Free PLAB 2 stations
474 PLAB 2 stations, each a real eight-minute OSCE cubicle with a simulated patient and PLAB-rubric marking. Search or filter, then pick a cubicle.
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Breast Surgery
2 stations · all 8 minutes, spoken, marked to the PLAB rubricBreast lump - Mrs Sarah Kershaw, 44
Mrs Sarah Kershaw, aged 44, has booked an appointment because she found a lump in her breast. Talk to the patient, take a focused history, carry out the relevant examination (ask the examin…
GP / outpatient clinicNipple discharge - Mrs Sophie Mortimer, 61
Mrs Sophie Mortimer, aged 61, has booked an appointment because she has noticed discharge from one of her nipples. Talk to the patient, take a focused history, ask the examiner for any rele…
Cardiovascular
27 stations · all 8 minutes, spoken, marked to the PLAB rubricChest pain - Mr Daniel Cartwright, 47
Mr. Daniel Cartwright, aged 47, presented to the hospital with chest pain. Please talk to the patient, assess the patient and discuss your initial plan of management with the patient.
Shift in the emergency departmentChest pain - James Whitaker, 46
Mr James Whitaker, 46, has come to A&E having developed chest pain. Speak with the patient, take a focused assessment, and explain your initial management plan to him.
GP surgeryChest pain on exertion - Mrs Margaret Bramwell, 60
Mrs Margaret Bramwell, aged 60, has booked an appointment because of chest pain. Talk to the patient, take a focused history, carry out any relevant examination (by asking the examiner), th…
GP surgeryChest pain - Mr Paul Tarrant, 57 (suspected ACS in GP)
Mr Paul Tarrant, aged 57, has booked in today complaining of chest pain. Speak with the patient, take a focused history, carry out any relevant assessment, address his concerns, and explain…
Acute Medical Unit (A&E)Palpitations and chest fluttering - Mrs Susan Pennington, 62
Mrs Susan Pennington, aged 62, has come in describing an odd fluttering discomfort in her chest. Take a focused history from the patient and discuss your initial plan of management with her.
Accident and Emergency departmentChest pain - Mr Robert Fairfax, 32 (pericarditis)
Mr Robert Fairfax, aged 32, has come to A&E with chest pain. Speak with the patient, take a focused history, assess him, and outline your initial management plan to him.
Medical departmentBreathlessness - Mr Thomas Driscoll, 59 (heart failure)
Mr Thomas Driscoll, aged 59, has been sent in to hospital by his GP because he has become increasingly short of breath. Take a focused history, assess his condition, discuss your diagnosis …
GP surgeryWorried about having a stroke - Mr Donald Depp, 60
Mr Donald Depp, aged 60, has booked an appointment because he is worried about having a stroke and has some concerns he wants to talk through. Talk to the patient, take a focused history, a…
GP surgeryPersistent dry cough on blood-pressure medication - Mr Peter Gerald, 53
Mr Peter Gerald, 53 years old, has come in for his first follow-up appointment. Talk to the patient, take a relevant history, assess him, and discuss your plan of management with him while …
GP clinicHigh blood pressure review - stopped medication for swollen ankles - Mrs Eileen Micklethwaite, 60
Mrs Eileen Micklethwaite, 60, was admitted to hospital three weeks ago with cellulitis in her arm. She was treated with antibiotics. During that admission she was newly diagnosed with high …
GP clinicBlood-test review after starting a blood-pressure tablet - Kevin Ollerenshaw, 45
Mr Kevin Ollerenshaw, aged 45, has come in for a review. He was seen at a well-man clinic two weeks ago, diagnosed with high blood pressure, and started on ramipril 1.25 mg once daily. Talk…
GP surgeryNewly diagnosed high blood pressure - Gerald Postlethwaite, 58
Mr Gerald Postlethwaite, aged 58, attended the well-man clinic for a routine check and a raised blood pressure was picked up. He has come back today for his results. Talk to the patient, ta…
Medical wardWarfarin counselling before discharge - Mrs Jessica Ravenscroft, 35
Mrs Jessica Ravenscroft, aged 35, was admitted with a painful calf and has been diagnosed with a deep vein thrombosis (a blood clot in the leg). She has been started on a blood-thinning med…
Anticoagulation clinicWarfarin review after a leg clot - Hazel Shackleton, 50
Ms Hazel Shackleton, aged 50, was diagnosed with a deep vein thrombosis (a clot in the leg) four weeks ago and started on warfarin 5 mg once daily. Talk to the patient, explain the blood re…
General practiceHigh INR on warfarin after antibiotics - Gary Thirlwell, 52
Mr Gary Thirlwell, aged 52, takes warfarin for recurrent deep vein thrombosis. He attended the anticoagulation clinic today for his routine INR check and the nurse has asked you to see him …
General Medicine departmentVascular risk and smoking cessation before angioplasty - Mrs Gillian Winterbottom, 50
Mrs Gillian Winterbottom, aged 50, has been diagnosed with unstable angina and is booked to have a coronary angioplasty. Please talk to the patient about her cardiovascular risk, lifestyle …
GP surgeryLeg pain on walking - Mr William Membury, 50 (peripheral arterial disease)
Mr William Membury, aged 50, has booked an appointment because of a problem that has been bothering him. Talk to the patient, take a focused history, assess him, and discuss your management…
Medicine DepartmentLifestyle after a heart attack - Mr Richard Oxenford, 53
Mr Richard Oxenford, aged 53, was admitted four days ago after a heart attack. He has been treated on the ward and is now medically stable and ready to be discharged home. Please talk to th…
GP surgeryHigh cholesterol and starting a statin - Mrs Kate Risley, 65
Mrs Kate Risley, a 65-year-old woman, has come in for the results of a routine health check. Talk to the patient, assess her further, discuss the results and a plan of management, and addre…
A&E departmentSudden back pain - Mr Mark Lockwood, 55
Mr Mark Lockwood, aged 55, has come in with back pain that came on suddenly. Talk to the patient, take a focused history, carry out the relevant examination, assess him, and discuss your in…
Cardiology / general medical wardAngry after a heart attack - refusing to walk - Margaret Thirlwell, 68
Mrs Margaret Thirlwell, aged 68, had an inferior wall heart attack five days ago. She was treated with coronary stents (four stents inserted) and is now medically stable. Please talk to the…
General medical wardRefusing warfarin in atrial fibrillation - Mr Daniel Banister, 55
Mr Daniel Banister, aged 55, was admitted with breathlessness and palpitations and has been diagnosed with atrial fibrillation. His heart rate has been controlled with digoxin and he now fe…
Emergency DepartmentAbdominal swelling - Mr Oliver Waylon, 58 (heart failure)
Mr Oliver Waylon, 58, has come in because his abdomen has become swollen. Speak with the patient, take a focused history, assess and examine him (a manikin is available in the room), discus…
A&E departmentLip and tongue swelling - Marwa Haddad, 58
Mrs Marwa Haddad, aged 58, has come to A&E with swelling of her lips, tongue and face that came on this morning. Please talk to the patient, assess her, and discuss your initial plan of man…
Emergency Department of a districtSudden tearing chest and back pain - Mr Roland Akhtar, 58
Mr Roland Akhtar, aged 58, has been brought to A&E by ambulance with sudden severe chest pain that began about an hour ago. Take a focused history, ask the examiner for any examination find…
Cardiac surgery outpatient clinic,Choosing a replacement heart valve - Mrs Alaric Aldous, 58
Mrs Bridget Halloran, aged 58, has severe aortic stenosis and has been listed for an aortic valve replacement. The surgical team has asked you to help her understand her options. She is med…
GP surgeryRecurrent palpitations - Mr Owen Whitlock, 24 (Wolff-Parkinson-White)
Mr Owen Whitlock, aged 24, has come in because of recurrent episodes of a racing heartbeat. A 12-lead ECG was performed in the waiting area while he was symptom-free. Please take a focused …
Dermatology
25 stations · all 8 minutes, spoken, marked to the PLAB rubricChest pain - Mr Gerald Lockwood, 67 (shingles)
Mr Gerald Lockwood, aged 67, has booked in because of chest pain. Speak with the patient, take a focused history, and outline your initial management plan to him.
Surgical outpatient clinicLump on the shoulder requesting removal - Mrs Louise Beaumont, 32
Mrs Louise Beaumont, aged 32, has been referred by her GP because of a lump on her right shoulder. Talk to the patient, take a focused history, assess her, then discuss your management plan…
GP surgeryChanging mole on the shoulder - Joan Driscoll, 39
Mrs Joan Driscoll, aged 39, has booked an appointment about a skin lesion on her shoulder. Talk to the patient, take a focused history, assess her, then discuss the different management opt…
GP surgeryEnlarging scalp lesion - Mr George Ellison, 60
Mr George Ellison, aged 60, has booked an appointment because he is worried about a skin lesion on his head. Please talk to the patient, assess his condition, discuss your management with h…
GP surgeryMole behind the ear - Mr Gordon Fenwick, 48
Mr Gordon Fenwick, aged 48, has booked an appointment about a mole behind his ear that he is worried about. Talk to the patient, take a focused history, assess him, and discuss your initial…
GP surgeryChanging mole on the forearm - Eleanor Galbraith, 55
Mrs Eleanor Galbraith, aged 55, has booked an appointment about a skin lesion. She has rheumatoid arthritis and was advised by her rheumatologist to see her GP urgently about it. Talk to th…
GP clinicChanging mole on the breast - Angela Hawkins, 58
Mrs Angela Hawkins, aged 58, has booked an appointment because she is worried about a skin lesion. Talk to the patient, take a focused history, assess her, discuss your plan of management w…
GP surgeryItchy ring-shaped rash on the arm - Mr Brian Ingram, 37
Mr Brian Ingram, aged 37, has booked an appointment to discuss a problem he is worried about. Talk to the patient, take a focused history, assess him, and discuss your plan of management wh…
GP clinicAcne and a request for Roaccutane - Janet Jardine, 18
Janet Jardine, aged 18, has booked in to talk about her skin. She wants to be started on Roaccutane (isotretinoin). Talk to the patient, counsel her about this medication, set out a managem…
GP clinicRecurrent itchy rash in a child - Karen Rylance (mother of a 5-year-old)
Mrs Karen Rylance, the mother of a 5-year-old boy, has booked an appointment because she is worried about a recurring rash on her son. Talk to the mother, take a focused history, discuss yo…
GP surgeryItchy rash in a 3-year-old - Mrs Hannah Stoddart (son Toby, 3)
Mrs Hannah Stoddart, in her early thirties, has booked in about her 3-year-old son, Toby. She is worried and wants to talk to you. Talk to the mother, take a focused history, give the diagn…
General practiceItchy rash on the legs - Elliot Trescott, 15
Elliot Trescott, aged 15, has come in with his mother, Mrs Ava Trescott, aged 40, about an itchy rash on his legs. Elliot is a known asthmatic. Talk to the patient, take a focused history, …
GP surgerySlow-growing facial lesion - Mrs Marjorie Allenby, 71 (suspected basal cell carcinoma)
Mrs Marjorie Allenby, aged 71, has come in about a spot on her face that has not healed. Please take a focused history from the patient, examine her as appropriate (ask the examiner for fin…
GP surgeryItchy hand rash - Yusuf Demir, 34
Yusuf Demir, aged 34, has booked an appointment about an itchy, red rash on his hands that has been getting worse over the last few weeks. Please take a focused history, address the patient…
GP surgeryExcessive sweating - Hugo Aldous, 22
Priya Nair, aged 22, has booked an appointment because of excessive sweating that is troubling her. Please take a focused history, address the patient's concerns, and discuss your initial p…
GP surgerySore rash under the skin folds - Donna Aldridge, 54
Donna Aldridge, aged 54, has booked an appointment about a sore red rash in her skin folds that has been troubling her for a few weeks. Please take a focused history from the patient, then …
Dermatology outpatient clinic, underStarting isotretinoin for severe acne - Ms Quentin Aldous, 24
Ms Priya Nair, aged 24, has severe nodulocystic acne over her face, chest and back that has scarred and has not responded to several courses of oral antibiotics and topical treatments. The …
GP surgeryChanging mole - Mrs Linnea Ashworth, 41
Mrs Linnea Ashworth, aged 41, has booked an appointment about a mole on her back that her husband says has changed. She mentions she would like it removed today. Please take a focused histo…
GP surgerySpots on a child's skin - Mrs Priya Devlin (mother of Aanya, 4)
Mrs Priya Devlin has brought her 4-year-old daughter, Aanya, who has developed clusters of small spots on her skin over the past few weeks. Aanya is in the waiting room playing; Mrs Devlin …
GP surgeryThickened, discoloured toenails - Mrs Bridget Holloway, 58
Mrs Bridget Holloway, aged 58, has booked an appointment about her toenails, which have become thick, discoloured and crumbly over the past year. Please take a focused history, address her …
GP surgeryPainful swollen nail fold - Ms Róisín Gallagher, 34
Ms Roisin Gallagher, aged 34, has booked a same-day appointment with a painful, red, swollen finger. Please take a focused history from the patient, perform any relevant examination by aski…
GP surgeryItchy scaly rash - Mr Owen Brennan, 38 (chronic plaque psoriasis)
Mr Owen Brennan, aged 38, has booked an appointment about a long-standing scaly rash on his elbows, knees and scalp that has recently flared. Please take a focused history, address the pati…
GP surgeryFast-growing crusted lesion on the scalp - Mr Albert Hargreaves, 74
Mr Albert Hargreaves, aged 74, has booked an appointment about a sore on the top of his head that will not heal. Please take a focused history from the patient, assess for red-flag features…
GP surgerySudden spotty rash on the back and chest - Liam Hargreaves, 24
Liam Hargreaves, aged 24, has booked an appointment about a rash that has come up over his chest and back. Please take a history from the patient, then explain your most likely diagnosis an…
General outpatient clinicHair loss on tacrolimus after kidney transplant - Sybil Aldous, 42
Ms Priya Nadarajah, aged 42, had a kidney transplant 14 months ago and is on long-term immunosuppression including tacrolimus. She has booked an appointment because of hair loss. Take a foc…
Endocrine
24 stations · all 8 minutes, spoken, marked to the PLAB rubricNewly diagnosed Type 2 Diabetes - Mr Vikram Joshi, 55
Mr Vikram Joshi, aged 55, attended for a follow-up appointment to discuss his blood test results. Please explain the diagnosis to the patient, address his concerns, and discuss your initial…
GP surgeryUnintentional weight loss - Eleanor Frobisher, 29
Eleanor Frobisher, aged 29, has booked an appointment because her family have noticed she is losing weight. Please speak with the patient, take a focused history, perform the relevant asses…
GP practiceOveractive thyroid blood results - Mrs Maureen Goddard, 34
Mrs Maureen Goddard, aged 34, has come back to the surgery for the results of recent blood tests. She had been complaining of a tremor and sweating. Take a brief focused history, explain he…
GP surgeryTiredness - Diane Harborne, 63 (hypothyroidism with low mood)
Diane Harborne, aged 63, has booked an appointment because she has been feeling tired. Take a focused history, assess her, give your likely diagnosis to the patient, and discuss your initia…
GP surgeryWeight gain and tiredness with abnormal thyroid results - Pauline Irvine, 35
Mrs Pauline Irvine, aged 35, booked this appointment because she is worried about putting on weight. About two weeks ago she saw a GP who arranged blood tests, and she has come back today f…
GP surgeryOveractive thyroid - explaining blood results - Mrs Eleanor Jephcott, 50
Mrs Eleanor Jephcott, aged 50, attended the practice two weeks ago describing shakiness and unintentional weight loss. She has returned today for the results of the blood tests that were ar…
GP clinicHigh calcium results - Mrs Hazel Kingsley, 65 (primary hyperparathyroidism)
Mrs Hazel Kingsley, aged 65, came to the clinic last week complaining of tiredness. She has returned today for her blood test results. Speak with the patient, explain the test results to he…
General medical clinicThyroid blood results and medication review - Mrs Nida Aslam, 70
Mrs Nida Aslam, aged 70, has come in for a review of her recent blood tests and her regular medications, referred by her GP. Talk to the patient, take a focused history, explain her blood t…
GP clinicWeight gain - Mrs Lisa Kettlewell, 48
Mrs Lisa Kettlewell, aged 48, has booked an appointment because she is worried about putting on weight. Speak with the patient, take a focused history, assess her, and discuss a management …
Emergency DepartmentThirst and weight loss - Hayley Yelland, 16 (new type 1 diabetes / DKA)
Hayley Yelland, aged 16, has come in after her mother became worried about her. She is able to speak for herself. Speak with the patient, take a focused history, examine her (ask the examin…
Acute Medical UnitNew diabetic ketoacidosis - Emily Allcott, 25 (wants to self-discharge)
Ms Emily Allcott, aged 25, was brought in by ambulance. She has known Type 1 diabetes and is insulin dependent. Blood tests are back and confirm diabetic ketoacidosis. Initial treatment has…
GP surgeryPoorly controlled diabetes with nerve, kidney and eye complications - Andrew Capstick, 56
Mr Andrew Capstick, aged 56, has had diabetes for many years and is treated with insulin (Mixtard 30 units). He has not attended for review regularly over the past seven years. Talk to the …
GP surgeryRecent hypo on insulin and fitness to drive - Gordon Dalrymple, 56
Mr Gordon Dalrymple, aged 56, has booked an appointment to talk about his diabetes. He has recently had an episode of low blood sugar. Talk to the patient, take a focused history of the epi…
Emergency DepartmentHypoglycaemic collapse with seizures, wants to self-discharge - Kenneth Edgeworth, 28
Mr Kenneth Edgeworth, 28, a known type 1 diabetic on insulin, was brought in by ambulance after losing consciousness from a low blood sugar. Talk to the patient, work out why this happened,…
Medicine outpatient clinicSudden drowsiness in a diabetic on insulin (hypoglycaemia) - Bob Featherstone, 65
Mr Bob Featherstone, aged 65, came in today for a routine review. Please talk to the patient, assess him, and manage him appropriately.
GP clinicPoorly controlled type 1 diabetes review - George Gledhill, 25
George Gledhill, aged 25, has come in for a diabetes review. He has type 1 diabetes managed with insulin and his GP recently arranged some tests. Talk to the patient, assess how his diabete…
GP surgeryOsteoporosis diagnosis after wrist fracture - Jennifer Padmore, 62
Mrs Jennifer Padmore, aged 62, comes to the practice for her test results. She fractured her wrist after a minor fall three months ago, and a DEXA bone-density scan done two weeks ago has c…
Busy surgery seeing patients in morningTiredness, weight loss and dizzy spells - Mrs Frances Okonkwo, 38
Mrs Frances Okonkwo, aged 38, has booked an appointment because she has been feeling increasingly tired and run down over the past few months. Take a focused history, ask the examiner for a…
GP surgerySore throat and fever on carbimazole - Mrs Bridget Ackerley, 41
Mrs Bridget Ackerley, aged 41, has booked a same-day appointment because of a severe sore throat and feeling feverish over the last two days. She was started on carbimazole for an overactiv…
GP surgeryMilky nipple discharge - Yvonne Asare, 34
Ms Yvonne Asare, aged 34, has booked an appointment because she has noticed a milky discharge from both nipples. She is not pregnant or breastfeeding. Please take a focused history from the…
GP surgeryRaised blood calcium - Mrs Bernadette Holloway, 58
Mrs Bernadette Holloway, aged 58, has booked an appointment after the surgery contacted her about a blood test result. A routine blood test arranged two weeks ago for tiredness showed an al…
GP surgery, working alongside theStarting insulin - Mr Reuben Akpan, 58 (type 2 diabetes)
Mr Reuben Akpan, aged 58, has type 2 diabetes that has been poorly controlled on maximum-dose tablets (metformin and gliclazide). His most recent HbA1c is 91 mmol/mol. The GP has decided to…
GP surgeryBumping into things / peripheral vision loss - Estelle Aldous, 44
Mr Marcus Threlfall, aged 44, has booked an appointment because he keeps bumping into things and door frames on his way past. Please take a focused history, then explain your initial assess…
GP surgeryTiredness and aching with a low vitamin D result - Priya Solanki, 38
Ms Priya Solanki, aged 38, booked in to discuss the results of blood tests done two weeks ago for tiredness and aching. Her serum 25-hydroxyvitamin D came back at 18 nmol/L (deficient). Her…
ENT
19 stations · all 8 minutes, spoken, marked to the PLAB rubricHeadache after a cold - Mrs Paula Ormerod, 61 (sinusitis)
Mrs Paula Ormerod, 61 years old, has booked in today because of a headache. Speak with the patient, take a focused history, assess her, then talk through the likely diagnosis and your manag…
GP clinicRecurrent nosebleeds on a blood thinner - Mr Nigel Vavasour, 58
Mr Nigel Vavasour, aged 58, has come in worried about repeated nosebleeds. He takes apixaban. Talk to the patient, take a focused history, assess him, and discuss your diagnosis and managem…
GP surgeryEar pain and blocked ear - Carol Thornbury, 36 (otitis externa)
Carol Thornbury, aged 36, has come to the surgery with a problem affecting her ear. Talk to the patient, take a focused history, assess her (history and examination), and discuss your initi…
GP surgeryDischarging ear with hearing loss - Mr Alfred Thompson, 69
Mr Alfred Thompson, aged 69, has booked in with a problem affecting one of his ears. Talk to the patient, take a focused history, assess him, and discuss your initial plan of management wit…
General practiceSore throat and fever - Sharon Redfern, 34
Sharon Redfern, aged 34, has booked in today complaining of a sore throat. She is asking you to prescribe antibiotics. Talk to the patient, take a focused history, assess her, and discuss y…
GP surgerySneezing and nasal symptoms - Mr George Marsden, 24
Mr George Marsden, aged 24, has booked an appointment because of ongoing nasal symptoms. Please talk to the patient, take a focused history, and discuss a management plan with him.
Your first day on the wardDizziness in an admitted patient after a fall - Nurse Diane Calloway (re: Mrs Janet Smith, 85)
Mrs Janet Smith, 85, was admitted a week ago after a fall at home in which she sustained a T4 vertebral fracture. Your nurse colleague, Diane Calloway, has flagged new concerns about her to…
Paediatrics departmentFebrile toddler tugging her ear - Mrs Sara Allardyce (mother of Lailah, 15 months)
Lailah Allardyce, 15 months old, has been brought in by her mother because of a fever. The GP has already seen her and referred her to you. Speak with the mother, take a focused history, ad…
GP clinicOne-sided hearing loss - Thomas Stanfield, 50
Mr Thomas Stanfield, aged 50, has booked an appointment because of a problem with one of his ears. Talk to the patient, take a focused history, carry out the examination you feel is appropr…
A&E departmentEar pain - Charles Underwood, 22
Charles Underwood, a 22-year-old man, has come in because of pain in one ear. Talk to the patient, take a focused history, ask the examiner for any relevant examination findings, and explai…
GP surgeryBlocked, painful ear after a flight - Mr Lorenzo Bianchi, 34
Mr Lorenzo Bianchi, aged 34, has booked a same-day appointment because of pain and a blocked feeling in his right ear that started during a flight two days ago. Please take a focused histor…
Community surgeryDizziness on turning over in bed - Mrs Eleanor Whitfield, 54
Mrs Eleanor Whitfield, aged 54, has booked an appointment because she has been getting episodes of dizziness over the past two weeks. Please take a focused history, take the examiner's find…
GP surgeryRecurrent nosebleeds - Mr Vernon Easterbrook, 58
Mr Vernon Easterbrook, aged 58, has booked an appointment about repeated nosebleeds over the past few weeks. Please take a focused history, assess the patient, and discuss your initial plan…
GP surgeryPersistent hoarse voice - Mr Albert Crowhurst, 64
Mr Albert Crowhurst, aged 64, has booked an appointment because his voice has been hoarse for a while. Please take a focused history from the patient, address his concerns, and explain your…
Emergency DepartmentSevere persistent ear pain - Mr Albert Hollins, 74 (necrotising otitis externa)
Mr Albert Hollins, aged 74, has come in with severe right ear pain that has not settled despite ear drops from his GP. Please take a focused history from the patient, ask the examiner for a…
GP surgeryRecurrent dizzy spells - Mrs Lorraine Whitcombe, 49
Mrs Lorraine Whitcombe, aged 49, has booked an appointment because of repeated episodes of dizziness over the past few months. Take a focused history, address her concerns, and discuss your…
GP surgeryOne-sided blocked nose with bleeding - Mr Frederick Aldous, 58
Mr Frederick Aldous, aged 58, has booked an appointment about a blocked nose that will not clear. Please take a focused history from the patient and explain your initial plan of management …
GP surgeryPersistent neck lump - Mr Geoffrey Aldworth, 58
Mr Geoffrey Aldworth, aged 58, has booked an appointment because he has noticed a lump in his neck. Please take a focused history from the patient, address his concerns, and explain your in…
GP surgeryRinging in the ears - Mrs Pauline Aldridge, 54
Mrs Pauline Aldridge, aged 54, has booked an appointment because of a persistent ringing noise in both ears. Please take a focused history, address the patient's concerns, and discuss your …
Ethical / Communication
62 stations · all 8 minutes, spoken, marked to the PLAB rubricBreaking bad news - Mr Hugh Pemberton, 63 (colon cancer)
Mr Hugh Pemberton, aged 63, has come to discuss the results of his recent colonoscopy and biopsies. The biopsy has confirmed adenocarcinoma of the sigmoid colon. CT staging shows localised …
GP surgerySuspected domestic violence - Mrs Joanne Tasker, 34
Mrs Joanne Tasker, aged 34, has attended for the third time this month with vague aches and unexplained bruises. Today she presents with bruises on her arms which she says came from 'walkin…
A&E departmentNeedle-stick injury - Dana Allen, 25 (nurse colleague)
Your colleague, Staff Nurse Dana Allen, aged 25, has come to you straight after sustaining a needle-stick injury while taking blood from one of her patients. Speak with your colleague, take…
General medicine wardAngry son - hospital-acquired C. diff diarrhoea, Mr Farnsworth's son, 48
A 75-year-old man was admitted ten days ago with a chest infection. He was diagnosed with pneumonia, treated with antibiotics, and recovered from it. Over the last two days he has developed…
Respiratory wardHusband isolated with MRSA - explaining to his wife, Patricia Hepworth, 62
Mr Smith Brown, aged 65, was admitted a few days ago. He has known COPD and was admitted with a chest infection. A nasal swab has come back positive for MRSA. He has been moved into a side …
GP surgeryWorried about meningitis after family contact - Mrs Ella Illingworth, 29
Mrs Ella Illingworth, aged 29, has booked an appointment because she has some worries about her own health. Speak with the patient, take a focused history, and address her concerns.
Who has just begun your surgicalColleague who smells of alcohol at work - Dr Callum Hargreaves, 24
Dr Callum Hargreaves, 24, is a fellow FY2 who started the same surgical rotation as you. On the ward round last week you noticed the smell of alcohol on his breath, and you noticed it again…
Breast surgical clinic at the hospitalBreaking bad news - Mrs Frances Holloway, 53 (DCIS on breast biopsy)
Mrs Frances Holloway, aged 53, attended the NHS breast screening programme a few weeks ago. Her mammogram showed an area of change, so she was referred to the breast clinic and had a needle…
A&E departmentBreaking bad news - Maria Dewhurst (husband, terminal brain haemorrhage)
Mr Frank Dewhurst, aged 78, collapsed at home and was brought in unconscious by ambulance. Please speak with his wife, Mrs Maria Dewhurst, explain her husband's condition, and address her c…
Neurosurgery wardBreaking bad news - post-operative stroke after brain tumour surgery - Steven Embleton (son of Georgina, 72)
Mrs Georgina Embleton, aged 72, underwent an operation to remove a tumour from the left side of her brain. While she was recovering she was found to have new weakness affecting the right si…
Vascular surgery departmentPost-operative bleeding after vascular bypass surgery - Gerald Fotheringham (husband of patient), 68
Mrs Alice Fotheringham, 65, underwent an aortobifemoral bypass graft earlier today to treat poor blood supply to her legs that had been causing severe calf pain on walking. Speak with Mr Fo…
Paediatric emergency departmentBreaking bad news - Joshua Grimshaw, 9 (extradural haemorrhage after road traffic accident)
Joshua Grimshaw, aged 9, was brought in one hour ago after a road traffic accident. He has been seen by the team. Speak with Joshua's parents, explain his condition and the plan, and addres…
Emergency departmentBreaking bad news: child injured in a road accident - Ruth Hollis (mother of Joshua, 9)
Joshua Hollis, aged 9, was struck by a car outside a restaurant about an hour ago. The trauma team's primary survey has found an unstable fracture of his pelvis, and he has lost a significa…
Accident & Emergency departmentDelayed antibiotics from a blocked IV cannula - Mrs Sandra Ibbotson, 50
Mrs Sandra Ibbotson, aged 50, came to hospital with cellulitis following an insect bite 48 hours ago. The consultant reviewed her and decided she should have intravenous antibiotics for 24 …
Shift in the A&E departmentSpeaking to a colleague about a missed IV cannula change - Dr Erin Jolliffe, FY1
One of your patients, Mrs River, aged 50, has been diagnosed with cellulitis and needs intravenous antibiotics. Her IV cannula is blocked, so she has not received her medication. An hour or…
Coronary Care Unit (CCU)Disclosing a missed heart attack - Mr George Kettlewell, 42
Mr George Kettlewell, aged 42, was admitted 48 hours ago with chest pain caused by a heart attack. He has been medically stabilised and is due to be stepped down to the medical ward. Talk t…
Respiratory clinic / general medicineDisclosing a mixed-up X-ray and a wrong pneumonia diagnosis - Christine Linfield, 52
Mrs Christine Linfield, aged 52, has come back to clinic for a review appointment. About four weeks ago she attended hospital with a cough and breathlessness, was investigated, diagnosed wi…
A&E departmentDisclosing a missed wrist fracture in a child - Mr Edward Mostyn, 34 (father)
Mr Edward Mostyn brought his 2-year-old son to A&E two days ago after the boy fell from his bed. There was swelling over the right forearm. He was seen by your colleagues, an X-ray was take…
Urology / Renal departmentDisclosing a lost kidney biopsy - Christian Adams, 27
Christian Adams, 27, was referred by his GP. He was diagnosed with post-streptococcal glomerulonephritis, and the renal team decided he needed a kidney biopsy. The biopsy was carried out tw…
Trauma and Orthopaedics departmentUnlabelled pre-op blood sample - explaining a medical error to Mr Brian Oldroyd, 50
Mr Brian Oldroyd, aged 50, attended yesterday for a pre-operative assessment ahead of planned surgery. You took routine blood samples from him at that visit. Telephone the patient, explain …
Paediatric wardPenicillin prescribed to an allergic child - Mrs Diane Rishworth (mother of Ella, 5)
Ella, aged 5, was admitted to the children's ward with a chest infection (pneumonia). Her mother has asked to speak with the treating team. Speak with the mother, explain what happened open…
F2 doctor in the Emergency DepartmentDrug error - rash after amoxicillin in a penicillin-allergic child - Mrs Maureen Satterthwaite
A 10-year-old girl was brought to A&E by her mother, Mrs Maureen Satterthwaite, yesterday. A colleague assessed the child, diagnosed a respiratory infection, and prescribed amoxicillin. The…
A&E departmentDisclosing a missed foreign body on X-ray - Ms Donna Tattersall (Amy's mother)
Amy, a young child, was brought to A&E earlier today by her mother after a choking episode while playing with her baby brother. A colleague assessed her, a chest/neck X-ray was performed an…
Medical wardFutile care after a second stroke - Rosie Ulph (daughter of Ben Ulph, 63)
Mr Ben Ulph, aged 63, was admitted with a stroke one to two weeks ago and was beginning to recover when he suffered a second, much larger stroke. The medical team has now assessed him. Spea…
Doing a GP home visitDNACPR discussion - Juliet Vinall, 82 (end-stage multiple sclerosis)
Mrs Juliet Vinall, aged 82, is being visited at her home. She was diagnosed with multiple sclerosis around 10 years ago. Her condition has declined markedly over the last few months. The ne…
Paediatric assessment unit / A&EUnexplained arm fracture in a baby - Hazel Wherrett (mother of 4-month-old)
A 4-month-old baby boy was brought in this morning by his mother, Ms Hazel Wherrett, because she noticed swelling of his right arm and that he was unsettled and not moving it. An X-ray has …
A&E departmentElderly fall with bruising of different ages (suspected non-accidental injury) - Ms Angela Yelland (daughter of Mrs Eleanor Yelland, 85)
Mrs Eleanor Yelland, aged 85, has been brought to hospital by her daughter after a fall. On examination she has multiple bruises that appear to be of different ages spread over her body, an…
Early pregnancy / obstetrics andVaginal bleeding in early pregnancy with a suspicious bruise - Brenda Peterson, 28
Brenda Peterson, aged 28, is 12 weeks pregnant and has attended saying she has had some vaginal bleeding. She is also here for a routine antenatal check. Please talk to the patient, take a …
GP clinicSleep problem hiding domestic abuse - Mrs Hannah Brearley, 35
Mrs Hannah Brearley, 35, has booked an appointment because she cannot sleep. Talk to the patient, assess her, discuss your management with her and address her concerns.
Emergency DepartmentScald to the abdomen - Gillian Capstick, 24
Gillian Capstick, a young woman, has come in with a scald to her abdomen. A man accompanied her to the hospital and is waiting outside. Talk to the patient, take a focused history, explore …
Surgical wardSon asks you to hide a cancer diagnosis from his mother - Mr Trevor Dalrymple, 52
Mrs Maria Dalrymple, aged 78, was admitted with confusion caused by a chest infection. During her work-up a CT scan and further tests confirmed bowel cancer. She has since been treated, the…
Acute Medicine UnitDaughter asks you to hide a cancer diagnosis - Yvonne Edgeworth (daughter of patient, 52)
Mrs Margaret Edgeworth, 78, was diagnosed with bowel cancer ten years ago. She was admitted five days ago with tiredness, poor appetite and abdominal pain. Reassessment shows the cancer has…
General practiceMother asking about daughter's contraceptive pill - Mrs Diane Featherstone, 42
Mrs Diane Featherstone has booked an urgent appointment to talk to you about her teenage daughter, Katie, who is 15. Please talk to Mrs Featherstone and address her concern.
Hospital wardSon demanding his mother's test results - James Gledhill, 52
Mrs Eleanor Gledhill, an elderly nursing-home resident, has had a series of investigations on this ward. Her adult son, Mr James Gledhill, has come in person and is asking you for the resul…
Orthopaedic / surgery departmentRelative refuses mother's discharge after a fall - Mr David Harewood, 54
Mrs Diana Rose, aged 82, sustained a wrist fracture on her non-dominant hand after a fall three weeks ago. The cast has been applied and she has been assessed as medically fit and willing t…
Medical wardHospital policy and a dying relative - David Inglewood, 38
Mrs Anna Inglewood, aged 91, was admitted last week with breathlessness, diagnosed with pneumonia, and has since developed sepsis. She is now unconscious and critically unwell. It has been …
GP surgeryRequest for a sick note after a road traffic accident - Susan Jessop, 35
Susan Jessop, aged 35, was involved in a road traffic accident two weeks ago. She attended A&E at the time, was examined, found to have no physical injury, and was discharged. Please talk t…
General medical wardColleague using cocaine at work - Ben Lonsdale, 25 (medical student)
Ben Lonsdale, aged 25, is a final-year medical student on placement with your team. At a birthday party last night you saw him drinking heavily and using what looked like cocaine. Speak wit…
General medicine wardPersistently late team member - John Micklethwaite, 24
John Micklethwaite is a final-year medical student attached to your team who has repeatedly been arriving late. Speak with him, explore why this is happening, and address the situation appr…
Surgical departmentColleague who smells of alcohol at work - Dr Marcus Nuttall, FY1
Dr Nuttall is an FY1 colleague of yours in the surgical team. Speak with Dr Nuttall and take the appropriate action.
General medicine wardColleague who posted a patient online - Dr Michael Ollerenshaw, FY1
Dr Michael Ollerenshaw is the FY1 doctor on your team. He is not your patient - he is the colleague you are here to speak with. Speak with Dr Ollerenshaw, explore what has happened, and add…
Busy medical wardDifficult colleague - delayed patient discharge - Dr Sam Postlethwaite, FY1
Dr Sam Postlethwaite is an FY1 colleague in your department. This is his first post since qualifying and he is one week into the rotation. An elderly inpatient, Mrs Gabriel Samuel (aged 65)…
General medical wardAngry relative - update and complaint about his mother's care - Mr Daniel Shackleton, 49
Mrs Patricia Shackleton, aged 74, has been admitted under the medical team with a working diagnosis of heart failure. She had a heart attack a few years ago and her heart function has been …
General medicine wardRefusing further treatment - Mr Arthur Yeardley, 75 (lung cancer)
Mr Arthur Yeardley, aged 75, was admitted with neutropenic sepsis on a background of a chest infection and has been treated with intravenous antibiotics. He is now stable and improving and …
General medical wardWants to self-discharge on IV antibiotics - Karen Abberley, 27 (infective endocarditis)
Karen Abberley, aged 27, was admitted a week ago and has been diagnosed with infective endocarditis (an infection of the heart). She has received intravenous antibiotics for the past five d…
Respiratory departmentComplaint about delayed lung cancer diagnosis - Matthew Dodsworth, 40 (patient's son)
Mr Matthew Dodsworth, aged 40, has telephoned the ward asking to speak to a doctor about his mother's diagnosis. Please speak with the patient's son and address his concerns.
GP clinicRequest for a PSA test - Mr Robert Ingram, 57
Mr Robert Ingram, aged 57, has booked an appointment to discuss a concern. Talk to the patient, assess him, discuss management with him and address his concerns.
Emergency DepartmentConfusion in an elderly father - Ormerod family, daughter at the bedside
An elderly man, Mr William Ormerod, has been brought in by his daughter, who reports that he has become confused and agitated over the last two days. He is currently in the cubicle. His dau…
Breast oncology outpatient clinicDeclining recommended breast cancer treatment - Mrs Bernadette Asquith, 58
Mrs Bernadette Asquith, aged 58, was diagnosed three weeks ago with an early invasive breast cancer in her right breast (biopsy-confirmed, no evidence of spread on staging). The multidiscip…
Acute medical ward. One of yourConfidentiality - a senior colleague asks for a relative's records (Dr Marcus Aldington)
Dr Marcus Aldington is a consultant surgeon at this hospital. He is not part of Mrs Whitcombe's care team. He has approached you at the nurses' station. Please speak with Dr Aldington and a…
Doing a session in a GP surgeryLow mood and a safeguarding disclosure - Amira Osman, 14
Amira Osman, aged 14, has booked in on her own asking to talk about feeling low. She is on the practice list and is here without a parent today. Please talk to Amira, take a history of her …
Community surgeryRequest to choose a baby's sex - Mrs Anita Bhandari, 34
Mrs Anita Bhandari, aged 34, has booked a routine appointment. She and her husband already have three daughters and she wants to discuss how she can make sure her next baby is a boy. She is…
Paediatric outpatient clinic. AAnogenital warts in a young child - Mrs Tamsin Holloway (mother of Evie, 4)
Mrs Tamsin Holloway, aged 31, Evie's mother. She is the only adult present today. Talk to Mrs Holloway. Take a focused history relevant to the cause of the lesions, explain your findings an…
GP surgeryContraception request in a 15-year-old - Maisie Allardyce, 15
Maisie Allardyce, aged 15, has booked in on her own asking to speak to a doctor. She wants to start the contraceptive pill and does not want her parents to be told. Please talk to Maisie, a…
Surgical wardRefusing blood transfusion - Mrs Rupert Aldous, 52 (Jehovah's Witness)
Mrs Adaeze Okonkwo, aged 52, is two days after an elective open hysterectomy. She lost more blood than expected during the operation. Her haemoglobin this morning is 64 g/L and she is sympt…
General medical wardMedication changed without telling the family - Bridget Aldous (daughter of inpatient)
Mrs Anjali Ramanathan, aged 78, was admitted four days ago with a chest infection and is recovering well. She is alert and orientated and has capacity. Before admission she took bisoprolol …
GP surgeryProfessional boundaries - Ms Dorothea Aldous, 34 (patient asking you on a date)
Ms Tamsin Holloway, aged 34, has attended for a routine review of her well-controlled asthma. She has seen you three times over the past few months. At the end of today's review she has tol…
General medical ward. You are in theRequesting a hospital post-mortem - Mrs Frances Aldington, 58 (recently bereaved widow)
Mr Edward Aldington, 61, died on the ward four hours ago after a short admission with breathlessness and confusion. He had treated heart failure and a recent chest infection. The death has …
Emergency Department, which has anDisclosure of recent sexual assault - Juliet Aldous, 24
Hannah Whitlock, aged 24, has come in alone this morning. At triage she said only that 'something happened' two nights ago and she did not know where else to go. The triage nurse noted she …
(FY2 in a GP placement) in a communitySupport around sexual orientation - Ellis Hartnoll, 19
Ellis Hartnoll, aged 19, has booked an appointment saying only that they wanted to 'talk about something personal'. There is nothing of note in the records and no recent contact. Please tal…
Busy general medical ward. It is theColleague delegating tasks by WhatsApp - Dr Barnaby Aldous, FY1
Dr Priya Nadarajah is an FY1 who shares the ward with you. Over the past two weeks she has repeatedly sent you WhatsApp messages asking you to do clinical tasks for her patients - chasing b…
General medical ward. The mess is quietColleague reporting workplace harassment and discrimination - Dr Cassius Aldous, 28
A foundation year 1 colleague, Dr Priya Nadarajah, has asked to speak with you privately. She is visibly upset and says she does not know who else to talk to. Please talk to your colleague,…
Gastrointestinal
27 stations · all 8 minutes, spoken, marked to the PLAB rubricRight upper quadrant pain - Mrs Rachel Hartley, 37
Mrs Rachel Hartley, aged 37, presented with right-sided abdominal pain. Please talk to the patient, assess her and discuss your initial plan of management with the patient.
Your first day on the surgical wardConstipation on the ward - faecal impaction from opioids (talk to the nurse) - Mrs Smith, 85
Mrs Janet Smith, 85, was admitted a week ago after a fall at home in which she sustained a T4 (mid-thoracic) vertebral fracture. She is being managed conservatively. A ward nurse caring for…
GP clinicChange in bowel habit with rectal bleeding - Mrs Eleanor Wadsworth, 60
Mrs Eleanor Wadsworth, aged 60, has booked an appointment because of a problem with her bowels. Talk to the patient, take a focused history, assess her, and discuss your initial plan of man…
GP surgeryDiarrhoea and vomiting - Mrs Hannah Yates, 37
Mrs Hannah Yates, aged 37, has come in complaining of three days of diarrhoea and vomiting. Talk to the patient, take a focused history, and discuss your management plan while addressing he…
Hospital medicine outpatient clinicLong-standing bowel trouble - Mr Marcus Ackroyd, 58
Mr Marcus Ackroyd, aged 58, has come in with a long-running bowel problem. Speak with the patient, take a focused assessment, and talk through whether a colonoscopy is needed - addressing a…
GP surgeryCoeliac disease test results - Eleanor Bellamy, 40
Eleanor Bellamy, a 40-year-old woman, has had loose stools on and off for about two months. She saw the GP two weeks ago, who arranged some blood tests, and she has returned today for the r…
General medical departmentAbnormal liver blood test - Angela Crowther, 47
Mrs Angela Crowther, aged 47, has come back to the hospital to go over the results of her liver blood test. Talk to the patient, take a focused history, explain the blood results and discus…
GP surgeryRaised bilirubin on a health check - Mr Brian Dunmore, 47
Mr Brian Dunmore, aged 47, attended a Well Man health-check clinic two weeks ago where a panel of blood tests was taken. He has come back today to go through the results. Talk to the patien…
GP surgeryAbnormal liver blood test - Mr Gerald Easton, 45
Mr Gerald Easton, a 45-year-old man, has come to the surgery to go through the results of a blood test taken one week ago. Talk to the patient, take a focused history, explain the results, …
GP surgeryAnaemia blood results - Mr Gordon Oakley, 58
Mr Gordon Oakley, aged 58, attended the well-man clinic for a routine check-up three weeks ago and had a set of blood tests taken at that visit. He has come back today for the results. Talk…
Medicine department (endoscopy referralExplaining an endoscopy for suspected coeliac disease - Mrs Adriana Jerningham, 45
Mrs Adriana Jerningham, aged 45, was seen by her GP three months ago with tiredness and was found to be anaemic. A blood test has come back positive for coeliac disease antibodies, and the …
Medical departmentWhy do I need a colonoscopy after my sigmoidoscopy? - Margaret Knightley, 65
Margaret Knightley, aged 65, has been referred to you. She has had rectal bleeding for several days and recently underwent a sigmoidoscopy, at which a rectal polyp was identified. The gastr…
GP surgeryHeartburn and biopsy results - Barbara Loxley, 45 (Barrett's oesophagus)
Mrs Barbara Loxley, aged 45, recently underwent an upper endoscopy (camera test) with biopsies and has come in for the results. Talk to the patient, take a brief focused history, explain th…
Outpatient clinic in the surgicalDifficulty swallowing - Mr Jason Ormerod, 58
Mr Jason Ormerod, aged 58, has been referred to the clinic because he has been having trouble swallowing. Please talk to the patient, assess him, and discuss your initial plan of management…
A&E departmentVomiting blood - Hazel Pemberton, 27
Hazel Pemberton, aged 27, has come to the emergency department because she has been vomiting blood. Talk to the patient, take a focused history, assess her, and discuss your further plan of…
GP clinicIndigestion and heartburn - Mr Gary Quayle, 50
Mr Gary Quayle, aged 50, has come to the clinic complaining of indigestion. Talk to the patient, take a focused history and discuss your plan of management with him.
GP surgeryAbdominal swelling - John Maddox, 40 (alcohol-related liver disease)
John Maddox, aged 40, has booked an appointment because his tummy has been getting bigger. Speak with the patient, take a focused history, carry out the relevant examination (state what you…
Emergency DepartmentAbdominal pain - Mr Martin Radcliffe, 65 (intestinal obstruction)
Mr Martin Radcliffe, aged 65, has come to hospital with abdominal pain. Speak with the patient, take a focused history, ask the examiner for relevant examination findings, then explain your…
A&E departmentSevere epigastric pain - Mr Gavin Holloway, 52 (acute pancreatitis)
Mr Gavin Holloway, aged 52, has presented with severe upper abdominal pain and vomiting. Please take a focused history from the patient, request any examination findings and investigations …
GP surgeryPainful bleeding on opening bowels - Ms Róisín Doyle, 34
Ms Roisin Doyle, aged 34, has booked an appointment because of pain and bleeding when she opens her bowels. Please take a focused history from the patient, address her concerns, and discuss…
A&E departmentRight upper abdominal pain with fever and yellow eyes - Mrs Bernadette Whitlock, 64
Mrs Bernadette Whitlock, aged 64, has come to A&E with pain in the upper right side of her tummy. Please take a focused history from the patient, ask the examiner for any examination findin…
GP surgeryChronic diarrhoea and weight loss - Niamh Donnelly, 24
Niamh Donnelly, aged 24, has booked an appointment about ongoing diarrhoea and feeling generally unwell. Please take a focused history from the patient, then explain your differential diagn…
GP surgeryLower abdominal pain and bowel changes - Mrs Eunice Hartwell, 68
Mrs Eunice Hartwell, aged 68, has booked an appointment because of pain in the lower left side of her tummy along with a change in her bowel habit. Please take a focused history from the pa…
GP surgeryEpigastric pain and weight loss - Mr Albert Crowley, 61
Mr Albert Crowley, aged 61, has booked an appointment about ongoing pain at the top of his tummy. Please take a focused history from the patient, address his concerns, and explain your init…
GP surgeryWeight loss and upper abdominal pain - Mr Royston Okafor, 61
Mr Royston Okafor, aged 61, has booked an appointment because he has been losing weight and has a dull ache in the upper right side of his tummy. He has a long-standing liver condition. Tak…
GP surgeryYellow skin and weight loss - Mr Frank Holloway, 68
Mr Frank Holloway, aged 68, has booked an appointment because his wife noticed his skin and eyes have turned yellow. Take a focused history from the patient, address his concerns, and expla…
Community surgeryRecurrent epigastric pain - Mr Reuben Castellano, 58
Mr Reuben Castellano, aged 58, has booked an appointment about a burning pain in the upper part of his tummy that keeps coming back. Take a focused history, examine the patient as appropria…
Genitourinary Medicine
12 stations · all 8 minutes, spoken, marked to the PLAB rubricDisclosing a positive HIV test - Mr Adrian Okafor, 26
Mr Adrian Okafor, aged 26, attended the clinic two weeks ago reporting swollen glands that he had noticed for about a fortnight. A panel of blood tests was sent at that visit and he has now…
GP surgeryPersistent burning when passing urine - Karen Uppingham, 16
Karen Uppingham, a 16-year-old girl, has come to the clinic with burning when passing urine. Talk to the patient, take a focused history, address her concerns, and discuss your plan of mana…
GP surgeryPain passing urine and discharge - Mr Aaron Risley, 29
Mr Aaron Risley, aged 29, has booked in complaining of pain when passing urine. Talk to the patient, take a focused history including a sexual history, address his concerns, and discuss you…
GP clinicPositive syphilis blood test - Mr Marcus Threlfall, 24
Mr Marcus Threlfall, in his mid-twenties, has come to the clinic to collect the result of a blood test. Talk to the patient, take a focused and sexual history, share the result with him, ex…
GP surgery that also runs walk-inEmergency contraception request - Ms Carys Hollingworth, 24
Ms Carys Hollingworth, aged 24, has booked an urgent appointment asking for the morning-after pill. Please talk to the patient, take a relevant history, and counsel her about her options fo…
Busy surgeryCervical screening for a transgender man - Rowan Atherton, 32
Rowan Atherton, aged 32, is a transgender man (registered with the practice as male). A practice audit has flagged that Rowan still has a cervix and has never attended cervical screening. R…
Sexual health (GUM) clinicPainful genital blisters - Leila Hassan, 24 (first-episode genital herpes)
Ms Leila Hassan, aged 24, has booked in with painful blisters in the genital area and pain on passing urine for the last few days. Take a focused history, address the patient's concerns, an…
Sexual health (genitourinary medicine)HIV diagnosis and partner confidentiality - Tabitha Aldous, 34
Mr Marcus Adeyemi, aged 34, attended for a routine sexual health screen two weeks ago. His confirmatory blood tests have returned positive for HIV. He has come in today to discuss the resul…
GP surgeryLower abdominal pain - Ms Carys Hollowell, 24
Ms Carys Hollowell, aged 24, has booked an appointment because of lower abdominal pain that has been getting worse over the last few days. Please take a focused history, ask the examiner fo…
Community sexual health clinic. APositive chlamydia result after childbirth - Mrs Bethan Frost, 29
Mrs Bethan Frost, aged 29, gave birth to her first baby five weeks ago. A vaginal swab taken at her postnatal check has come back positive for chlamydia. She has come in to discuss the resu…
Integrated sexual health (GUM) clinicVaginal discharge and itch - Ms Lorraine Achterberg, 29
Ms Lorraine Achterberg, aged 29, has come in with an abnormal vaginal discharge and itch. Please take a focused history, ask the examiner for any examination findings or investigations you …
GP surgeryVaginal itch and discharge - Robyn Easterbrook, 29
Robyn Easterbrook, aged 29, has booked a same-day appointment because of vaginal itching and discharge. Please take a focused history, address the patient's concerns, and discuss your manag…
Haematology
9 stations · all 8 minutes, spoken, marked to the PLAB rubricB12 deficiency anaemia results - Brenda Maddox, 31
Brenda Maddox, 31, has been feeling tired for about a year. A locum colleague saw her last week, took initial bloods and arranged a few further tests. She has come back today for the result…
GP surgeryTiredness and bleeding gums - Mr Nigel Naylor, 30
Mr Nigel Naylor, aged 30, has booked an appointment because he has been feeling unusually tired. Talk to the patient, take a focused history, carry out any relevant examination by asking th…
GP surgeryMicrocytic anaemia on routine bloods - Mrs Jennifer Prescott, 30
Mrs Jennifer Prescott, aged 30, attended a well-woman clinic for a routine check-up. She had some blood tests done and has returned today to go over the results. Talk to the patient, take a…
GP surgeryTiredness and iron-deficiency anaemia - Ms Yvonne Rylance, 35
Ms Yvonne Rylance, aged 35, attended the practice a few days ago complaining of tiredness. She was found to look pale, so the GP arranged blood tests. She has come back today for the result…
GP surgeryAnaemia on blood tests - Mr Colin Stoddart, 55
Mr Colin Stoddart, aged 55, attended for a routine health check and had some blood tests taken at a previous visit. He has come back today for the results. Talk to the patient, take a focus…
General practiceRaised white cell count on a routine blood test - Mr Margaret Ulverston, 65
Mr George Ulverston, aged 65, attended for a routine health check and his blood tests have come back. He is here to discuss the results. Talk to the patient, take a focused history, explain…
Haematology outpatient clinicBreaking the diagnosis of chronic lymphocytic leukaemia - Mrs Eileen Hartwell, 68
Mrs Eileen Hartwell, aged 68, was referred by her GP after a routine blood test showed a raised white-cell count (lymphocytosis). She has now had a repeat blood film and flow-cytometry (imm…
General medical outpatient clinicEasy bruising and bleeding gums - Mrs Marcus Aldous, 38 (low platelets)
Mrs Priya Nandakumar, aged 38, has been referred by her GP with a new rash of tiny red spots, easy bruising and bleeding gums. Her GP did a blood test which showed a low platelet count. Ple…
GP surgerySickle cell trait counselling - Ms Adaeze Okafor, 29
Ms Adaeze Okafor, aged 29, has booked an appointment after receiving a letter saying a recent blood test showed she carries the sickle cell trait. She is planning to start a family later th…
Infectious Diseases
11 stations · all 8 minutes, spoken, marked to the PLAB rubricConfusion after a urine infection - Mr David Ingram, 77 (urosepsis)
Mr David Ingram, 77, was seen three days ago and diagnosed with a urinary tract infection. A urine culture grew E. coli (>10,000 organisms) that was sensitive to the trimethoprim he was pre…
GP surgeryLumps in the groin - Mr Owen Ibbotson, 25
Mr Owen Ibbotson, 25 years old, has booked an appointment because something is bothering him. Speak with the patient, take a focused history, assess him, then explain your working diagnosis…
Emergency DepartmentAnimal bite sustained abroad - Priya Nadarajah, 34
Ms Priya Nadarajah, aged 34, has come in with a wound on her hand after being bitten by an animal while on holiday abroad. She returned to the UK yesterday. Please take a focused history, c…
GP surgeryRequesting standby antibiotics for travel - Mr Owen Driscoll, 34
Mr Owen Driscoll, aged 34, has booked an appointment to ask you for a course of antibiotics to take with him on an upcoming trip abroad, 'just in case' he gets a stomach upset. Please talk …
Emergency DepartmentFever in a returning traveller - Priya Raman, 29
Priya Raman, aged 29, has come in with a high fever and feeling generally unwell. She returned from a holiday abroad recently. Please take a focused history from the patient, ask the examin…
GP surgeryHepatitis B positive result - Mr Tobias Adeyemi, 34
Mr Tobias Adeyemi, aged 34, attended two weeks ago for a routine new-patient health check and blood tests. His blood test has come back hepatitis B surface antigen (HBsAg) positive. He has …
GP surgeryRecurrent cold sores - Priya Nandwani, 24
Priya Nandwani, aged 24, a primary school teaching assistant, has booked an appointment about recurrent painful blistering lesions on her lip. She has had three episodes in the past year. P…
GP surgerySevere sore throat and fatigue - Erin Castellano, 19
Erin Castellano, aged 19, a university student, has come in with a severe sore throat and feeling exhausted for the past week. Please take a focused history, ask the examiner for any examin…
GP surgery in a rural part of theExpanding bull's-eye rash after a country walk - Naomi Fielding, 38
Naomi Fielding, aged 38, has booked a same-day appointment about a rash on her thigh and feeling generally unwell. Take a focused history, reach a working diagnosis, and discuss your manage…
Emergency DepartmentFever after travel - Ms Sebastian Aldous, 34
Ms Adaeze Okonkwo, aged 34, has come in with several days of fevers, shaking chills and feeling generally unwell. She returned from a trip three weeks ago. Please take a focused history fro…
GP surgeryDiarrhoea after foreign travel - Nadia Okonkwo, 31
Nadia Okonkwo, aged 31, has booked an appointment because of several days of diarrhoea after returning from a holiday abroad. A stool sample sent two days ago has now returned positive for …
Medicine
14 stations · all 8 minutes, spoken, marked to the PLAB rubricConfused and agitated care-home resident - Mrs Olive Ellison, 85 (telephone collateral)
Mrs Olive Ellison, aged 85, has just been sent in to the hospital from her care home. She is confused and agitated. Take a focused collateral history from the care-home staff member, then a…
GP / general medicine clinicBlood results review - Mrs Diana Clarks, 40 (suspected myeloma)
Mrs Diana Clarks, 40, was sent for blood tests at a previous appointment because she had been feeling tired. She has come back today for the results. Talk to the patient, take a focused his…
Medical assessment areaElderly father becoming confused - relative of John Birtwistle, 82
Mr John Birtwistle, aged 82, has been brought in by a family member because he has become increasingly muddled and confused over the past couple of weeks. The relative is in the room; the p…
GP surgeryTiredness on a new antidepressant - Mrs Margaret Dewhurst, 65 (low sodium)
Mrs Margaret Dewhurst, aged 65, booked in because she has been feeling tired. She was seen here three weeks ago for low mood and the GP started her on citalopram 10 mg once daily. Blood tes…
GP surgeryReduced kidney function on a health check - Mr Joseph Embleton, 61
Mr Joseph Embleton, aged 61, attended for a routine well-man health check. His blood results are now back and he has come in to discuss them. Speak with the patient, take a focused history,…
Emergency DepartmentRecurrent falls - Mrs Margaret Fotheringham, 78
Mrs Margaret Fotheringham, aged 78, has been brought to hospital after a fall. Speak with the patient, take a focused history, carry out the relevant examination, and discuss your managemen…
Surgical wardRecurrent falls after hip surgery - Mrs Bridget Grimshaw, 78
Mrs Bridget Grimshaw, aged 78, was admitted after a fall in which she fractured the neck of her right femur. She has had surgery and is now recovering on the ward. Your consultant has asked…
A&E departmentRecurrent falls - Mr Richard Hollis, 78 (polypharmacy)
Mr Richard Hollis, aged 78, has been brought in to hospital after a fall. Please talk to the patient, take a focused history, perform any relevant examination by asking the examiner, addres…
GP surgeryPersistent tiredness - Mr John Pattinson, 45
Mr John Pattinson, aged 45, has come to see you complaining of persistent tiredness. Talk to the patient, take a focused history, give a provisional diagnosis, discuss your management plan …
GP clinicWorried about vascular dementia - Mrs Liza Blake, 58
Mrs Liza Blake, aged 58, has booked a routine appointment for a health check-up. She wants to talk about her risk of developing dementia. Speak with the patient, take a focused history, and…
GP surgeryBlood found in urine sample - Mrs Lydia Saab, 57 (on warfarin)
Mrs Lydia Saab, aged 57, has been asked to come back to the surgery by the practice nurse to discuss her recent test results. Talk to the patient, take a focused history, explain the test r…
GP surgeryAngry about antibiotic-related diarrhoea - Mr Robert Gainsborough, 45
Mr Robert Gainsborough, 45, comes in upset. A few weeks ago his GP started him on the antibiotic flucloxacillin for a skin infection (cellulitis). He then developed troublesome diarrhoea, w…
GP surgeryBurning when passing urine - Ms Eleanor Threlfall, 35
Ms Eleanor Threlfall, aged 35, has come to the clinic to discuss her results and a problem she wants to talk about. Please talk to the patient, assess her, discuss your plan of management w…
GP surgery (this patient could equallyConfusion and flushing on a new bladder medication - Nigel Stanfield, 60
Mr Nigel Stanfield, aged 60, has come in for what he was told would be a routine review of his bladder medication. Talk to the patient, take a focused history, assess what has happened, and…
Musculoskeletal
20 stations · all 8 minutes, spoken, marked to the PLAB rubricNew headache with blurred vision - Mr Charles Kershaw, 60 (suspected giant cell arteritis)
Mr Charles Kershaw, aged 60, has booked an urgent appointment because of a problem with his eye. Talk to the patient, assess him, discuss your plan of management and address his concerns.
GP clinicAches, pain and stiffness - Marion Vereker, 74
Marion Vereker, aged 74, has come in describing several weeks of aching, soreness and stiffness across her body. Speak with the patient, take a focused history, assess her, and discuss your…
GP clinicWorried about steroid side effects (polymyalgia rheumatica) - Susan Warburton, 62
Susan Warburton, aged 62, was diagnosed with polymyalgia rheumatica (PMR) three weeks ago and has booked a follow-up appointment. Talk to the patient, take a focused history, assess her, an…
GP surgeryPainful, swollen hands - Mrs Eleanor Yardley, 53
Mrs Eleanor Yardley, aged 53, has booked in complaining of pain in her hands. Please talk to the patient, assess her, then discuss your management and address her concerns.
GP clinicPainful swollen big toe - Mr Patrick Allardyce, 40
Mr Patrick Allardyce, a 40-year-old man, has booked an appointment about a problem he is having. Speak with the patient, take a focused history, assess him, and discuss your plan of managem…
Orthopaedic wardExplaining new discharge medicines after a fall - Mr James Calderwood, 68
Mr James Calderwood, aged 68, was admitted after a fall and was found to have a fractured hip. He has been treated and is now medically fit for discharge. Please talk to the patient, take a…
Emergency DepartmentAcute lower back pain - Bill Coode, 37
Mr Bill Coode, aged 37, has come in with pain in his lower back. Speak with the patient, assess him, then discuss your management plan and address any concerns he has.
GP surgeryPersistent low back pain - Mr Rohan Verghese, 28
Mr Rohan Verghese, aged 28, has come in with low back pain that has been bothering him for several months. Please take a focused history, perform an appropriate assessment by asking the exa…
General practice surgeryTingling and numbness in the hand - Mrs Priya Venkataraman, 49
Mrs Priya Venkataraman, aged 49, has booked an appointment because of tingling and numbness in her right hand. Please take a focused history from the patient, address her concerns, and disc…
GP surgeryRadial wrist pain - Mrs Cordelia Aldous, 32
Mrs Priya Nadarajah, aged 32, has booked a routine appointment about pain on the thumb side of her right wrist. Please take a focused history, perform a relevant examination by asking the e…
GP surgeryLow back pain radiating down the leg - Mr Owen Ratcliffe, 41
Mr Owen Ratcliffe, aged 41, a warehouse operative, has booked an appointment with lower back pain that travels down his right leg. Please take a focused history, screen for any serious caus…
GP surgeryPainful stiff shoulder - Mrs Yvonne Achterberg, 54
Mrs Yvonne Achterberg, aged 54, has booked an appointment about her right shoulder, which has been painful and increasingly stiff for several months. Please take a focused history from the …
Orthopaedic outpatient clinicKnee replacement deferred for weight loss - Mrs Pauline Ackroyd, 58
Mrs Pauline Ackroyd, aged 58, has advanced osteoarthritis of the right knee confirmed on X-ray. She was referred for a total knee replacement. At the recent surgical review the consultant a…
GP surgeryChest pain reproduced by movement - Ms Celia Aldous, 29
Ms Priya Nadarajah, aged 29, has booked an urgent appointment because of chest pain. Please take a focused history, address the patient's concerns, and discuss your initial plan of manageme…
GP surgeryHeel pain - Mrs Gwendolyn Aldous, 46
Mrs Rosalind Achebe, aged 46, has come in with pain in her right heel that has been bothering her for a few weeks. Please take a focused history from the patient, address her concerns, and …
GP surgeryFingers changing colour in the cold - Katarina Aldous, 26
Niamh Donnelly, aged 26, has booked an appointment because her fingers keep changing colour when she gets cold. Please take a focused history from the patient, then discuss your likely diag…
GP surgeryPainful swollen knee and ankle - Mr Callum Hartley, 26
Mr Callum Hartley, aged 26, has come in with a painful, swollen right knee and left ankle that came on over the last few days. Please take a focused history, ask the examiner for any examin…
A&E departmentAcutely hot, swollen knee - Mabel Aldous, 54
Mr Marcus Adeyemi, aged 54, has presented with a painful, swollen right knee that came on over the last day, and says he feels feverish and unwell. Please take a focused history from the pa…
GP surgeryElbow pain on gripping - Thomasina Aldous, 44 (lateral epicondylitis)
Marcus Ellery, aged 44, a carpenter, has booked an appointment because of pain on the outer side of his right elbow. Please take a focused history, perform a relevant examination (ask the e…
GP surgeryNeck pain after a car crash - Mr Owen Treharne, 34
Mr Owen Treharne, aged 34, has booked an appointment because of neck pain and stiffness that came on after a car accident a couple of days ago. Please take a focused history from the patien…
Neurology
34 stations · all 8 minutes, spoken, marked to the PLAB rubricSudden severe headache - Mrs Helen Beresford, 53
Mrs Helen Beresford, aged 53, presented with a severe headache that started 4 hours ago. Please talk to the patient, assess the patient and discuss your initial plan of management with the …
GP surgeryOngoing chest-wall pain after shingles - Mr John Thornbury, 45
Mr John Thornbury, aged 45, has booked a follow-up appointment. He is still experiencing chest pain. Talk to the patient, take a focused history, assess him, and discuss your plan of manage…
Emergency DepartmentHeadache - Mrs Anna Morgan, 63 (giant cell arteritis)
Mrs Anna Morgan, aged 63, has attended A&E complaining of a headache. Take a focused history, perform a relevant examination by asking the examiner, and discuss your further management with…
Emergency DepartmentSudden severe headache - Mr Anthony Langley, 45
Mr Anthony Langley, aged 45, has come to the department with a headache. Talk to the patient, take a focused history, perform the relevant examination by asking the examiner, and explain yo…
A&E departmentHeadache with visual aura - Ellie Atkins, 26
Ms Ellie Atkins, aged 26, has come to the department with a headache. She was seen by the triage nurse, who recorded her observations. Take a focused history from the patient, ask the exami…
GP surgeryHeadache - Mrs Janet Norbury, 45 (band-like, stress-related)
Mrs Janet Norbury, aged 45, has booked an appointment because of headaches. Talk to the patient, take a focused history, assess her, then discuss the likely diagnosis and your management pl…
GP surgeryRecurring headache around periods - Hannah Pemberton, 17
Hannah Pemberton, aged 17, has booked an appointment because of recurring headaches. Talk to the patient, take a focused history, assess her, then discuss the likely diagnosis and your mana…
Emergency DepartmentWife's sudden weakness and slurred speech - Mr Gerald Oldroyd, 67 (transient ischaemic attack)
Mr Gerald Oldroyd, 67, has brought his wife Nancy to A&E. Earlier today she briefly developed slurred speech, a drooping face and weakness down one side, which has now resolved. You will be…
GP clinic (general practice / urgentTransient facial droop and slurred speech - Mr Elton Pickersgill, 74
Mr Elton Pickersgill, aged 74, has come to the clinic because his wife insisted he see a doctor after an episode that frightened her. Talk to the patient, take a focused history, assess him…
A&E departmentMini-stroke (TIA) - explaining to Mr Graham Rishworth, husband of Sandra, 52
Mrs Sandra Rishworth, aged 50, was brought in earlier with a brief episode of one-sided weakness and slurred speech that has now fully resolved. She has been assessed and diagnosed with a t…
GP surgeryDifficulty walking - Marion Ulph, 35 (ascending weakness)
Marion Ulph, aged 35, has booked an appointment because she is finding it hard to walk. Talk to the patient, take a focused history, assess her, and discuss your management plan with her.
General practice surgeryDriving after repeated mini-strokes - Nigel Perkins, 45
Mr Nigel Perkins, 45, attends for review. About two weeks ago he had a cluster of two or three transient ischaemic attacks (mini-strokes) over the space of a week, each lasting roughly 20-3…
Emergency departmentSeizure in a young man - Mr Wherrett (father of David, 22)
A 22-year-old man, David Wherrett, has been brought in by his father after having a seizure. Before the fit the father noticed he was behaving oddly and saying strange things. He is now con…
Outpatient clinic in the medicalRecurrent seizures on treatment - Mr Daniel Harewood, 22
Mr Daniel Harewood, aged 22, has come for a follow-up review. He was admitted to hospital around four weeks ago after having seizures and was diagnosed with epilepsy, then discharged on med…
GP clinic / A&E review settingEpilepsy review after recent seizures - Mr Edward Inglewood, 38
Mr Edward Inglewood, aged 38, was diagnosed with epilepsy around five to six years ago and is attending for a review. Talk to the patient, take a relevant history, assess his fitness, discu…
GP surgeryFirst-time seizure - Mr Martin Jessop, 60
Mr Martin Jessop, aged 60, has come to the clinic after collapsing with what sounds like a fit for the first time. Talk to the patient, take a focused history, assess him, and discuss your …
Emergency DepartmentSevere back pain with leg weakness and urinary retention - Helen Fairfax, 38
Helen Fairfax, aged 38, has come in with back pain. Talk to the patient, take a focused history, assess her, and discuss your initial management plan with her.
A&E departmentHead injury after a fall - Mr Eric Irvine, 40
Mr Eric Irvine, aged 40, was brought in by ambulance after a fall in which he hit his head. Talk to the patient, take a focused history, assess him, and discuss your initial plan of managem…
Daytime appointment in your surgerySudden one-sided facial droop - Mr Callum Whitfield, 38
Mr Callum Whitfield, aged 38, has come in because the right side of his face has dropped since he woke this morning. Please take a focused history, address the patient's concerns, and expla…
GP surgeryEpilepsy and planning pregnancy - Priya Nandakumar, 28
Miss Priya Nandakumar, aged 28, has booked an appointment because she and her partner are hoping to start a family. She has epilepsy and takes regular medication for it. Please talk to her,…
GP surgeryHand tremor - Mr Geoffrey Hartnell, 58
Mr Geoffrey Hartnell, aged 58, has booked an appointment because of a shaking in his hands that has been troubling him. Please take a focused history from the patient, then discuss your dif…
GP surgeryPersonality and behaviour change in a younger adult - Karen Aldfield (daughter of Roy, 59)
Roy Aldfield, aged 59, has been brought in by his daughter Karen, who is worried about a change in his personality and behaviour over the past 18 months. Roy has stepped outside and his dau…
General neurology outpatient clinicPredictive testing counselling - Mr Adrian Whitlock, 34 (Huntington's disease family history)
Mr Adrian Whitlock, aged 34, has booked an appointment because his father was diagnosed with Huntington's disease two years ago. He wants to talk about his own risk and whether he should ha…
GP surgeryDaily headache with visual blurring - Miss Carys Underwood, 27
Miss Carys Underwood, aged 27, has booked an appointment because of headaches she has had for several weeks. Take a focused history, screen for red-flag features, and explain your initial p…
GP surgeryNew progressive headache - Mr Gareth Whitlock, 52
Mr Gareth Whitlock, aged 52, has booked an appointment because of headaches that have been going on for a few weeks. Please take a focused history from the patient, then explain your initia…
GP surgeryChronic daily headache - Mrs Bernadette Aldridge, 44
Mrs Bernadette Aldridge, aged 44, has booked an appointment because she has a headache nearly every day and feels the painkillers are no longer working. Please take a focused history, addre…
Neurology outpatient clinic, in aStarting riluzole for motor neurone disease - Mr Raymond Ackerley, 58
Mr Raymond Ackerley, aged 58, was diagnosed two weeks ago with motor neurone disease (the amyotrophic lateral sclerosis form) after several months of progressive weakness and wasting in his…
Neurology outpatient clinicNarcolepsy and driving - Mr Callum Fairweather, 34
Mr Callum Fairweather, aged 34, has been seen by the consultant neurologist and, following a sleep study and clinical assessment, has a confirmed diagnosis of narcolepsy with cataplexy (nar…
GP surgeryTingling hands and unsteady walking - Reuben Calloway, 22
Reuben Calloway, aged 22, has booked an appointment because of tingling and numbness in his hands and feet and trouble walking steadily. Take a focused history, carry out a relevant risk as…
GP surgeryTremor and slowness - Mr Albert Whitlock, 68 (suspected Parkinson's)
Mr Albert Whitlock, aged 68, has come in because his right hand has been shaking and he feels he has slowed down over the past several months. Please take a focused history, perform relevan…
GP surgeryNumbness and tingling in the feet - Mr Raymond Ashworth, 58
Mr Raymond Ashworth, aged 58, has come in complaining of numbness and tingling in both feet. Please take a focused history, ask the examiner for any examination findings or results you woul…
/ GP trainee in a GP surgerySodium valproate and pregnancy risk - Ms Róisín Gallagher, 27
Ms Roisin Gallagher, aged 27, has booked an appointment to collect a repeat prescription for her epilepsy medicine, sodium valproate. She has been on it for several years and her seizures a…
Emergency DepartmentConfusion and headache after a fall - Mr Petra Aldous, 79
Mr Albert Crowhurst, aged 79, has been brought in by his daughter, who is worried that he has become increasingly confused, drowsy and unsteady over the last few weeks. He takes warfarin. T…
GP surgerySevere facial pain - Mrs Ursula Aldous, 58 (trigeminal neuralgia)
Mrs Bridget Halloran, aged 58, has booked an appointment because of recurrent attacks of severe right-sided facial pain. Please take a focused history, address her concerns, and discuss you…
Obstetrics & Gynaecology
52 stations · all 8 minutes, spoken, marked to the PLAB rubricFirst-trimester PV bleeding - Mrs Eleanor Crossley, 31
Mrs Eleanor Crossley, aged 31, is 9 weeks pregnant by dates and has presented with PV bleeding and cramping abdominal pain that started 6 hours ago. Please talk to the patient, assess her a…
GP surgeryPlanning a pregnancy on ramipril - Mrs Joanne Nuttall, 40
Mrs Joanne Nuttall, aged 40, has booked an appointment to talk about something on her mind. Please speak with her and address her concerns.
GP surgeryPre-pregnancy worry about cystic fibrosis - Bethany Cathcart, 39
Bethany Cathcart, aged 39, has booked in because she is hoping to start a family and is anxious that any baby she has could be born with cystic fibrosis. Speak with the patient, explore why…
GP clinicRepeat contraceptive pill and delaying a period - Ms Hannah Kitchener, 25
Ms Hannah Kitchener, aged 25, has booked an appointment asking to restart and renew the prescription for her contraceptive pills. Talk to the patient, take a focused history to assess her s…
GP surgeryRequesting the morning-after pill - Amanda Ushaw, 14
Amanda, aged 14, has walked into the clinic on her own. She has had unprotected sex and is worried. Talk to the patient, assess the situation, and address her concerns.
GP surgeryRequesting the contraceptive pill - Hannah Vavasour, 15
A 15-year-old girl has booked in to talk about a private matter. Speak with her, assess the situation, and discuss your management plan with her.
A&E departmentLower abdominal pain in early pregnancy (suspected ectopic) - Sandra Entwistle, 18
Mrs Sandra Entwistle, aged 18, has come to A&E with pain in the left lower part of her abdomen (left iliac fossa). Talk to the patient, assess her, and discuss the different steps of manage…
Obstetrics and gynaecology departmentHigh blood pressure in pregnancy (pre-eclampsia) - Mrs Emily Farnsworth, 29
Mrs Emily Farnsworth, aged 29, is 36-38 weeks into her first pregnancy. She has been referred up to the hospital by her community midwife. Speak with the patient, assess her condition, disc…
GP surgery / gynaecology clinicEarly menopause blood results - Melody Gainsborough, 27
Mrs Melody Gainsborough, aged 27, has come to the clinic to discuss her blood test results. Talk to the patient, take a focused history, explain the blood results and the management plan, a…
GP surgeryContraception advice with prior DVT - Mrs Sarah Hepworth, 28
Mrs Sarah Hepworth, 28 years old, has booked an appointment to ask for advice about contraception. Talk to the patient, take a relevant history, and discuss the different methods of contrac…
GP clinicPlanning a pregnancy with a same-sex partner - Cordelia Illingworth, 35
Mrs Ella Illingworth, aged 35, has booked an appointment to talk about wanting to start a family with her partner. Talk to the patient, take a focused history, then discuss a plan of manage…
GP surgeryCervical screening query - Linda Jerningham, 25
Mrs Linda Jerningham, aged 25, has come in after receiving an invitation for cervical screening. She has some questions about it. Please talk to the patient and address her concerns.
Gynaecology departmentPre-operative counselling for ovarian dermoid cyst removal - Sharon Knightley, 31
Mrs Sharon Knightley, aged 31, has been listed for an operation to remove an ovarian cyst (a dermoid cyst on her left ovary, around 8.5 cm in size). She has come to the pre-operative clinic…
GP surgery / urgent care clinicUnplanned pregnancy in a teenager - Alison Mason, 16
Miss Alison Mason, aged 16, has booked an emergency same-day appointment to see you. Speak with the patient, take a focused history, assess her, discuss a management plan and address her co…
Antenatal outpatient clinicFirst antenatal visit after two miscarriages - Diane Membury, 29
Mrs Diane Membury, aged 29, is 6 weeks into a new pregnancy and has been referred by her GP for her first antenatal booking appointment. She has been pregnant twice before and has no living…
Antenatal clinicAntenatal results and lifestyle counselling - Ms Ella Northcote, 28 (14 weeks pregnant)
Ms Ella Northcote, 28, is 14 weeks into her first pregnancy. She has telephoned the clinic asking to go over the results of her booking investigations and what she needs to do next. Take a …
GP surgeryChickenpox exposure in pregnancy - Ruth Oxenford, 33
Mrs Ruth Oxenford, aged 33, has booked an appointment because she is worried about something. Talk to the patient, take a focused history, address her concerns and discuss a plan of managem…
Sexual health (GUM) clinicGonorrhoea swab results - Hannah Padmore, 24
Hannah Padmore, aged 24, has booked in to collect the results of an investigation she had a few days ago. Talk to the patient, take a focused sexual history, share the result, discuss furth…
General PracticeBaby's eye infection - mother has chlamydia - Mrs Nadia Stainforth, 22
Mrs Nadia Stainforth, aged 22, is 10 days after giving birth. She has been asked to come in to speak with you. Talk to the mother, take a focused history, explain how the baby came to have …
GP clinicVaginal discharge test results (bacterial vaginosis) - Mrs Eleanor Uppingham, 30
Mrs Eleanor Uppingham, aged 30, has come in to discuss the results of tests done for vaginal discharge. Talk to the patient, take any further relevant history, explain the test results, and…
GP clinicCyclical breast pain - Mrs Amara Langley, 24
Mrs Amara Langley, aged 24, has booked an urgent appointment to discuss a problem she is worried about. Talk to the patient, assess her, carry out any relevant examination by asking the exa…
GP clinicPersistent bloating - Mrs Elizabeth Pemberton, 55
Mrs Elizabeth Pemberton, aged 55, has come to the clinic complaining of bloating. Please speak with the patient, take a focused history, perform any relevant examination, and discuss your i…
Community sexual and reproductiveUnplanned pregnancy - termination counselling - Leah Brennan, 22
Miss Leah Brennan, aged 22, has booked an appointment after a positive home pregnancy test. She has come to ask about ending the pregnancy. Talk to the patient, explore her situation and co…
GP surgeryVaginal dryness and soreness - Mrs Carol Whitfield, 58
Mrs Carol Whitfield, aged 58, has booked an appointment to discuss problems 'down below' that have been troubling her for several months. Please take a focused history, address her concerns…
Doing telephone triage calls at a GPPainful, hot breast while breastfeeding - Mrs Rhiannon Talbot, 31
Mrs Rhiannon Talbot, aged 31, has telephoned the surgery. She is breastfeeding her three-week-old baby and has rung because one of her breasts has become painful, hot and swollen. Take a fo…
Antenatal clinic of a district generalBreech presentation at 36 weeks - Beatrice Aldous, 31
Priya Nadarajah, aged 31, is 36 weeks into her first pregnancy. At her routine midwife appointment the baby was felt to be lying bottom-down, and a scan today has confirmed the baby is in a…
GP surgeryPostcoital bleeding - Mrs Rhiannon Brookfield, 38 (suspected cervical cancer)
Mrs Rhiannon Brookfield, aged 38, has booked an appointment because of vaginal bleeding after intercourse. Please take a focused history from the patient, address her concerns, and explain …
GP surgeryAbnormal smear result (high-grade dyskaryosis) - Bethan Pryce, 31
Bethan Pryce, aged 31, has booked an appointment to discuss the result of her recent cervical screening test (smear). Her sample tested positive for high-risk HPV and the cytology showed hi…
GP surgeryHPV-positive smear result - Priya Maharaj, 32
Ms Priya Maharaj, aged 32, has booked an appointment to discuss her recent cervical screening (smear) result. The laboratory result shows: high-risk HPV detected, cytology normal (no abnorm…
Antenatal clinicDown's syndrome screening counselling - Mrs Priya Nair, 34
Mrs Priya Nair, aged 34, is 12 weeks into her first pregnancy. She has been offered antenatal screening for Down's syndrome (and Edwards' and Patau's syndromes) and is unsure whether she wa…
GP surgeryPainful periods - Miss Robyn Achterberg, 19
Miss Robyn Achterberg, aged 19, has booked an appointment because of painful periods. Please talk to the patient, take a focused history, and discuss your initial plan of management with he…
GP surgeryPainful intercourse (dyspareunia) - Mrs Felicity Aldous, 29
Mrs Priya Venkataraman, aged 29, has booked an appointment about pain during sex. Please take a focused history, address the patient's concerns, and discuss your initial plan of management …
GP surgeryPostmenopausal bleeding - Mrs Glenys Ashworth, 61
Mrs Glenys Ashworth, aged 61, has booked an appointment because of vaginal bleeding. Her last menstrual period was around ten years ago. Please take a focused history from the patient, addr…
GP surgeryLong-standing painful periods and pelvic pain - Priya Bhandari, 31
Priya Bhandari, aged 31, has booked a routine appointment about long-standing painful periods and pelvic pain. Please take a focused history, address her concerns, and discuss your initial …
A&E departmentFever and offensive discharge after delivery - Mrs Imogen Aldous, 31
Mrs Priya Nair, aged 31, gave birth 8 days ago and has attended with fever, lower tummy pain and a bad-smelling discharge. Please take a focused history, ask the examiner for any examinatio…
Antenatal clinicGenital herpes in pregnancy - Rosalind Achebe, 31 (34 weeks)
Rosalind Achebe, aged 31, is 34 weeks pregnant in her first pregnancy. She was seen yesterday with painful genital blisters; a swab has confirmed herpes simplex virus and this is her first …
Antenatal clinic of a district generalHIV diagnosed on antenatal screening - Adaeze Okonkwo, 29
Mrs Adaeze Okonkwo, aged 29, is 12 weeks into her first pregnancy. Her routine antenatal booking blood tests included an HIV test, which has come back positive on both the screening and con…
Emergency DepartmentSevere vomiting in early pregnancy - Mrs Crispin Aldous, 28
Mrs Priya Nair, aged 28, is nine weeks pregnant and has attended with persistent vomiting for the past week. Please take a focused history, ask the examiner for any examination findings or …
GP surgeryRequest for a mammogram - Priya Khatri, 36
Priya Khatri, aged 36, has booked an appointment asking to be sent for a mammogram. She has no appointment-card from any screening service. Please talk to the patient, take a focused histor…
GP surgeryPainful red breast while breastfeeding - Mrs Adela Aldous, 31
Mrs Niamh Donnelly, aged 31, has booked an urgent appointment with a painful red breast. She gave birth six weeks ago and is breastfeeding. Please take a focused history, ask the examiner f…
GP surgeryHeavy periods - Mrs Bethan Hollings, 41
Mrs Bethan Hollings, aged 41, has booked an appointment because her periods have become very heavy. Please take a focused history, address her concerns, and discuss your initial plan of man…
Antenatal clinicLow-lying placenta on the 20-week scan - Mrs Frieda Aldous, 31
Mrs Adaeze Okonkwo, aged 31, is 20 weeks into her second pregnancy. Her routine anomaly (20-week) ultrasound report states that the placenta is low-lying, reaching the lower part of the ute…
Gynaecology surgical ward at 8pmFeeling faint after hysterectomy - Mrs Harriet Aldous, 52
Mrs Bernadette Whitlock, aged 52, had an abdominal hysterectomy this morning. The nursing staff have asked you to review her because she feels faint and her blood pressure has dropped. Plea…
General outpatient clinicNew breast lump after previous cancer surgery - Marianne Whitlock, 54
Marianne Whitlock, aged 54, has come in because she has felt a new lump in her left breast. She had a wide local excision (lumpectomy) for left breast cancer four years ago. Please take a f…
GP surgeryPostmenopausal bleeding - Mrs Marjorie Hollings, 61
Mrs Marjorie Hollings, aged 61, has booked an appointment because of some vaginal bleeding. Take a focused history, ask the examiner for any examination findings you would like, and discuss…
GP surgeryPregnant teenager - Mia Whitlock, 15
Mia Whitlock, aged 15, has booked an appointment on her own. A home pregnancy test she did yesterday was positive. Take a focused history, assess the situation including any safeguarding co…
GP surgeryCyclical mood and physical symptoms - Bryony Halloway, 34
Ms Bryony Halloway, aged 34, has booked an appointment because of mood changes and physical symptoms that come every month. Please take a focused history from the patient, address her conce…
Outpatient gynaecology clinicRecurrent miscarriage - Mrs Leonora Aldous, 34
Mrs Priya Nair, aged 34, has been referred after a third consecutive early pregnancy loss. She is not currently pregnant. Please take a focused history from the patient, address her concern…
GP surgeryHeavy periods and pelvic pressure - Mrs Verity Aldous, 41
Mrs Adaeze Okonkwo, aged 41, has booked an appointment about her periods. Please take a focused history, take any examination findings from the examiner, and discuss your diagnosis and init…
GP surgerySomething coming down below - Mrs Maureen Ashcroft, 62
Mrs Maureen Ashcroft, aged 62, has come to see you about a dragging feeling and a lump down below. Please take a focused history from the patient, address her concerns, and discuss your ini…
GP surgeryBurning when passing urine in pregnancy - Mrs Winifred Aldous, 29
Mrs Priya Nair, aged 29, is 20 weeks into her first pregnancy. She has booked a same-day appointment because of burning when passing urine. Please take a focused history from the patient, t…
/ GP trainee in a GP surgeryPersistent vulval lump and itch - Maureen Holloway, 68
Mrs Maureen Holloway, aged 68, has booked an appointment about a problem 'down below' that has not settled. Take a focused history from the patient, address her concerns, and explain your i…
Ophthalmology
7 stations · all 8 minutes, spoken, marked to the PLAB rubricPainful red eye - Mrs Sharon Quayle, 55 (acute angle closure glaucoma)
Mrs Sharon Quayle, aged 55, has come to the emergency department with a painful, red left eye. Please talk to the patient, assess her, and discuss your management plan with her.
GP surgeryPainless red eye - Mr Steven Radcliffe, 54
Mr Steven Radcliffe, 54, has booked an urgent same-day appointment because he is worried about something he has noticed in one of his eyes. Speak with the patient, take a focused history, a…
GP surgeryBlurred central vision - Mrs Diane Stanfield, 82
Mrs Diane Stanfield, an 82-year-old woman, has booked an appointment because she is worried about her eyesight. Talk to the patient, take a focused history, and discuss an initial managemen…
General practiceGradual blurring of vision - Edith Tindall, 82
An 82-year-old woman has come in because her eyesight has become blurry. Speak with the patient, take a focused history, and discuss your management plan with her.
GP surgeryBlurred vision and an optician's letter - Sam Roberts, 48 (diabetic retinopathy)
Mr Sam Roberts, aged 48, has booked an appointment about a new problem. He has Type 2 diabetes that has so far been managed with diet alone. Talk to the patient, take a focused history to a…
Emergency DepartmentSudden vision loss in one eye - Mrs Mary Tindall, 66
Mrs Mary Tindall, aged 66, has come in because she has lost the vision in one eye. Talk to the patient, take a focused history, carry out any relevant examination, and discuss your manageme…
Emergency DepartmentSudden loss of vision in one eye - Mrs Romilly Aldous, 74
Mrs Eleanor Whitcombe, aged 74, has come to A&E because she suddenly lost the vision in her right eye. Please take a focused history from the patient, identify any serious causes, and expla…
Paediatrics
42 stations · all 8 minutes, spoken, marked to the PLAB rubricChildhood epilepsy counselling - Mrs Karen Kitchener (mother of Molly, 10)
Molly, aged 10, was admitted after having seizures and has been diagnosed with epilepsy. She has been medically stabilised and is now fit for discharge. The neurology consultant has started…
Emergency DepartmentChild with a needlestick injury in the park - Carla Entwistle, 3 (talking to her nanny)
Three-year-old Carla Entwistle has been brought in by her childminder after picking up a discarded needle in a playground. The child is settled in the adjacent room with one of your nursing…
Paediatrics DepartmentMy toddler had a seizure with a fever - Mrs Rachel Okafor (mother of Maya, 2)
Maya, aged 2, was brought in by her mother after having a fit. She has already been assessed in the Emergency Department and referred up to you. Speak with the mother, Mrs Rachel Okafor. Ta…
General practice surgeryMother requesting tonsil surgery for recurrent sore throats - Ruth Sinclair (mother of Harry, 9)
Harry, a 9-year-old boy, has had three bouts of sore throat in the past year. The most recent was two weeks ago; the previous two were roughly three and five months before that. He was rece…
Paediatric emergency departmentAbdominal pain in a toddler - Andrew Bellamy, 18 months
Andrew Bellamy, an 18-month-old boy, has been brought in by his mother because of tummy pain. Talk to the mother, take a history, give her the likely diagnosis, explain the next steps in ma…
Paediatric emergency departmentVomiting in a 6-week-old baby - Susan Crowther (mother of baby Ava), 31
Six-week-old baby Ava Crowther has been brought in by her mother, Susan Crowther, because she has been vomiting. Talk to the mother, take a focused history, request any examination and inve…
Paediatrics departmentYellow newborn - Hannah Dunmore (mother of 15-day-old baby), 29
Theo Dunmore is a 15-day-old (3-week) baby boy brought to hospital by his mother, Mrs Hannah Dunmore. They were referred by the community midwife, who noticed yellow discolouration of the b…
GP clinicChild with constipation - Mrs Patricia Easton (mother of Toby, 3)
Mrs Patricia Easton has brought her 3-year-old son, Toby, because he has been constipated. She came to the clinic about two weeks ago, was given dietary advice, but his bowels have not impr…
GP clinicChild waking screaming at night - Mrs Helen Frobisher, 40 (mother of a 5-year-old)
Mrs Helen Frobisher, aged 40, has booked an appointment to talk to you about her 5-year-old daughter. Speak with the mother, take a focused history, address her concerns and discuss your pl…
GP surgeryChild not socialising - Mrs Linda Goddard (mother of 3-year-old son)
Mrs Linda Goddard has booked an appointment to talk to you about her 3-year-old son. She has not brought the child with her today. Speak with the mother, take a focused history, discuss you…
General practice / an early childhoodBedwetting in a 4-year-old - Mrs Naomi Harborne (mother of Elliot, 4)
Mrs Naomi Harborne, in her early thirties, has booked an appointment to talk about her four-year-old son, Elliot. Speak with the mother, take a focused history, then discuss your initial pl…
Paediatric Emergency DepartmentBaby with a head injury after a fall - Mrs Donna Jephcott (mother of 9-month-old Jane)
A nine-month-old girl, Jane, has been brought in after a fall from a sofa. She is currently alert, playful and moving all four limbs. There is a bruise on her forehead. Speak with the child…
GP clinicMMR vaccine concerns - Elizabeth Kingsley (mother of Jenny, 12 months)
Jenny, aged 12 months, is due to receive her first MMR vaccine in the next two weeks. Her mother, Mrs Elizabeth Kingsley, has booked an appointment to talk through the vaccination before go…
GP surgeryConcerns about the children's flu vaccine - Mrs Hannah Latimer, 31 (mother of a 3-year-old)
Jude Latimer, aged 3, is booked to have his nasal-spray flu vaccine next week. His mother, Mrs Hannah Latimer, has made an appointment to talk to you first. Please talk to the mother, explo…
GP surgery with a paediatric clinicNewly diagnosed childhood autism - Jennifer Maddox, 34 (mother of a 3-year-old)
Mrs Jennifer Maddox has booked in to talk about her young son. She has some worries about him. Speak with the mother, take a focused history, and address her concerns.
GP surgeryConcerns about her baby's 8-week vaccinations - Mrs Hannah Naylor, 28
Mrs Hannah Naylor, aged 28, has come in to talk about her baby. Her son Bobby is six weeks old and is due for his first set of routine childhood vaccinations in the next two weeks. Talk to …
GP clinicWorried her toddler isn't walking yet - Mary Oakley, 35 (mother of 14-month-old)
Mrs Mary Oakley, aged 35, has booked an appointment because she is worried that her 14-month-old son is not yet walking. Please talk to the mother, take a focused history, address her conce…
GP surgeryToddler not talking yet - Michael Prescott, 15 months (mother Helen)
Mrs Helen Prescott, 28, has booked in to talk about her 15-month-old son Michael. He is one of non-identical twins; his sister Isabelle is the same age. Talk to the mother, take a focused h…
Paediatric emergency departmentBreathless wheezy child - Matthew Ulverston, 7
Matthew Ulverston, a 7-year-old boy, has been brought in by his mother after an episode of breathlessness. Speak with the mother, take a focused history, discuss the likely diagnosis and th…
General practiceTelephone call about a wheezy child - Sandra Vereker (mother of Leo, 5)
Sandra Vereker, the mother of a 5-year-old boy, is on the telephone and wants to speak with you urgently. Speak with her over the phone, take a focused history, address her concerns, and di…
Paediatric emergency departmentBaby with feeding difficulty and fast breathing - Mrs Hannah Warburton (4-month-old son), 31
A 4-month-old baby boy, Oliver Warburton, has been brought in by his mother, Mrs Hannah Warburton, because he is not feeding well. Talk to the mother, Mrs Warburton, about her baby's condit…
GP surgery. There is a telephone inFeverish, breathless baby - phone call from Helen Yardley (mother), baby 10 months
The baby is Oliver Yardley, a 10-month-old boy who is unwell. His mother, Helen Yardley, rang the surgery and is on the triage list. She is worried about him. Telephone the mother, speak wi…
A&E departmentPeanut allergy - teaching a parent to use an adrenaline auto-injector - Harry Birtwistle, 4
Harry, aged 4, had an anaphylactic reaction to peanuts one month ago and was diagnosed with peanut allergy at that time. Today he was brought in by his mother, Mrs Carol Birtwistle, after a…
Paediatric wardComplaint about ward care - Mrs Ava Pickersgill, 33 (mother of premature baby)
A baby girl was born very prematurely at 24 weeks and is now 10 months old (corrected age around 5 months). She has been an inpatient since birth. Her mother, Mrs Ava Pickersgill, has asked…
A&E departmentFather unhappy with his son's care - Mr William Ravenscroft, 48
Colum, aged 22, has cerebral palsy and uses a wheelchair. He attended A&E a few days ago with bruising to his ankle after a fall from his wheelchair. He was assessed by the medical team, ex…
Paediatrics departmentMother refusing her child's IV antibiotics - Nancy Calderwood, 41 (mother of a 14-year-old with cerebral palsy)
Tom Calderwood is a 14-year-old boy with cerebral palsy. He was admitted two days ago with a cough and breathlessness. A chest X-ray showed a large area of consolidation in the right upper …
Paediatric wardPoorly controlled childhood asthma and spacer technique - Mrs Maria Driscoll (mother of Jack, 4)
Jack Driscoll, aged 4, has asthma and has been admitted to hospital with another flare-up. He has had several admissions this year for the same reason. He is settled in the next bay and a n…
GP surgeryEarache and ear discharge in a 3-year-old - Andy Vickers, 3 (mother Amber Vickers, 31)
Andy Vickers, a 3-year-old boy, has been brought in by his mother, Mrs Amber Vickers. She is worried about a problem with his ear and feels he is unwell. Talk to the mother, take a focused …
GP surgeryConcerns about a child's behaviour and attention - Mrs Carla Whitfield (mother of Leo, 7)
Mrs Carla Whitfield, aged 34, has booked an appointment about her 7-year-old son, Leo. She is worried about his behaviour and concentration. Leo is not with her today; she has come on her o…
Paediatric Emergency DepartmentSwallowed object in a toddler - Mrs Priya Ramanathan (mother of Aanya, 2)
Aanya Ramanathan, aged 2, has been brought in by her mother who says the child has swallowed something. The child is in the cubicle with her mother. You are speaking with the mother. Take a…
GP surgeryDiarrhoea and vomiting in a baby - Sophie Hartley (mother of Oliver, 14 months)
Ms Sophie Hartley has brought in her 14-month-old son, Oliver, who has had diarrhoea and vomiting for the last two days. Take a focused history from the mother, assess for features of dehyd…
Paediatric outpatient clinicSudden bruising in a child - Leah Okafor, 4 (immune thrombocytopenia)
Leah Okafor, aged 4, has been brought in by her mother after developing widespread bruising and a pinprick rash over the last few days. A full blood count taken by the GP shows an isolated …
Covering the out-of-hours GP telephoneUnwell young infant - telephone triage call from Mrs Priya Mahaling, mother of Anaya (7 weeks)
Mrs Priya Mahaling has called about her daughter Anaya, who is 7 weeks old. She says the baby seems unwell - not feeding properly, hot, and breathing oddly. Take a focused telephone history…
Paediatric assessment unitPersistent high fever in a young child - Esme Hartfield, 3
Esme Hartfield, aged 3, has been brought in by her mother. She has had a high fever for the past six days that has not settled despite regular paracetamol and ibuprofen. Please take a focus…
GP surgeryChild with fever and rash - Maisie Holloway, 4 (parent: Becca Holloway)
Mrs Becca Holloway has brought her 4-year-old daughter, Maisie, who has had a high fever for several days and has now developed a rash. Take a focused history from the mother, address her c…
GP surgery / community paediatric clinicHeart murmur found at the baby check - Baby Rosa (parent Leona Whitfield), 6 weeks
Leona Whitfield has brought her 6-week-old daughter Rosa. At Rosa's 6-week baby check earlier today another clinician heard a heart murmur and asked the mother to see you to discuss it. Tak…
Paediatric outpatient clinicToddler with abdominal swelling and weight loss - parent of Rumi Acharya, 2
Nadia Acharya has brought her 2-year-old daughter, Rumi, because she has noticed a swelling in the child's tummy and that she has been losing weight. The child is in the waiting area with a…
GP surgeryRecurrent childhood infections - Leo Hartley, 3 (mother, possible immunodeficiency)
Mrs Priya Hartley has brought a concern about her 3-year-old son, Leo, who keeps getting chest and ear infections. Leo is not with her today. Please take a focused history from Leo's mother…
Community surgeryChild with a rash and sore throat - Mrs Bethan Carwardine (mother of Erin, 6)
Mrs Bethan Carwardine has brought her 6-year-old daughter, Erin, who has had a sore throat and fever for two days and has now developed a rash. Erin is in the room but is shy and lets her m…
GP surgeryToddler temper tantrums - Mrs Bryony Halliwell (mother of Oscar, 2)
Mrs Bryony Halliwell, aged 31, has booked an appointment about her 2-year-old son Oscar, who has frequent temper tantrums. Oscar is not with her today. Talk to Mrs Halliwell, take a focused…
GP surgeryFever and stinging on weeing in a toddler - Bethan Whitcombe (mother of Nia, 2)
Nia Whitcombe, aged 2, has been brought in by her mother. She has had a temperature for two days and her mother has noticed she cries and seems to sting when passing urine. Take a focused h…
GP surgeryParent declining childhood vaccinations - Rosie Allbright, 29 (mother of 12-month-old)
Rosie Allbright, aged 29, has brought her 12-month-old daughter, Maple, for her routine one-year immunisations. She has told the practice nurse she does not want Maple to have any of the va…
Palliative / Pain Medicine
6 stations · all 8 minutes, spoken, marked to the PLAB rubricCancer pain control - Mrs Maureen Kershaw, 74 (metastatic breast cancer)
Mrs Maureen Kershaw, aged 74, has come to talk about worsening back pain. She has known metastatic breast cancer with spread to the bones and is under palliative care. Talk to the patient, …
Acute Medicine UnitCancer pain control in metastatic prostate cancer - Mr Malcolm Langley, 66
Mr Malcolm Langley, aged 66, has been referred to you from the Oncology department for help with his pain. Talk to the patient, set out your plan to manage his pain, and address any concern…
/ GP trainee in a GP surgeryBuprenorphine pain patch counselling - Mrs Dorothy Aldington, 68
Mrs Dorothy Aldington, aged 68, has chronic low back pain (osteoarthritis and an old vertebral wedge fracture). Her usual GP started her on a low-dose buprenorphine 5 microgram/hour transde…
Community palliative care outpatientRequest for help to die - Mrs Eleanor Whitcombe, 64 (motor neurone disease)
Mrs Eleanor Whitcombe, aged 64, has motor neurone disease diagnosed eighteen months ago. Her condition is progressing and she is under the palliative care team. She has booked this appointm…
Acute medical ward during the eveningDrowsy patient on morphine - daughter of Mr Edmund Whitlock, 78
Mr Edmund Whitlock, aged 78, was admitted with metastatic prostate cancer and bone pain. He is on regular oral morphine for pain. Over the last few hours he has become increasingly drowsy a…
General medical wardRefusing IV antibiotics - Mrs Marjorie Whitlock, 78 (terminal bladder cancer, UTI)
Mrs Marjorie Whitlock, aged 78, has advanced (terminal) muscle-invasive bladder cancer with bony spread and is under the palliative care team. She was admitted two days ago and has now deve…
Psychiatry
31 stations · all 8 minutes, spoken, marked to the PLAB rubricLow mood with suicidal thoughts - Mr Thomas Ashworth, 34
Mr Thomas Ashworth, aged 34, has come in saying he has 'been feeling really low' for a few months. Please talk to the patient, assess his mood and risk, and discuss your initial management …
GP clinicTrouble sleeping - Mrs Eleanor Linfield, 65
Mrs Eleanor Linfield, aged 65, has booked an appointment because she has been struggling to sleep. Please talk to the patient, take a history, assess her, and discuss an initial management …
GP surgeryTrouble sleeping, asking for sleeping pills - Daniel Netherwood, 26
Mr Daniel Netherwood, aged 26, has booked an appointment to discuss a problem. Talk to the patient, take a focused history, assess him, and address his concerns.
Community psychiatry clinicWeight loss - Sophie Hargreaves, 18
Ms Sophie Hargreaves, aged 18, has been referred to you by her GP because of weight loss. Please speak with the patient, explore her concerns, carry out a focused history and risk assessmen…
Elderly-care clinic / general practiceMother with dementia, carer support - Samantha Winterbottom, 40 (daughter)
Mrs Samantha Winterbottom, aged 40, has arranged a telephone appointment to talk about her mother. Telephone the patient's daughter, take a brief collateral history about the mother, and ad…
A&E departmentConfused man found wandering - cognitive assessment - Mr Albert Verity, 77
Mr Albert Verity, aged 77, has been brought to the department by the police. Talk to the patient and assess his cognitive function. Then explain your findings and your proposed further plan…
Medicine / Care of the Elderly wardMemory concern after a fall - Mr Brian Whitaker, 80 (cognitive assessment)
Mr Brian Whitaker, an 80-year-old man, was admitted after a recent fall and has been diagnosed with postural (orthostatic) hypotension. He is now being planned for discharge. Talk to the pa…
Psychiatry departmentSelf-harm after overdose and wrist-cutting - Meryl Clarks, 16
Miss Meryl Clarks, aged 16, swallowed a number of tablets last night and cut her wrist earlier this morning. Talk to the patient, take a history, carry out a risk assessment and discuss you…
A&E departmentParacetamol overdose - Elliot Carmichael, 19
Elliot Carmichael, a 19-year-old student, has come to hospital after swallowing a number of paracetamol tablets. Please speak with the patient, take a focused history, assess him, and outli…
Surgical wardAlcohol use assessment - Mrs Maureen Pennington, 50
Mrs Maureen Pennington, aged 50, came in for a hysteroscopy. The result is normal and she is medically ready to be discharged home. Please speak with her about her alcohol use and discuss h…
Psychiatry / community drug and alcoholOpioid dependence - wanting to quit heroin - Kevin Fairfax, 35
Mr Kevin Fairfax, aged 35, has been referred to you. He says he wants to stop using drugs. Talk to the patient, take a focused history, explore his opioid use and discuss the management opt…
General PracticeWorried mother - weight loss in a teenage daughter - Pauline Lockwood, 42
Mrs Pauline Lockwood has booked an appointment and has brought her 15-year-old daughter, Maisie Lockwood, with her. She has worries about her daughter. Please speak with them, take a focuse…
GP surgeryUnexplained weight loss - Naomi Thornbury, 27
Naomi Thornbury, aged 27, has booked an appointment to talk about a problem that has been troubling her. Talk to the patient, take a focused history, assess her, and discuss your initial pl…
GP clinicPersistent tiredness and low mood - Mrs Hazel Ashworth, 35
Mrs Hazel Ashworth, aged 35, has booked an appointment because she has been feeling tired. Talk to the patient, assess her, and discuss your initial plan of management with her.
GP clinicTrouble sleeping and low mood - Adrian Redfern, 50
Mr Adrian Redfern, aged 50, has booked an appointment because he has not been sleeping well. Talk to the patient, take a focused history, assess him, then discuss your initial plan of manag…
GP surgery, taking a booked telephoneLow mood after childbirth - Brenda Marsden, 33
Mrs Brenda Marsden, aged 33, has rung the surgery wanting to talk about trouble sleeping. She gave birth around five months ago. Speak with the patient over the phone, take a focused histor…
GP surgeryLow mood after his partner's miscarriage - Nigel Calloway, 33
Nigel Calloway, aged 33, has booked an appointment because he has been feeling low. Speak with the patient, take a focused history and assess him, then discuss your initial management plan …
GP clinicDepression review - CBT not helping - Gillian Hartley, 40
Ms Gillian Hartley, aged 40, has booked a telephone-style review appointment. Talk to the patient, take a focused history, discuss your initial management plan and address her concerns.
A&E departmentBelief of being followed by police - Trevor Sinclair, 29
Trevor Sinclair, aged 29, has been brought to the department by the police. He is convinced that the police have been following him, so he walked into a police station to hand himself in. T…
GP clinicBelieves he is being followed and recruited as a spy - Marcus Beaumont, 29
Marcus Beaumont, aged 29, has come in to see you. There is a note from another GP in the room for you to read. Talk to the patient, take a focused psychiatric history and mental state asses…
GP surgery running a medication reviewWeight gain on antipsychotic medication - Marcus Adeyemi, 29
Marcus Adeyemi, aged 29, has been taking olanzapine for the past nine months for a first episode of psychosis. He has booked an appointment because he has gained a lot of weight and is unha…
GP surgeryBinge eating and self-induced vomiting - Hannah Whitlock, 23
Hannah Whitlock, aged 23, has booked an appointment saying she wants help with her eating. She has not seen a doctor about this before. Take a focused history, carry out a risk assessment, …
GP surgeryStarting an antidepressant (citalopram) - Ms Rhiannon Tovey, 24
Ms Rhiannon Tovey, aged 24, was seen by a GP colleague last week with moderate depression and low mood. After a discussion she agreed to start an antidepressant, and citalopram 20 mg once d…
GP surgeryGender identity distress - Riley Ashworth, 15
Riley Ashworth, 15, has booked a routine appointment and asked the receptionist to be seen alone. Riley was assigned female at birth, now identifies as a boy, and wishes to be called Riley …
GP surgeryPersistent worry and restlessness - Mrs Rosalind Aldous, 34
Mrs Priya Venkataraman, aged 34, has booked an appointment because she has been feeling 'on edge' and unable to switch off her worrying for several months. Please take a focused history, as…
Routine surgery appointmentPersistent fear of serious illness - Mrs Bethan Lockyer, 41
Mrs Bethan Lockyer, aged 41, has booked to see you about her ongoing worry that she has a serious illness. Her electronic record shows multiple recent appointments and normal results: full …
Emergency DepartmentTremor, vomiting and unsteadiness on lithium - Mrs Brenda Holloway, 68
Mrs Brenda Holloway, aged 68, has been brought in by her daughter because she has been shaky, vomiting and unsteady on her feet. She takes lithium for bipolar disorder. Take a focused histo…
GP surgeryDistressing intrusive thoughts and repeated checking - Ms Priya Sandhu, 29
Ms Priya Sandhu, aged 29, has booked an appointment because she has been struggling with distressing thoughts and behaviours that are taking over her day. Please take a focused history, ass…
GP surgeryFlashbacks and nightmares after a crash - Marcus Ellery, 34
Marcus Ellery, aged 34, has booked an appointment saying he has not been himself since a road traffic collision about four months ago. Please take a focused history, carry out a risk assess…
GP surgeryMultiple persistent physical symptoms with normal tests - Mrs Carys Ellington, 41
Mrs Carys Ellington, aged 41, has booked a same-day appointment. She has attended the surgery many times over the past several months with a range of physical complaints. Her notes show rep…
GP surgeryExhausted and overwhelmed at work - Mr Owen Brightwell, 38
Mr Owen Brightwell, aged 38, has booked a same-day appointment. He looks exhausted and tells the receptionist he has come because he 'can't cope with work anymore' and wants a sick note. Pl…
Respiratory
20 stations · all 8 minutes, spoken, marked to the PLAB rubricAcute asthma exacerbation - Ms Charlotte Aldridge, 29
Ms Charlotte Aldridge, aged 29, presented with worsening shortness of breath and wheezing over the past 6 hours. Please talk to the patient, assess severity, and discuss your initial manage…
A&E departmentCOPD exacerbation - Mr Terry Walsh, 69
Mr Terry Walsh, aged 69, presented with worsening shortness of breath and a productive cough over the past 3 days. Please talk to the patient, assess severity, and discuss your initial plan…
A&E departmentPleuritic chest pain - Linda Ashworth, 27
Linda Ashworth, aged 27, has come to hospital reporting chest pain. Talk to the patient, take a focused history, assess them, and discuss your management plan with them.
Acute Medical UnitBreathlessness and weight loss - Mr Adam Redfern, 65 (suspected lung malignancy)
Mr Adam Redfern, aged 65, has been sent in by his GP with breathlessness and weight loss. His GP arranged a chest X-ray, which has already been done and is available in the cubicle. Take a …
Respiratory outpatient clinicChronic cough and breathlessness - Mrs Barbara Marsden, 72
Mrs Barbara Marsden, aged 72, has come to see you with a cough that has been going on for the last few months. Talk to the patient, take a focused history, and assess her condition. Give yo…
Acute Medicine UnitCough and breathlessness - Mr Ryan Calloway, 24
Mr Ryan Calloway, 24, has come to hospital with a cough and breathlessness that have built up over several weeks. He may also be losing weight. Talk to the patient, assess him, request the …
A&E / acute medicineCough and breathlessness - Ms Elizabeth Hartley, 29
Ms Elizabeth Hartley, aged 29, has come in with a cough and breathlessness. Speak with the patient, take a focused history, assess her, and outline your initial plan of management.
Emergency DepartmentBreathlessness on exertion - Mr Richard Sinclair, 22
Mr Richard Sinclair, aged 22, has come in complaining of shortness of breath, sometimes accompanied by a wheeze. Take a focused history, assess the patient, and discuss the likely diagnosis…
A&E (or in general practice)Shortness of breath - Jennifer Beaumont, 35
Jennifer Beaumont, aged 35, has come in with shortness of breath. Talk to the patient and assess her. At the 6-minute bell, discuss your differential diagnoses with the examiner, then discu…
Emergency DepartmentCough and breathlessness - Mr Allen Fenwick, 72 (sepsis from pneumonia)
Mr Allen Fenwick, aged 72, has come in with breathlessness and a cough. He was referred by his GP. Talk to the patient, take a relevant history, assess him, and discuss your initial managem…
A&E departmentCough and breathlessness - Mrs Karen Galbraith, 72 (sepsis from pneumonia)
Mrs Karen Galbraith, aged 72, has been sent in from her care home with a bad cough and breathlessness. Speak with the patient, take a focused history, assess her, and discuss your initial m…
Acute Medical UnitConfusion and breathlessness - Mr Albert Hawkins, 67 (chest sepsis)
Mr Albert Hawkins, 67, has been brought in by ambulance from his care home. He has a five-year history of COPD and has become confused over the last day or so. Speak with the patient, gathe…
Medical department (the case mayTiredness and a changed cough - Mrs Linda Cathcart, 67 (low sodium, suspected lung cancer)
Mrs Linda Cathcart, aged 67, has come in because she has been feeling tired. She attended the COPD clinic for her yearly review, was assessed there, and had some tests arranged. The COPD te…
GP clinicDaytime sleepiness and loud snoring - Gareth Mostyn, 45
Mr Gareth Mostyn, aged 45, has booked an appointment because of problems with his sleep. Speak with the patient, take a focused history, assess him, and discuss your initial plan of managem…
General Medicine departmentCOPD review and smoking cessation - Mr Trevor Yeardley, 65
Mr Trevor Yeardley, aged 65, has attended for a routine annual review. Talk to the patient, take a focused history, and discuss management with him.
General medicine wardAsthma discharge and inhaler counselling - George Abberley, 22
George Abberley, 22, was admitted three days ago with a severe asthma attack - his first ever. This is also his first diagnosis of asthma, made four weeks ago. He has recovered well and is …
Emergency DepartmentBreathlessness on exertion - Mr Colin Banister, 22
Mr Colin Banister, aged 22, has come in with shortness of breath. He is currently settled and comfortable. Speak with the patient, take a focused history, assess him, and discuss a manageme…
Respiratory outpatient clinicCough and coughing up blood - Mr Raymond Holloway, 70
Mr Raymond Holloway, aged 70, has been referred to the clinic with a cough and episodes of coughing up blood. Speak with the patient, take a focused history, assess him, and discuss your in…
GP surgeryDemand for antibiotics with a viral cold - Mr Andrew Hartley, 27
Mr Andrew Hartley, aged 27, has come to the practice today. He was seen here by a nurse practitioner two days ago with a runny nose, sore throat, sneezing and a cough. A throat swab grew no…
Emergency DepartmentHeadache and dizziness - Mrs Lorna Whitfield, 41 (carbon monoxide)
Mrs Lorna Whitfield, aged 41, has come in with a few days of headaches, dizziness and feeling sick. Please take a focused history from the patient, take any examination findings and investi…
Surgical
15 stations · all 8 minutes, spoken, marked to the PLAB rubricConstipation after hip surgery - Mrs Sarah Underwood, 78
Mrs Sarah Underwood, aged 78, is an inpatient. She had a hip replacement (for a fractured neck of femur) four days ago and has not opened her bowels since she was admitted. Her surgical pai…
GP clinicSwollen, lumpy leg veins - Elizabeth Northcote, 33
Elizabeth Northcote, aged 33, has come to the clinic about swelling in her leg. Please talk to the patient, take a relevant history, assess her, and discuss your plan of management with her.
Accident & Emergency departmentAcute loin pain - Mr Matthew Bramwell, 27
Mr Matthew Bramwell, aged 27, has come to hospital with pain in his left loin and back. Please talk to the patient, take a focused history, assess him, and discuss your management plan with…
GP surgeryPersistent back pain - Mr Stanley Carmichael, 58 (suspected prostate cancer)
Mr Stanley Carmichael, aged 58, has come to the clinic complaining of back pain. Talk to the patient, take a focused history, assess him, and discuss further management with him while addre…
A&E departmentPain and swelling at a hernia operation site - Kevin Mortimer, 50
Mr Kevin Mortimer, aged 50, has come in with pain and swelling at the site of a recent operation. He had an open repair of a right groin (inguinal) hernia three weeks ago, which was done as…
Surgical departmentWound infection after leg cyst removal - Miss Pauline Norbury, 29
Miss Pauline Norbury, aged 29, had a minor operation two weeks ago to remove a cyst from her leg as a day case. A few days afterwards she developed an infection at the wound site, was readm…
GP surgeryWorried about prostate cancer - Mr Gareth Tindall, 60 (PSA testing request)
Mr Gareth Tindall, aged 60, has booked an appointment because he wants to discuss having a PSA blood test for prostate cancer. Talk to the patient, take a focused assessment, and address hi…
Surgery departmentPre-op assessment for ankle screw removal - Mr Trevor Underwood, 48
Mr Trevor Underwood, aged 48, has come to the hospital for his pre-operative assessment. He is booked in two weeks' time to have the metalwork (a screw) removed from his ankle, under genera…
Surgical departmentInguinal hernia repair - explanation and concerns - Mr Gerald Vickers, 45
Mr Gerald Vickers, aged 45, has been listed for a right inguinal hernia repair. Explain the operation to the patient and address any concerns he has.
Orthopaedics departmentPost-operative care after hip replacement - Mrs Beatrice Wadsworth, 78
Mrs Eleanor Wadsworth, aged 78, was admitted after a fall with a fractured neck of femur. She is scheduled for a hemiarthroplasty (partial hip replacement). Talk to the patient. Counsel her…
Surgery (orthopaedics) departmentPost-op management after knee replacement - Mrs Linda Yates, 65
Mrs Linda Yates, aged 65, is listed for a knee replacement for osteoarthritis and has come in with some concerns before her operation. Please talk to the patient, address her concerns and c…
Emergency DepartmentAnkle injury X-ray results - Margaret Ackroyd, 29
Margaret Ackroyd, 29, has returned to the department to get the result of the ankle X-ray that was taken yesterday. Talk to the patient, explain what the X-ray shows, discuss how she should…
GP clinicBreast lump - Mrs Patricia Jardine, 24
Mrs Patricia Jardine, aged 24, has booked an urgent appointment after feeling a lump in her breast. Talk to the patient, take a focused history, carry out the relevant examination (the exam…
Emergency DepartmentSudden painful cold leg - Mrs Pauline Hartwell, 72
Mrs Pauline Hartwell, aged 72, has come to A&E with a sudden onset of pain in her right leg that started a few hours ago. Please take a focused history from the patient, ask the examiner fo…
Emergency DepartmentRight-sided abdominal pain - Ms Robyn Falconer, 24
Ms Robyn Falconer, aged 24, has come in with abdominal pain. Please take a focused history, ask the examiner for any examination findings or investigations you need, and discuss your initia…
Urology
15 stations · all 8 minutes, spoken, marked to the PLAB rubricBurning when passing urine - Mr Albert Stainforth, 75
Mr Albert Stainforth, aged 75, has come to the surgery because it stings when he passes water. Talk to the patient, take a focused history, assess him, and discuss your plan of management w…
GP surgeryBurning when passing urine - Daniel Verity, 25
Daniel Verity, aged 25, has booked in today with a urinary problem. Talk to the patient, take a focused history, carry out any relevant examination, and discuss your initial plan of managem…
GP surgeryBlood in the urine - Mr Frank Whitaker, 57
Mr Frank Whitaker, aged 57, has booked an appointment because he has noticed blood in his urine. Take a focused history, assess the patient, and discuss your management plan with him.
GP clinicErectile difficulties - Mr Alan Radcliffe, 58
Mr Alan Radcliffe, aged 58, has booked a routine, non-urgent appointment to talk about something that is troubling him. Talk to the patient, take a focused history, assess him, discuss your…
GP surgeryWorried about a testicular lump - James Ellison, 20
Mr James Ellison, aged 20, has booked an urgent same-day appointment to see you. Please talk to the patient, assess him, discuss the management plan with him and address his concern.
GP clinicScrotal swelling - Mr Owen Fenwick, 36 (hydrocoele)
Mr Owen Fenwick, aged 36, has booked an appointment because he is worried about his testicle. Talk to the patient, take a focused history, assess him, then discuss your management plan and …
GP surgeryTesticular pain - David Galbraith, 27
Mr David Galbraith, aged 27, has booked an appointment because of pain in one of his testicles that has lasted three days. Speak with the patient, take a focused history, carry out the rele…
GP clinicWaking to pass urine at night - Mr Oliver Hawkins, 58
Mr Oliver Hawkins, aged 58, has come back to the GP clinic for a review. Talk to the patient, assess him, then discuss your management plan and address his concerns.
GP surgeryPainful urination with fever - Mr Raymond Okafor, 54 (acute prostatitis)
Mr Raymond Okafor, aged 54, has booked an urgent appointment because of pain when passing urine and feeling generally unwell. Please take a focused history, ask the examiner for any examina…
Community surgeryUrinary leakage and urgency - Marion Holloway, 58
Marion Holloway, aged 58, has booked an appointment to discuss bladder problems she has been having for several months. Please take a focused history from the patient, address her concerns,…
GP surgeryUrinary urgency and leakage - Mrs Bridget Halloran, 58
Mrs Bridget Halloran, aged 58, has booked an appointment about problems with her bladder. Take a focused history, address the patient's concerns, and discuss your initial plan of management…
GP surgeryNon-healing lesion on the penis - Mr Raymond Whitlock, 67
Mr Raymond Whitlock, aged 67, has booked an appointment about a sore on his penis that has not gone away. Please take a focused history from the patient, address his concerns, and explain y…
GP surgery with rapid access toCola-coloured urine and facial swelling in a child - Mrs Isolde Aldous (mother of Chidi, 7)
Chidi Okonkwo, a 7-year-old boy, has been brought in by his mother because his urine has turned a dark cola colour and his face looks puffy. His mother is in the room; Chidi is sitting quie…
GP surgeryUrinary leakage on coughing - Mrs Ottoline Aldous, 44
Mrs Bernadette Whitlock, aged 44, has booked an appointment because she has been leaking urine. Take a focused history, ask the examiner for any examination or investigation findings you ne…
GP surgeryVasectomy counselling - Mr Declan Hartnett, 41
Mr Declan Hartnett, aged 41, has booked an appointment to ask about having a vasectomy. He feels his family is complete and wants to understand what the procedure involves before deciding. …
Free PLAB 2 stations by specialty
- Ethical / Communication 62
- Obstetrics & Gynaecology 52
- Paediatrics 42
- Neurology 34
- Psychiatry 31
- Cardiovascular 27
- Gastrointestinal 27
- Dermatology 25
- Endocrine 24
- Musculoskeletal 20
- Respiratory 20
- ENT 19
- Surgical 15
- Urology 15
- Medicine 14
- Genitourinary Medicine 12
- Infectious Diseases 11
- Haematology 9
- Ophthalmology 7
- Palliative / Pain Medicine 6
- Breast Surgery 2
- History Taking 279
- Counselling 138
- Breaking Bad News 9
- Risk Assessment 12
About these PLAB 2 stations
PLAB 2 stations are the eight-minute cubicles that make up the GMC's practical exam: a task card on the door, a patient inside, and a mark scheme across data gathering, clinical management and interpersonal skills. Every station above runs exactly that way, out loud, with your transcript marked to the PLAB rubric the moment you finish.
The list follows the published PLAB 2 syllabus across every specialty; no recalled exam content is used. Not sure where to begin? Start with the 20 most common PLAB 2 stations, read the PLAB 2 practice guide for how to drill them properly, or follow the week-by-week preparation guide.
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