hospital by the ambulance after having a fall.  What you should do:
Take history, assess the patient and discuss your initial plan of management with the patient.