Practice Day Topic Stations

Eye P.13 1. Acute Glaucoma (069)

1 2. Sub-conjunctival haemorrhage (184)
3. Age-related macular degeneration (286)
4. Cataract (293)
5. Chronic Glaucoma (435)
6. 75 years old with Eye pain (454)
7. Optic neuritis (401)
8. Visual loss – Fundoscopy (015)

ENT P.45 1. Dizziness – Vestibular Neuritis (102)

2 2. Tonsillitis in a young female (289)
3. Sneezing – Allergic rhinitis (339)
4. Nasal bleeding in 40 years old (340)
5. General approach to ear scenarios
6. Chronic suppurative OM in child ( )
7. AOM – Otoscopy (078)
8. Hearing loss (A) (089)
9. Ear wax (A) (220)
10. Hearing loss (B) (305)
11. Ear discharge (336)
12. Tinnitus in an old man (337)
13. Ear wax - follow up (426)
14. Ear wax (B) (453)
Anemia 1. General approach
3 Page 100 2. Vitamin B12 deficiency (177)
3. Iron deficiency anaemia with weight loss (187)
4. Thalassemia (199)
5. Collapse & discharge on iron ()
6. Leukaemia A Tiredness(201)
7. Multiple myeloma (268)
8. Leukaemia B (281)

Tiredness 1. Chronic fatigue syndrome (076)

4 Page 132 2. Hypothyroidism (A) Tiredness (128)
3. Obstructive sleep apnea (188)
4. Tiredness secondary to citalopram (194)
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& Insomnia 5. Insomnia due to RA (012)
P.149 6. Insomnia - B (273)
And 7. Insomnia - C (261)
Confusion
8. Confusion secondary to hyponatraemia (166)
P.166
9. Hyponatraemia in a COPD patient (233)
10. UTI with urinary retention (274)
 11. Confusion due to oxybutynin (351)
12. Confusion approach

Fall 1. Head injury in adult (005)

5 P.181 2. Collapse with hip fracture (142)
& Headache 3. Falls in elderly (253)
P.198 4. Fall on the ward (355)
5. Headache – Sinusitis ( )
6. Sub-arachnoid haemorrhage (072)
7. Giant cell arteritis (132)
8. Tension headache (193)
9. Migraine (235)
10. Headaches in 28 years old (363)
11. Hangover headache ( )
CVS 1. Acute Coronary Syndrome (033)
6 P.224 2. Pericarditis (156)
3. Musculoskeletal chest pain (178)
4. Angina (215)
5. Shingles (234)
6. Chest pain in GP (360)
7. Pulmonary embolism (168)
8. Acute SOB (238)
9. Palpitation approach
10. Palpitations A (108)
11. Palpitations B (108)
12. Palpitation in 19 year old (407)

Chest 1. Pneumocystis pneumonia A (066)

7 P.269 2. Asthma A (074)
3. Asthma B (074)
4. Pneumonia in a traveller (107)
5. Tuberculosis (119)
6. SOB in an elderly (179)
7. Confusion 2ry to exacerbation of COPD (212)
8. Pneumocystis pneumonia B (263)
9. Pneumonia in a 72 years old (276)
10. Cough – Lung Cancer (046)
11. Cough – Mesothelioma (056)
12. Pneumonia from a nursing home (275)
Derma 1. Basal cell carcinoma (054) A
8 P.318 2. Melanoma (054) B
3. Squamous cell carcinoma (054) C
4. Lipoma (054) D
5. Papilloma (054) E
6. Acne (183)
 7. Ringworm (197)
8. Skin lesions in RA patient (232)
9. Impetigo (283)

Derma 10. Eczema in a 15 year old (318)

9 11. Urticaria in a 5 years old (329)
12. Scabies (343)
13. Seborrhoeic keratosis (352)
14. Cellulitis (353)
15. Rash in a student – Measles (404)
16. Skin lesion in a neonate (409)
17. Rash in 3 years old child – Chickenpox (422)
Rheumatology 1. Polymyalgia rheumatica (143)
10 &Back pain 2. Rheumatoid arthritis (191)
P.387 3. Gout (247)
4. Back sprain (204)
5. Traumatic back pain (161)
6. Reactive arthritis (ankle joints, examination)
(124)
7. Back pain with spinal cord compression (209)
8. Wrist pain (322)
9. Hip pain in a 50 year old man (325)
10. Tennis Elbow (354)
11. AAA (200)
Neurology 1. Guillian Barre Syndrome (224)
11 P.435 2. Post herpetic neuralgia (280)
3. Facial pain – Trigeminal neuralgia (457)
4. Seizure incident history
5. Seizure - Viral encephalitis (117)
6. Seizure – Meningitis (452)
7. TIA scenario (A) (014)
8. TIA scenario (B) (014)
9. TIA in a taxi driver (285)
10. TIA scenario (C) (291)
Neurology 11. Hand problems (405)
12 P.435 12. Facial weakness (414)
&Endocrine 13. Brachial plexus injury (118)
P.485 14. Whiplash injury (071)
1. Hyperthyroidism A (044)
2. Hyperthyroidism B (044)
3. Hyperthyroidism follow-up (098)
4. Hypothyroidism (B) Weight gain (147)
5. Hyperparathyroidism (266)
6. Thyrotoxicosis follow up (154)
DM 1. General Approach
13 P.512 2. Diabetic retinopathy (14)
 3. Hypoglycaemia - Collapsed while shopping
(151)
4. Hypoglycaemia 1 - taxi driver (159)
5. DKA 1st presentation (241)
6. DKA in 16 years old (295)
7. Insulin with learning disability (398)

GIT 1. Abnormal LFTs - Hepatitis A (055)

14 P.549 2. Abnormal LFTs in 26 years - Gilbert syndrome
(245)
3. Haematemesis (116)
4. GERD (172)
5. Vomiting in 17 years old girl (364)
6. Constipation A Codeine use (053)
7. Constipation B (106)
8. Dysphagia (043)
9. Food poisoning (202)

Peds 10. Peds Hx

15 P.586 11. Intussusception (007)
12. Head injury in a child (035)
13. Head injury in a child (035)
14. Febrile convulsions (045)
15. MMR vaccination (052)
16. Pyloric stenosis (096)
17. Exacerbation of asthma in a child (115)
18. AOM in a child (135)
19. Bronchiolitis (148)
Peds 20. Breast milk jaundice (160)
16 P.586 21. Influenza vaccination in a child (176)
22. Fever in an infant- phone call (228)
23. Nightmares in a child (243)
24. Constipation in a child (254)
25. Asthma in a child (258)
26. Asthma in a child - Telephone conversation
(260)
27. Chlamydia eye infection in a child (271)
28. Recurrent tonsillitis in a child (284)
29. Vaccination in a 5 weeks old (299)
Peds 30. Enuresis in a 4 years old (341)
17 P.586 31. UTI in a child (419)
32. Sore throat in a 5 YO child – Infectious
mononucleosis (456)
33. Neuroblastoma (162)
34. Child development milestones
35. Child development milestones (A) (244)
36. Child development milestones (B) Twins (288)
 37. Child development milestones (C) (337)
38. Autism Spectrum Disorder - 1st Presentation
(272)
39. Autism follow up (277)
Urology 1. BPH with UTI (008)
18 P.702 2. Renal colic A (019)
3. Renal colic B (019)
4. UTI and Prescription (085)
5. UTI with confusion (145)
6. UTI in immunocompromised (237)
7. Analgesic nephropathy (290)
8. UTI in pregnancy (391)
9. Haematuria (A) (077)
10. Haematuria (B) (077)
Testis & GU 1. General approach
19 P.743 2. Testicular tumour (297)
3. Testicular swelling hydrocele (298)
4. Epididymal cyst ( )
5. Epididymo orchitis ( )
6. Mumps orchitis ( )
7. Testicular torsion ( )
8. Urinary incontinence in 61 years old (428)
9. Erectile dysfunction (385)
OBS & GYN 1. OBS Hx
20 P.769 2. Pre-eclampsia at 36 weeks (013)
3. First antenatal visit (149)
4. Pre conception counselling (181)
5. Pre conception with hypertension (236)
6. Pre-eclampsia at 38 weeks (267)
7. Chickenpox exposure in pregnancy (311)
8. First antenatal follow up (362)
9. Contraception (002)
10. Contraception in a 15 years old (252)
11. OCP repeat prescription (302)
12. Polycystic ovarian syndrome (257)
13. Amenorrhoea in 25 years old (376)
14. Pregnancy in 32 year old ( )
STI &Sexual 1. Approach to STI
21 Health P.822 2. Vaginal discharge - Bacterial vaginosis ( )
3. Vaginal discharge - Vaginal candidiasis ( )
4. Gonorrhoea (040)
5. Lower Abdominal Pain PID (065)
6. Gonorrhoea in a man refusing tracing (206)
7. HIV test results - (A) (226)
8. Dysuria in a 26 years old (246)
9. HIV scenario (C) (251)
10. HIV scenario (B) (265)
 11.Invitation for cervical smear (304)
12.Syphilis (319)
13.Penile ulcer in 24 years old (427)
LGBT & 1. Bisexual ( )
22 Capacity 2. Harassment at work (310)
P.887 3. Chest pain in a transgender (344)
4. Lesbian wants conception (345)
5. UTI in a transgender (346)
6. Culturally competent sex change (406)
7. Testosterone side effects (413)
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1. Discharge discussion with son (010)
2. Colonic cancer don’t tell my mum-dad (011)

-Tx Refusal 1. Ectopic pregnancy (063)

23 P.935 2. Patient refusing warfarin (104)
-Domestic ------
violence P.943 1. Approach to Domestic violence
-Mental Health 2. Elderly abuse (017)
P.1023 3. Domestic abuse 1 (036)
4. NAI in a child (049)
5. Domestic abuse 2 (165)
6. Scalded burn in 18 years old (368)
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1. Schizophrenia - scenario A (059)
2. Schizophrenia - scenario B (372)
3. Anorexia Nervosa - A (140)
4. Anorexia Nervosa - B (292)
5. MMSE (039)

Psych 1. OCP Overdose and cut wrist (028)

24 P.977 2. PCM overdose in a young man (126)
3. Approach to depression
4. Depression scenario A (255)
5. Depression scenario B (269)
6. Low mood in a 37 year old (313)
7. Depression follow up (314)
8. Depression in young man (317)
9. Concerns about dementia (335)
10.Postnatal depression (358)
11.Premenstrual syndrome ( )
Surgery 1. Hemiarthroplasty – post op management
25 P.1050 (029)
2. Breast cancer pain management (120)
3. Dermoid cyst removal (138)
4. Prostate cancer pain management (189)
 5. Barrett's esophagus – Upper GI endoscopy
(225)
6. Request for PSA test (303)
7. Endoscopy in celiac disease (322)
8. Breast lump (081)
9. Cyclic mastalgia (210)
10. Patient requesting urgent referral – Fibro
adenoma (211)
11. Nipple discharge - Duct ectasia (331)
12. Ankle pin removal (038)
13. Pre-operative assessment – Cholecystectomy
(412)

Abdomen 1. Acute Abdomen DD

26 P.1098 2. Teaching abdominal examination scenario ( )
3. Abdominal distension – Liver cirrhosis (058)
4. Abdominal pain – Appendicitis and peritonitis
(127)
5. Abdominal bloating in a 70 year old (256)
6. Intestinal obstruction (264)
7. Heart failure scenario C (320)
8. Acute cholecystitis (349)
9. Acute pancreatitis (356)

Diarrhea 1. Approach
27 P.1133 2. Diarrhea in a 40 year old man – IBD (051)
3. Abdominal pain - in a pregnant woman (090)
4. Diarrhea in a 32 year old woman – IBD (137)
5. Chronic PID (141)
6. Diarrhea in an elderly lady (CRC) (180)
7. Diarrhea in a young woman (230)
8. Irritable bowel syndrome (296)
Counselling 1. Post mortem talk to wife (060)
28 P.1165 2. URTI wants antibiotics (082)
Living Healthy 3. Coeliac Disease and endoscopy (169)
P.1184 4. Worried about meningitis (330)
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1. Approach
2. Stroke – Scenario (A) (031)
3. Stroke – Scenario (B) (031)
4. Statin and high BMI (146)
5. High BMI and Vascular dementia (158)
6. HTN with high QRISK score (214)
7. High BMI with low QRISK score (282)

-Counselling 1. Asthma – Discharge (026)

29
 P.1212 2. Post MI advice (086)
(Hospital 3. Epilepsy in a 13 years old child (101)
Disharge, Pain 4. Explaining discharge Medication (198)
Manage. P.1246 5. Warfarin (A) (006)
, Follow up) 6. Warfarin (B) - Learning disability (006)
7. Warfarin follow up (153)
8. Warfarin - high INR (203)
9. Approach To pain
10. Idiopathic epilepsy (057)
11. Cough and hypertension (067)
12. Osteoporosis (097)
13. Post MI heart failure (123)

Counselling 1. Hypertension with ankle swelling (163)

30 P.1271 2. Microscopic haematuria (208)
(follow-up, 3. HTN with renal impairment (213)
Motivation 4. Colonoscopy scenario B (239)
P.1300) 5. SOB on exercise (306)
6. Polymyalgia rheumatica follow up (324)
7. Hypothyroidism follow up (333)
8. Obesity scenario B ( )
9. Smoking and angioplasty (018)
10. Alcohol management and history (030)
Counselling 1. Smoking and COPD (129)
31 (P.1322) 2. Weight gain (150)
Hospital rules& 3. Cystic fibrosis counselling (393)
Nurse 4. Post MI medications ( )
P.1339 5. Fit note ( )
6. Smoking cessation in breast feeding (463)
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1. Needle stick injury – Nurse (041)
2. Needle stick injury – Child (042)
3. Religious family members (164)
4. Hospital COVID policy (462)
5. Telephone call - Nursing home (083)
6. Telephone call – acute confusion (242)

Communications 1. Approach
32 P.1368 2. Ankle or Wrist sprain (032)
3. Sexual relationship with patient (167)
4. Malingering – Whiplash (222)
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(Confidentiality 5. Concerned parent – contraception (079)
P.1391, Minors 6. Concerned parent - scenario B (079)
P.1405 )
7. Colonic cancer talk to the surgeon son (152)
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 8. Emergency Contraception in a 14 year old
(076)
9. Contraception in a 14 year old (433)
10. Morning pill with learning disability (450)
Problem 1. Approach of Inter-professional
33 Colleague communication
P.1428 2. Blocked cannula - Talk to colleague (070)
3. A colleague with alcohol problem (091)
4. Medical student who abuses drugs and
alcohol (092)
5. Medical student coming late (141)
6. Delayed discharge (182)
7. Alcoholic colleague coming late (190)
8. Social Media (270)
BBN P.1459 1. Approach to Breaking Bad News – SPIKES
34 2. Post-op bleeding (003)
3. Intracerebral haemorrhage (020)
4. RTA in a child (068)
5. Pre-operative assessment – Hernia operation
(100) Day 14
6. Intra-ductal papilloma breast (186)
7. Post-op stroke (229)
8. Intracerebral haemorrhage – Telephone
conversation (342)
Medical Errors 1. Medical error approach
35 P.1490 2. Missed MI (037)
3. Antibiotics to wrong patient - wrong x-ray
(087)
4. Child with rash (094)
5. Missed fracture in a child (111)
6. Lost renal biopsy (125)
7. Antibiotic error in a child (248)
8. Missed fracture – Scenario B ()
9. Missed foreign body (093)
10. Missing Blood test (136)
Angry Patient 1. Angry patient approach
36 P.1533 2. Post-op wound infection (034)
3. Angry patient blocked cannula (047)
4. Heart Failure – talk to the son (110)
5. Angry patient – cyst removal (131)
6. IV cannula in a child (192)
7. Angry relatives – medication changed (294)
8. Clindamycin adverse effect (300)
9. Clindamycin allergy scenario B (308)
10. MRSA (080)
11. Clostridium difficile (088)
12. Cerebral palsy- ankle sprain (105)
 13. IVDU self-discharge (109)
14. Post MI physiotherapy (134)
15. Premature baby (155)
16. Post herniorrhaphy wound infection (297)
Palliative Care & 1. Bilateral stroke (021)
37 End of life 2. Dementia (023)
P.1596 3. Dementia - Video consultation (374)
4. Pneumonia - patient refusing treatment-end
of life
5. Patient refusing chemotherapy (157)
6. Patient with prostate cancer - refusing
treatment (174)
7. DNAR-Multiple Sclerosis (216)
8. Bladder cancer end of life (369)
9. Lung cancer 70 year old man (383)
10. Palliative therapy 90 year old women (399)
Teaching 1. Epipen ( )
38 P.1656 2. Teaching ECG (185)
3. Teaching approach
4. Knee - teaching a medical student (095)
5. Teaching a medical student - thyroid
examination (218)
6. Varicose vein examination (327)
7. Breast examination -Teaching medical
students (113)
8. Teaching Inguino-scrota examination (175)

Prescription 1. Abdominal discomfort in a female (UTI) (085)

39 P.1682 2. Pre-Operative Care (139)
3. Teaching IV fluids (278)
4. Prescriptions

Talking manikin 1. Talking manikin – Post C-section pain ( )

40 Day 8 2. Talking manikin – Asthma (121)
3. Talking manikin – dizziness due to HF (122)
4. Talking manikin – Urosepsis (170)
5. Talking manikin – Blood transfusion reaction
(171)
6. Talking manikin – Confirming death (196)
7. Talking manikin – Acute limb ischemia (217)
8. Talking manikin – Upper GI bleeding (219)
9. Talking manikin – Hospital acquired
pneumonia (221)
10. Talking manikin – Postpartum haemorrhage
(231)
11. Talking manikin – Hypoglycaemia (259)
 12. o Talking manikin – Pulmonary embolism
scenario C (287)
13. Talking manikin - Post op hypotension (240)
14. Talking manikin - Penicillin allergy (307)
Misc. P.1695 1. Visual problems - bi-temporal hemianopia
41 & Day 14 P.1730 (062)
2. Abnormal LFTs - Alcoholic hepatitis (250)
3. Alcoholic foot (073)
4. Diabetic neuropathy (004)
5. Diabetic retinopathy (227)
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6. Back Pain (001)
7. Primary survey with nurse (048)
8. Cerebellar ataxia (061)
9. Genito-testicular examination teaching (130)
10. Primary Survey – Scenario B (133)
11. Colonoscopy – Scenario A polyp (195)
Day 14 Misc. 1. Cranial nerves examination II-XII – TIA or
42 P.1775 migraine (205)
2. First Seizure (262)
3. Herpes labialis (285)
4. Respiratory examination – teaching (301)
5. Lower limb neurological examination teaching
(312)
6. Eighth cranial nerve examination – teaching
(315)
7. Indigestion (320)
8. Prescribing long term medications (326)
9. Discharge summary (327)