670 cases
Inguinal Hernia
Mammogram Request 32 year
Case 8: Depression Follow-up – CBT Not Working
Case 2: Mild Depression – Woman Missing Daughter
Gender Preference Counselling
Suspected Colon Cancer – Iron Deficiency
Punctuality Issue
Urinary Tract Infection (UTI)
Ankle Pin Removal – Pre-operative Assessment
Scabies
Missed Glass Piece in Leg
Suspected ovarian cancer
Prescribing Combined Oral Contraceptive Pill (COCP)
Panic Attack
Ankle Sprain
Migraine
Testing case
Intertrigo
Cradle Cap
Opioid Use Disorder with Withdrawal Symptoms
Hypertension follow-up: Amlodipine and Leg Swelling
Acute Bacterial Sinusitis
Secondary hypertension due to testosterone therapy
Seizure attack (suspected Epilepsy)
Genital warts (HPV infection)
Post-streptococcal glomerulonephritis
Pelvic Inflammatory Disease
Breast engorgement or mastitis post-delivery
HIV Infection
ECG Interpretation and Management
Medication Overuse Headache
Elderly Abuse
Menorrhagia
Tinea Capitis
Urinary Tract Infection (UTI)
Worried About Testicular Cancer
Rivaroxaban Follow-Up – Learning Disability
Allergic Conjunctivitis
Giant Cell Arteritis (Temporal Arteritis)
Cauda Equina Syndrome
Otitis Media
Meningitis Risk Assessment
Gout
Colonoscopy Refusal After Sigmoidoscopy
De Quervain's tenosynovitis
Atrial Fibrillation (AF)
Acoustic Neuroma in an Elderly Patient
Constipation secondary to codeine use
Measles
Irritable Bowel Syndrome (IBS)
Elderly Patient with Confusion and Chest Infection
Primary Hyperparathyroidism
Intermittent Palpitations – Middle-Aged Adult
Cold sore (Herpes Simplex Virus)
Medication-induced tiredness due to Citalopram
Inflammatory Bowel Disease (IBD)
Premenstrual Syndrome (PMS)
Performance Anxiety
Aortic Aneurysm
Postural hypotension
Suspected Cholesteatoma
Family Planning Concerns in Same-Sex Couples
Urinary retention due to prostate cancer
Urinary Tract Infection (UTI) in Pregnancy
Migraine
Molluscum Contagiosum
Obsessive-Compulsive Disorder (OCD)
Drug Addiction
Alcohol Withdrawal Syndrome
Medical Student Repeatedly Arriving Late
Atypical Pneumonia – NEWS Score 8
Heart Failure
Pulmonary Embolism with Hypotension
Upper GI Bleed
PSA Test Result – Follow-Up 4
Moderate Dementia
Gonorrhoea
Case 2: Alcohol Withdrawal – Self-Referred Patient
Labyrinthitis
Potential Prostate Issues (BPH, Prostate Cancer, Prostatitis)
Polymyalgia Rheumatica
Medication Change Not Informed to Daughter
Massive intracerebral bleeding due to ruptured berry's aneurysm
Anaphylactic Reaction
Suspected Squamous Cell Carcinoma (SCC)
Suspected Upper GI Malignancy
Pneumocystis pneumonia (PCP)
Confidentiality and Patient Autonomy in Adolescent Healthcare
Breast lump with suspicion of malignancy
PSA Test Result – Follow-Up 2
Lesbian Fertility Counselling
Intestinal obstruction
Postpartum Hemorrhage (PPH)
Macrocytic Anaemia Scenario B: Female Version – Well Woman Clinic Follow-Up
Seborrheic keratosis
Guillain-Barré Syndrome
Acute otitis media (AOM)
Breast cancer
Acute Shortness of Breath (SOB) due to suspected Asthma exacerbation
Conductive hearing loss secondary to impacted cerumen
Facebook - Adding patients
Suicidal ideation with overdose and self-harm
Suspected heart condition causing syncope (Stock-Adams syndrome)
Mild Cognitive Impairment due to possible early dementia
Neck lump– Suspected Cancer
Post-MI Medication Adherence Counselling
Pregnancy Planning on Captopril
Shingles (Herpes Zoster)
Psoriasis
Clinical Depression
Ankle Sprain
Antibiotic Request for Viral Infection
Breach of patient confidentiality
Self-Harm-Case 1: Wrist Cutting + OCP Overdose
Osteoporosis Medication Counselling
Post-natal Depression (PND)
Viral Illness with Dehydration Concern
Alcohol Liver Disease
Cat Bite – from Turkey
Diabetic Retinopathy
Allergic rhinitis
Medical Student Taking Drugs
Requesting PSA Test
Post-fall wrist fracture management and discharge planning
Foreign body ingestion (button in the esophagus)
Teenage Pregnancy with Vomiting
Atopic Dermatitis (Eczema)
Ankle sprain
Pelvic Inflammatory Disease (PID)
Sepsis due to UTI
Insomnia
Bronchiolitis
Nosebleed secondary to Apixaban use
Barotrauma
Gender Dysphoria
Recurrent nosebleeds while on apixaban
Missed Femoral Fracture in Elderly Patient
macular degeneration
Postmenopausal Bleeding
Sexually Transmitted Infection (STI)
Macrocytic Anaemia with Raised LFTs - Test Result Discussion
Suspected Ovarian Cancer
Encephalitis vs Meningitis in A&E
Intertrigo
Trigeminal Neuralgia
Bell's palsy
Generalized Anxiety Disorder (GAD)
Dementia-related weight loss
Ménière's Disease
Workplace Harassment – LGBT Discrimination
Scenario Variation: Q-Risk = 9%
Delayed Walking
Case 4: Moderate Depression - Woman with Weight Loss
Polymyalgia Rheumatica – Follow-Up
Paronychia
Substance Abuse
Hemangioma (birthmark)
Urinary Tract Infection (UTI)
Smoking Cessation Counselling – COPD Discharge
Parkinson's Disease
Chickenpox (Varicella)
Hangover Headache
PSA Test Result – Follow-Up
Incomplete Abortion
Tonsillitis
Hypoglycaemia with Recurrent Seizures – Refusal to Stay
Diabetic Retinopathy
Hyperthyroidism – Test Results
Mastitis
Chronic Heartburn (GERD)
Recurrent Urinary Tract Infection (UTI)
Contact Lens–Associated Keratitis
TIA Counselling – Driving Restriction in Taxi Driver
Acute Tonsillitis
Developmental Delay
Suspected Vulval Carcinoma
Low-Lying Placenta – Test Result Discussion
Pap Smear for a Transgender Man
Post-operative Hemorrhage after Hysterectomy
Health Anxiety
Case 7: Moderate Depression – Relapse After Stopping Sertraline
Mole – Worried About Cancer
Potential Infection Risk in Premature Infant Due to Care Incident
Osteoporosis – DEXA Scan Follow-Up
Diabetic Retinopathy
Intestinal obstruction
Vitamin B12 Deficiency Anaemia (Dietary Cause)
Post-Traumatic Stress Disorder (PTSD)
Tinea Manuum
Candidiasis
Suspected ascending colon cancer
Acute episode of psychosis likely indicating early schizophrenia.
Possible Psychotic Disorder
Malignant Otitis Externa
Hypertension follow-up: Cough with Enalapril
Right Inguinal Hernia
Mesothelioma – A&E Setting (Suspected Pleural Cancer)
Peripheral Arterial Disease (PAD)
Bleeding/Pain After Intercourse (Atrophic Vaginitis)
Conjunctivitis
Giant Cell Arteritis (GCA) with Vision Loss
Carpal Tunnel Syndrome
Insomnia due to lifestyle factors and cannabis use
Acute cholecystitis
Severe Depression
Acute cholecystitis
Acute cholecystitis (inflamed gall bladder)
Bell's Palsy
Cataracts
Cyclical breast pain
Persistent Acne – Request for Isotretinoin
Paracetamol Overdose
Breast Lump
Hangover headache
Reactive Arthritis: Chlamydia in a Male Patient with Joint Symptoms
Unstable Angina
Lumbar disc herniation or spinal stenosis
Ischemic Stroke
Missed Myocardial Infarction (MI)
Shingles
Allergic reaction to Amoxicillin
Endometriosis
HIV Test Result Discussion
Low lying placenta
Paediatric DKA – Parental Request for Discharge
Suspected Testicular Cancer
Perimenopause / Menopause
Age-Related Macular Degeneration (ARMD)
Acute respiratory failure
Alcohol Misuse
Cognitive Impairment
Erythema Nodosum
Intussusception
Bronchiolitis
Scalded Burn on the abdomen with potential underlying abuse
Normal pregnancy with non-immune rubella
Bulimia Nervosa
Acute Prostatitis
Late Postpartum Bleeding - Variation: Late Postpartum Presentation (e.g., 3 weeks post C-section)
Sinusitis
Retinal detachment
Suspected Silent MI vs MALA
Terminal cancer with metastasis
Minor Requesting Contraception
Myocardial Infarction (MI)
Ectopic Pregnancy
Suspected Thalassaemia Trait
Valve Replacement Counselling
Trichomoniasis – Asymptomatic Male
Agranulocytosis (Carbimazole-Induced Neutropenia)
Post-MI Medication Explanation
Missed Hairline Fracture
HIV First Presentation
Chronic Anal Fissure in Pregnancy
Chronic Tophaceous Gout
Suspicious breast lump
Disc Prolapse
Missed Pap Smear
Abdominal Aortic Aneurysm (AAA) Screening Result – Counselling
Suspected Non-Accidental Injury – Spiral Fracture in a Child
Autism Spectrum Disorder
Insomnia - Bereavement + RA
Vaccination inquiry for 8-week-old infant
Infective Endocarditis with Withdrawal Symptoms
Somatoform Disorder
Idiopathic Intracranial Hypertension
Gilbert's Syndrome
Ocular Herpes (Herpes Simplex Keratitis)
Obstructive Sleep Apnoea (OSA) – Uncovered During Type 2 Diabetes
Postural Hypotension – Elderly Fall – A&E
Venous Ulcer: Follow-Up Consultation
Hernia Surgery – Pre-operative Assessment
Pre-eclampsia
Plantar Fasciitis
Performance Anxiety
Colleague Related Scenarios-key points
Psoriasis
First Antenatal Care Visit
Constipation
Morton's Neuroma
Depression
Scabies
Folliculitis
Vasectomy Request
Sudden Sensorineural Hearing Loss
Antenatal Checkup - Lifestyle Risks
Primary Dysmenorrhoea
Herpetic Whitlow
Antibiotic-Associated Diarrhoea After Dog Bite
Mastitis-2
Herpes Labialis (Cold Sore)
Otitis Externa
Meniere’s disease
Acute on chronic pancreatitis
Hepatitis B – Positive HBsAg Blood Result Discussion
Atrophic Vaginitis
Diarrhoea in a One-Year-Old
Psychosis
Polymyalgia Rheumatica – Side Effects
Raynaud’s phenomenon
Intestinal obstruction
Pneumonia with confusion and shortness of breath (SOB)
Epididymal Cyst
Traveller's Diarrhoea – Campylobacter Positive
Genital Warts in a Minor
Unilateral Hearing Loss - SNHL
Suspected Pulmonary Tuberculosis – A&E Presentation (Unstable)
Breast Milk Jaundice
Mumps with Orchitis
Suspected Hip Fracture
Irritable Bowel Syndrome (IBS) – Follow-Up Consultation
Gonorrhoea
Malaria
Osteoarthritis
Gonorrhoea Positive Test Result
Retinal Detachment
Cellulitis
Acute Decompensated Heart Failure
Tinnitus
Suspected Pulmonary Tuberculosis - GP
Open Angle Glaucoma
Pituitary Adenoma (Bitemporal Hemianopia)
Case 6: Severe Depression – 20-Year-Old with Suicidal Ideation
Ectopic pregnancy
Post-Herpetic Neuralgia – Follow-Up
Opioid Dependence
Post-surgical infection
Subclinical Hypothyroidism – Test Results
Tuberculosis (TB)
No evidence of whiplash injury
Epilepsy – Paediatric Discharge Scenario
Otitis Media
Pericarditis
Post-surgical infection
Otitis Media
Worried about prostate cancer
Non-accidental Injury (NAI) with spiral fracture of the left arm
Training in subcutaneous injection technique
Gastroenteritis likely due to food poisoning
Metastatic cancer with previous colon cancer history
Urinary Tract Infection (UTI) in a Child
Head injury
Acute Heart Failure with Atrial Fibrillation
PSA Test Result – Follow-Up 3
Night terrors
Giant Cell Arteritis – When Vision Loss Is Present
Counselor-Patient Ethical Breach
Benign Paroxysmal Positional Vertigo (BPPV)
Carbon Monoxide Poisoning
FY1 Doctor Smelling of Alcohol
Alcoholic Liver Disease (ALD)
Lung Cancer
Cauda Equina Syndrome
Meningitis Prophylaxis
Benign Tinnitus
Pulmonary Embolism (PE)
Right Inguinal Hernia
Potential cervical cancer risk due to HPV.
Suspected Stroke – Telephone Consultation
Musculoskeletal Chest Pain
Acute Cholangitis
Coeliac Disease – Endoscopy Explanation
Mole – Requesting Removal
Nocturnal Enuresis in an 8-Year-Old
Concerns regarding flu vaccine for a child
Impetigo
Urinary retention due to benign prostatic hyperplasia (BPH)
Vitamin B12 Deficiency Anaemia
Acute Otitis Media (AOM)
Constipation Follow-Up
Pre-eclampsia
Menstrual Migraine
Cervical Screening Concern in a Lesbian Patient
Schizophrenia
Button Battery in Upper Oesophagus
Case 2: 28-Year-Old Man Requesting Sleeping Pills
MMR Vaccine Counselling
Resistant UTI – Test Result Discussion
Optic Neuritis
Informed Consent
Suspected Laryngeal Cancer
Oxybutynin Side Effects – Male Patient with Urinary Frequency
Pelvic Inflammatory Disease (PID)
Anorexia Nervosa
Eczema
Postural Hypotension – Hypertension Annual Review
ACE Inhibitor–Induced Angioedema
Colleague Smelling of Alcohol and Coming Late
Acute Angle Closure Glaucoma
Pain Management in Metastatic Breast Cancer
Analgesic Nephropathy
Intussusception
Q-Risk Assessment (Q-Risk = 14%)
Neutropenic sepsis secondary to lung cancer and chemotherapy.
Request for Continuation of Contraceptive Pills
Possible Chickenpox Exposure
Prostate Cancer Case 2: With Back pain
Refused Tonsillectomy Referral
Erectile Dysfunction in Elderly Man
Suspected Multiple Myeloma
Domestic Violence during Pregnancy
Frozen Shoulder (Adhesive Capsulitis)
Breast Engorgement
Bacterial Vaginosis
Possible melanoma
Domestic Violence – Same-Sex Relationship
Bacterial Vaginosis
Premenstrual Syndrome (PMS)
Breech Presentation at 36 Weeks
Retained Tampon
Depression
Suspected Bowel Cancer
Suicidal ideation and gestational pregnancy-related stress
Epilepsy Follow-Up Consultation
Attention Deficit Hyperactivity Disorder (ADHD)
Hypertension Follow Up With Abnormal Blood Tests
Vulvovaginal Candidiasis
Red flags for neurology
Pneumonia with heart failure
Toxoplasmosis
Adult Head Injury
Case 1: Mild Depression – Lesbian Couple After Miscarriage
Schizophrenia
Back Sprain
Obstructive Sleep Apnea (OSA)
Subconjunctival Haemorrhage
Cholangitis
Transient Ischemic Attack (TIA)
Cat bite wound with pain in the hand
HIV Follow-Up Consultation
Hematuria with concern for malignancy
Colonoscopy – Test Result Discussion Following Sigmoidoscopy
Insomnia linked to domestic violence
Posting Inappropriate Comments About a Patient on Facebook
Somatic Symptom Disorder
Post-surgical wound infection
Possible lung cancer
Acne
Persistent Dysuria
Chronic Fatigue Syndrome (CFS)
Asthma Counselling – Telephone Call
Emergency Contraceptive Request
Health Anxiety
Mesothelioma – Referred from GP
Suspected Melanoma
Vitamin D Deficiency - Test Result
Dermoid Cyst Removal – Pre-operative Assessment
Flu Vaccine Counselling
Potential melanoma (skin cancer)
Nocturnal Enuresis (Bedwetting)
Temper Tantrums
Discharge Discussion with Relative
Pelvic Inflammatory Disease (PID), Menorrhagia
Case Variation – Non-Healing Venous Ulcer (Follow-Up Presentation)
Benign Paroxysmal Positional Vertigo (BPPV)
Tennis Elbow
Urinary Tract Infection (UTI)
Obstructive Sleep Apnoea
Urticaria
Uterine Prolapse
Ophthalmia Neonatorum due to Chlamydia
Heavy Menstrual Bleeding (Menorrhagia)
Electrolyte imbalance secondary to Bulimia
Whiplash Injury – Real Patient Examination Station
Acne Vulgaris
Atrial Ectopics in a Young Person
Case 9: Postnatal Depression
Heart Murmur in 6 Week Old Baby
Dementia with comorbid conditions including hypothyroidism
Anorexia Nervosa
Cerebral Palsy – Allegation of Discrimination After Missed X-ray
Head Lice
Acute cholecystitis
Smoking Cessation Counselling – Cardiology Clinic
Urge Incontinence secondary to Oxybutynin
Case 5: Moderate Depression – Post-MI with Medication Non-Compliance
Post-operative Hemorrhage after Hysterectomy copy
Acute Limb Ischemia
Vestibular neuritis
Breech presentation in pregnancy
Elderly abuse with resulting fall and multiple bruises.
Chickenpox in daughter, concerns about mother's exposure and implications
Erectile Dysfunction in a Gay Patient – Request for Viagra
Suspected Appendicitis
Contact Dermatitis
Breast Lump
Pre-eclampsia
Epididymo-orchitis
Hernia requiring elective surgery
Speech Delay
Prostate cancer screening concerns
Bilateral Ischemic Stroke with Coma
Normal adolescent feelings and self-discovery regarding sexuality
Follow-Up: Autism Spectrum Disorder
Alcohol Use Disorder
Chickenpox
Ineffective discharge process due to overwhelmed colleague
Syphilis - Male Patient with Penile Ulcer
Heart Failure with Hematuria
Pediatric Basic Life Support
Polymyalgia rheumatica (PMR)
Parkinson's Disease Follow-up
Surgical Abortion Counselling
Jehovah's Witness – Post-Surgical Anaemia
Cherry Angiomas
Oral Candidiasis in Older Adult
Suspected Liver Cancer - Hepatomegaly with Weight Loss
Neuroblastoma in treatment with neutropenic sepsis
Hypoglycemia
Retinal detachment
Dementia – Early Presentation
Uterine Fibroids
Intestinal Obstruction
Postnatal Depression (PND)
Hypothyroidism
Ventricular Ectopics – Young Adult
Inadequate IV access due to missed cannulation
Suspected Gastric Cancer (Recurrent Indigestion + Weight Loss)
Overactive Bladder
Tinea Pedis
Cholesteatoma
Post-operative bleeding after Aorta-femoral bypass graft
Suspected Endometrial Cancer
Cholecystitis
Hair Loss in a Kidney Transplant Patient (on Tacrolimus)
Case 2: Paracetamol Overdose
Giant Cell Arteritis
Prostate Cancer
ECG Teaching
Pulmonary Embolism
ACE Inhibitor–Induced Nephropathy
Barrett's Oesophagus – Result Discussion
Subdural Hematoma - Confusion in Elderly Patient After Fall
Seborrhoeic Keratosis
Schizophrenia
Suicidal ideation with paracetamol overdose
Emergency Contraception Request – Epilepsy Patient
Essential Tremor
Rectal bleeding in a 50-year-old male with significant hypotension.
Myocardial Infarction (MI)
Scleritis
Stable Angina
Domestic Violence in Pregnancy
Impetigo
Pulmonary Embolism
Suspected Colon Cancer – Bloating
Urinary Tract Infection (UTI)
Optic Neuritis
Insomnia secondary to bereavement
Genital Herpes in Pregnancy
Opioid overdose secondary to morphine use in a patient with CKD stage 4
Multiple Myeloma
Earwax Follow-Up with Ongoing Hearing Loss
Retinal Detachment
Pneumocystis Pneumonia (PCP)
Diabetic Neuropathy Follow up
Case 3: Mild Depression – Divorced Man
Intracranial Hypertension (IIH)
Sensorineural hearing loss due to possible Acoustic Neuroma
Suspected Basal Cell Carcinoma (BCC)
Febrile Seizure
Unnecessary antibiotic treatment for pneumonia
Rheumatoid arthritis
Acute Otitis Media (AOM)
Meningitis
Constipation secondary to codeine use post-hip hemiarthroplasty
Bladder Cancer Suspicion from Test Results
Huntington's Disease – Genetic Risk
Contraception Counselling
Gonorrhoea - Telephone Consultation
Subarachnoid hemorrhage (SAH)
Oral Candidiasis
Mesothelioma – GP Presentation
Speculum Examination
Requesting COCP Repeat
Impacted Ear Wax
Bell's Palsy
PSA First Presentation with LUTS
Cognitive Impairment
MMR vaccine consultation
Pneumonia
Hypertensive Retinopathy
Febrile Convulsion
Hypertension – Ambulatory BP Result Discussion
Pneumonia likely complicated by sepsis
Steroid-Induced Acne
Pyloric stenosis
Patient–Counsellor Relationship
Adult Basic Life Support (BLS)
Post-surgical wound infection
Ear Wax Build-Up
Gastro-oesophageal reflux disease (GERD)
Alcohol Use Disorder
Benign Prostatic Hyperplasia (BPH)
Anorexia Nervosa
Postural Hypotension and Fall in GP Setting
Rape Disclosure
Cyclical breast pain with fever and associated wedge-shaped mass, suspected breast infection or malignancy.
Renal stones
Exacerbation of Asthma
Head Injury in a Child
Insomnia secondary to bereavement
Extradural haemorrhage (EDH) due to road traffic accident
Worried about Vascular Dementia
Trigeminal Neuralgia
Case 3: Paracetamol Overdose (20 Tablets, Recent Ingestion)
Early Pregnancy with History of Recurrent Miscarriage
Ductal Carcinoma In Situ (DCIS)
Tinea Corporis (Ringworm)
Lyme Disease (Erythema Migrans Rash)
Epididymal Cyst
Hypertension follow-up: Combination Therapy
Cocaine misuse
Massive Unilateral Stroke
Cervical Screening Result – Mild Dyskaryosis
Unilateral Nasal Polyp - Suspected Cancer
Work-Related Stress
Allergic Rhinitis
Metatarsalgia
Fibromyalgia
Hairline fracture of the wrist
syphilis
Basic Life Support (BLS) Training
Cataract
Microscopic Haematuria
Muscle sprain
Bilateral Cataract
Tension-Type Headache
Pancreatitis
Subconjunctival Haemorrhage
Heroin dependence with withdrawal symptoms during methadone maintenance therapy
Urinary Tract Infection (UTI) secondary to enlarged prostate
Epilepsy Annual Review – Seizure Relapse due to Missed Medication
Endometritis
Secondary Syphilis – Test Result Discussion
Polycystic Ovary Syndrome (PCOS)
Intracerebral Haemorrhage
Developmental Delay in Walking
Breast Lump A
Eczema (Atopic Dermatitis)
Foreign Body Ingestion
Harmless mole
Acute cholecystitis (inflamed gall bladder)
Riluzole Counselling
Hepatitis A – Test Result Discussion
Possible Prostate Issue
Erectile Dysfunction in Patient with Heart Disease
Variation - Scabies in Child
Autism Spectrum Disorder (ASD)
Acute Otitis Media
Raynaud's Phenomenon
Mammogram Request 50 year
Costochondritis / Musculoskeletal Injury
Malaria
Minor Requesting Oral Contraceptive – Teacher Relationship
Aortic Dissection
Haemangioma
First Fits/Seizure
Testing case 2
Epididymal Cyst
Hyponatremia
Stress Incontinence
Recurrent Tonsillitis
Tension headache
Chickenpox
Sexual Assault Trauma
Ear wax impaction
Postoperative Pain Management after Cesarean Section
Arcus Senilis
Kawasaki Disease
Pro Cases