We have a lady who presents with AKI on routine blood testing. Are you able to deduce what’s going on, and manage her in the most appropriate way?

Today you have a 22 year old gentleman who has been having increasing problems with sweaty palms. So far it has cost him his relationship, and now is at risk of costing him his job. Are you able to help him?

Robert is a pleasant 52 year old gentleman who has booked an appointment with you to help his problem drinking. However, the further you delve into this case, the more complex it becomes. Are you up for the challenge?

Ethan is a pleasant 19-year-old student at a local university who is enjoying his Graphics Design course. Unfortunately, he has been plagued by an ever increased need to tidy and organise. It is now starting to bother him. He has therefore booked in to see you, are you able to help him?

Gillian, after experiencing a spinal fracture from minimal trauma, suspects her bone health may be compromised, possibly indicating osteoporosis. She's keen to explore more definitive options, such as a DEXA scan, to assess and improve her bone health. Given her financial and work-related concerns as a chef, she urgently seeks your advice on safely accelerating her return to work and preventing future injuries. Can you assist her with these steps?

Janice has a long history of mental health problems, and has tried many different medications. She now feels that her current tablet isn’t working for her, and she is hoping you can swap her to an alternative one. Are you able to help her?

Arthur has been prescribed a short course of Zopiclone by your colleague. They have worked well for him, and now he is keen for some more. He has put in a request to the practice, but it has been rejected. He has been informed he needs to speak to yourself before any more can be issued. Are you able to help Arthur?

Leanne has presented multiple times to several clinicians at your practice. Despite everyone’s best efforts her migraines are worsening. She is already under neurology and Is keen to seek CRGP therapy. Given the impact of the condition on her life, she is keen to seek treatment as urgently as possible.

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?