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Practice scenarios

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Pick a scenario, speak out loud, and get instant examiner feedback. Each station mirrors the real thing — same format, same pressure, same marking criteria.

10 scenarios available

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Clinical Scenarios

History taking, examination findings, and diagnosis

beginner
Cardiology

Chest Pain on Exertion

I've been getting this tight, squeezing feeling in my chest when I walk quickly or go upstairs. It's been going on for about 6 weeks and I have to stop and rest to make it go away.

George Mitchell, 62

Start
beginner
Respiratory

Worsening Breathlessness and Wheeze

I've been getting short of breath and wheezy, especially at night and when I exercise. It's been going on for about 2 months and it's really affecting my work.

Chloe Rahman, 24

Start
intermediate
Gastroenterology

Rectal Bleeding and Change in Bowel Habit

I've been noticing blood when I go to the toilet for about 6 weeks. My bowel habits have also changed — I seem to be going more often than usual and it doesn't feel like I'm emptying properly.

Alan Wright, 58

Start
intermediate
Psychiatry

Low Mood and Struggling at Work

I've been feeling really low for about 3 months. I can't seem to enjoy anything anymore and I'm making mistakes at work. I don't know what's happening to me.

James Cooper, 41

Start
advanced
Neurology

First Witnessed Seizure

Oliver Huang was brought to A&E by his wife after she witnessed a 3-minute episode in which he fell to the floor, went rigid, and then had shaking of all four limbs. He had no memory of the event. He has never had anything like this before. You are the neurology SHO taking the history.

Oliver Huang, 32

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Difficult Conversations

Breaking bad news, consent, end of life, and more

intermediate
Safeguarding

Unexplained Bruising

Sarah Brooks presents to the GP with bruising to the upper arms and ribs, saying she fell down the stairs. She seems anxious and gives a vague history. Her partner is in the waiting room. You are seeing her alone today.

Sarah Brooks, 34

Start
intermediate
Consent & Capacity

Refusing Blood Transfusion Before Emergency Surgery

Michael Harris is a Jehovah's Witness due to undergo emergency bowel resection for a perforated sigmoid diverticulum. He has been told a blood transfusion may be required intraoperatively. He is refusing blood products under any circumstances. You are the surgical FY2 and must assess his decision and capacity.

Michael Harris, 45

Start
advanced
Mental Health Crisis

Not Coping — Recent Redundancy

Laura Simmons self-referred to the mental health walk-in centre. She has told the triage nurse only that she is 'not coping' and 'having dark thoughts.' You are the crisis team practitioner conducting the assessment.

Laura Simmons, 38

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beginner
Breaking Bad News

Unexpected Biopsy Results

Margaret Thorne has been called back for results after a routine mammogram showed a suspicious lesion. Biopsy has confirmed invasive ductal carcinoma. You are the GP who must deliver this news. She does not yet know the diagnosis.

Margaret Thorne, 52

Start
advanced
End of Life Care

Discussing Resuscitation Wishes

Frank Donnelly is a 74-year-old retired mechanic with end-stage COPD admitted for his fourth exacerbation this year. The palliative care team have requested a conversation about his goals of care and DNACPR. He is currently stable enough to have this conversation. You are the palliative care SHO.

Frank Donnelly, 74

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