Charlotte has booked in to see you after a new diagnosis of EDS. She is struggling with her symptoms, and despite her best efforts, they are having a significant impact on her life. Are you able to help her?

Jane has booked in for a telephone call today as there were no face-to-face appointments left. She has had an ongoing problem with watery eyes for the past few months, but its worsening significantly of late. She is keen to seek an urgent solution to her problem, are you able to help her?

Gary is in urgent need of assistance, grappling with severe and persistent hay fever. At his wit's end, Gary has turned to the internet for solutions and believes he may have found a potential plan. Can you offer him the help he needs?

Fatima has booked to see you today as she is concerned about the growing pressure for her daughter Ayan to undergo Gudniin. She is hoping for your help

We are delighted to introduce Margaret to you. Recently, she has faced significant challenges with extreme hunger. Despite her uncertainty about what she seeks from this appointment, she has taken the step to schedule a visit. Could you assist in guiding Margaret through this situation and help her manage her symptoms?

We are pleased to introduce Ava, a 62-year-old who has been grappling with diabetic neuropathy for an extended period. Fortunately, a prior consultation with one of your colleagues offered her a viable solution. Recently, however, Ava has experienced a resurgence of troubling symptoms, which she suspects are related to menopause. Consequently, she has scheduled an appointment to discuss the possibility of adjusting her Hormone Replacement Therapy (HRT). Given these developments, we must consider whether this is the appropriate strategy or if there are additional underlying issues to address.

We are introducing Sophia, who is a 33-year-old with a moderate learning disability. She lives with her parents and presents to you after seeing the First Contact Physio (FCP). She has been diagnosed with a suspected labral tear in her left hip by the FCP. This all started after she noticed pain in that hip after dancing, and the FCP feels that further investigation and management are now needed. Are you up for the challenge?

We are introducing Ethan, a 26-year-old residing in a care home for adults with learning disabilities. His carer has reached out with concerns about a new behavior Ethan is exhibiting, which they believe might be tics. These tics occasionally disrupt the other residents. Given this development, the care home is now worried about the possibility of epilepsy and is seeking your expertise and advice on this matter.

We'd like to present our latest case: a 73-year-old woman who sought the help of paramedics earlier today. They responded and, after examining her, suspect she has a chest infection. However, they couldn't issue a prescription. She's now reaching out to you for a prescription of antibiotics. It seems straightforward, but remember, in the SCA exam scenarios, things are often more complex than they initially appear.

Let's introduce Roger, a delightful 77-year-old gentleman grappling with hip arthritis. He's found relief by borrowing tramadol from his neighbour and now seeks a prescription for it from you — seems straightforward, right? But, pause for a moment — could there be a deeper, less obvious issue at play here? This is your opportunity to delve beneath the surface and provide Roger with the comprehensive care he needs.

We introduce you to our newest patient: a 25 year old who is studying Law. You receive an A+E letter from the consultant, outlining their concerns with her diabetic control. It mentions that this is her 4th admission in a few months with Ketoacidosis. As a result, she has been booked in to see you. Are you able to work out what’s going on, and help?

We introduce you to Mr Hunt, who had an MI 2 years ago. He would like to optimise his secondary prevention. Are you up for the challenge?

We Introduce you to our 120th case! Can you Help Brian who has presented multiple times in the last few months. In addition, we have released our 10th How To Consultation Guide

We introduce you to our newest case. Today you are debriefing Adam. He is the newest member of the Primary Care Network ARRS staff, he is an ANP. He has just seen a 28-year-old patient who has threadworms, as does her 5-month-old daughter. A simple enough case I hear you say… but is it? It is your job to debrief Adam, and ensure that he has managed the case appropriately. Obviously, as this is an SCA case, things aren’t always what they seem. Are you able to work out what’s gone wrong, and manage the situation?

We introduce you to our newest patient, who is a 57-year-old lady who has a complex medical history. She also suffers from longstanding pains, in many areas. These pains have been going on for years and are very debilitating for her. She has seen your colleague recently who has increased her analgesia - but it’s not working. She is booked in to see you to increase them further. How are your skills in managing chronic pain - are you up for the challenge?

We introduce you to our newest patient, who is a 27-year-old lady who is pregnant and a member of The Church of Jesus Christ of Latter-day Saints. She has already been to see the Midwife, who has directed her towards you for your expert input. She wishes to know more about the antenatal screening programme in the UK. Specifically, she wishes to avoid unnecessary screening and have minimal intervention during her antenatal care. How’s your knowledge of antenatal screening? Are you up to the challenge?

We introduce you to our newest patient, who is a receptionist at your practice. She has been there for around 6 months but now struggles with some of her roles and responsibilities. Your practice manager has given her some amended duties, short-term, to help. She feels however that she can’t return to her previous roles, and that the PM is bullying her into it. She needs your help. Are you able to navigate this ethical minefield?

We introduce you to our newest patient, who is a 7-year-old patient called Timothy. He was seen with his Mum at your GP practice. He had an ear infection, and it was felt to be viral, consequently, no antibiotics were prescribed. Mum later visited an ‘Out of hours’ GP, who reluctantly gave in to Mum’s concerns and prescribed antibiotics. Dad is now furious. “Why are the GPs at the practice so incompetent, when it was obvious that Timothy needed antibiotics!” He has booked an appointment with you to discuss his concerns. Are you up for the challenge?

New case added: In our commitment to expand some of the areas in the curriculum we have fewer cases, we are continuing with “Ethnicity, culture, diversity, inclusivity”.

As such, we introduce you to our newest patient, who is 45 years old and has congenital hemiplegia. He feels that his work is treating him unfairly, and he needs your help. Are you up for the challenge?

New case added: In our commitment to expand some of the areas in the curriculum we have fewer cases, we are continuing with “Ethnicity, culture, diversity, inclusivity”.

As such, we introduce you to our newest patient, who is 18 weeks pregnant. She has just been to see the midwife who is unhappy with her elevated blood pressure readings in clinic. Will you be able to manage her problem, whilst also recognizing and valuing diversity and her culture?