PACES case library

    265 validated stations — filter by type and specialty, then practise with AI voice patients and real exam timing.

    Browse 265 validated MRCP PACES practice stations — 119 consultation, 78 communication, and 68 examination cases. Each page gives a spoiler-free preview; sign up to practise with AI voice patients and examiner marking.

    Showing 265 of 265 stations

    ConsultationGeneralpass

    Abdominal Pain — Multiple Causes

    Three years of recurrent severe abdominal pain lasting 1–3 days then resolving completely; multiple A&E visits; appen…

    ConsultationGastroenterologypass

    Abdominal Pain — Peptic Ulcer Disease

    Recurrent epigastric pain for four months, worse at night and in the early morning, associated with nausea and some r…

    ConsultationGeneralpass

    Acromegaly

    Progressive coarsening of facial features, enlargement of hands and feet, and worsening headaches over the past five …

    ConsultationHaematologypass

    Acute Chest Syndrome in Sickle Cell Disease

    The patient has been referred for assessment of an underlying condition.

    ConsultationGeneralpass

    Addison's Disease

    Four-month fatigue, weight loss, nausea, intermittent dizziness; sodium 129 mmol/L and potassium 5. 8 mmol/L at GP. …

    ConsultationHepatologypass

    Alcoholic liver disease

    Yellowing of the skin and whites of his eyes for 2 weeks, associated with increasing abdominal swelling and fatigue

    ConsultationGastroenterologypass

    Altered Bowel Habits — Colorectal Cancer

    A 3-month history of change in bowel habit with looser, more frequent stools, fresh and dark rectal bleeding, passage…

    ConsultationCardiologypass

    Anaemia in Patient with Metallic Aortic Valve

    Four-month history of progressive fatigue, breathlessness on exertion, and dark-coloured urine in a man with a previo…

    ConsultationRheumatologypass

    Ankylosing Spondylitis

    Three-year history of low back pain and morning stiffness >1 hour, improving with exercise and worse with rest; two p…

    ConsultationCardiologypass

    Aortic stenosis

    A 68-year-old retired man presenting with a 3-month history of central chest tightness on exertion and increasing bre…

    ConsultationCardiologypass

    Atrial Fibrillation

    A 65-year-old man presenting with a six-week history of intermittent palpitations, fatigue, and occasional mild breat…

    ConsultationHepatologypass

    Autoimmune hepatitis

    Progressive fatigue, yellowing of the skin and eyes, and dark urine over the past 6 weeks

    ConsultationNephrologypass

    Autosomal Dominant Polycystic Kidney Disease (ADPKD)

    Intermittent left-sided flank pain and visible blood in the urine; family history of kidney disease; BP 165/100 mmHg;…

    ConsultationGeneralpass

    Back Pain — Inflammatory Spondyloarthropathy

    18-month history of low back pain and swollen knee; morning stiffness. The patient has been referred for assessment …

    ConsultationGeneralpass

    Back Pain — Mechanical/Secondary Causes

    Four-month progressive back pain worse lying flat at night with 6 kg unintentional weight loss; poor response to anal…

    ConsultationNeurologypass

    Bacterial Meningitis

    James has come in feeling extremely unwell over the past 12 hours with a severe worsening headache, high fever, sensi…

    ConsultationRheumatologypass

    Behçet's Syndrome

    Recurrent painful mouth sores occurring several times a year, associated with painful sores in the genital area, occa…

    ConsultationRespiratorypass

    Bronchiectasis

    Five-year history of daily productive cough with large volumes of discoloured sputum and recurrent chest infections r…

    ConsultationCardiologypass

    Cardiac failure

    A PACES consultation station presenting with undifferentiated symptoms. Take a focused history, perform relevant exam…

    ConsultationNeurologypass

    Cerebral Venous Sinus Thrombosis

    Two-week progressive headache worse on waking, blurred vision, and one 10-minute episode of right arm weakness. Soph…

    ConsultationCardiologypass

    Chest Pain — Pericarditis

    Sharp central and left-sided chest pain that is worse when lying flat and on breathing in, and better when sitting fo…

    ConsultationCardiologypass

    Chest Pain — Pulmonary Embolism

    Sudden onset right-sided sharp chest pain worsening on breathing and breathlessness starting approximately 18 hours a…

    ConsultationCardiologypass

    Chest Pain — Pulmonary Hypertension (Female)

    A 34-year-old woman presents with an 18-month history of progressively worsening breathlessness on exertion, one epis…

    ConsultationCardiologypass

    Chest Pain — Stable Angina

    Three-month history of intermittent chest discomfort, variably related to exertion, with associated cardiovascular ri…

    ConsultationCardiologypass

    Chest Pain and Breathlessness — Aortic Stenosis with Heart Failure

    Four weeks of progressively worsening breathlessness and chest tightness on minimal exertion, now occurring at rest a…

    ConsultationGastroenterologypass

    Chronic Diarrhoea — Coeliac Disease

    Eighteen months of chronic diarrhoea, bloating, fatigue, and 6 kg weight loss; stools pale, bulky, and difficult to f…

    ConsultationNeurologypass

    Chronic Headache

    Daily headache for 18 months with near-daily OTC analgesics; dull bilateral pressure-like pain; past migraine at age …

    ConsultationHepatologypass

    Chronic Liver Disease — Alcoholic Cirrhosis

    Fatigue, abdominal distension, and two episodes of vomiting blood; history of heavy alcohol use; deranged liver funct…

    ConsultationGastroenterologypass

    Chronic Pancreatitis

    Recurrent severe epigastric pain radiating to the back with 12 kg weight loss and offensive fatty stools; history of …

    ConsultationNephrologypass

    CKD stage 4

    Progressive fatigue, reduced urine output, leg swelling, and nocturia over several months in a man with long-standing…

    ConsultationGeneralpass

    Collapse in Young Patient — Familial Arrhythmia

    A 22-year-old man presents after collapsing without warning during a swimming session, with rapid and complete recove…

    ConsultationRespiratorypass

    COPD

    Mr Thompson is a 68-year-old retired builder presenting with three months of progressively worsening breathlessness o…

    ConsultationGastroenterologypass

    Crohn's disease

    Three-year history of recurrent cramping abdominal pain and loose stools, worsening over the past two months with ass…

    ConsultationGastroenterologypass

    Cushing's Syndrome

    Victoria has been experiencing progressive weight gain predominantly around her abdomen and face, easy bruising, incr…

    ConsultationHepatologypass

    Decompensated liver disease

    Progressive abdominal distension and bilateral ankle swelling over 3 weeks, with recent onset of yellowing of the ski…

    ConsultationGeneralpass

    Deep Vein Thrombosis

    Left leg pain and swelling developing over the past three days, associated with skin warmth and redness over the calf…

    ConsultationEndocrinologypass

    Diabetes Insipidus

    Six-week history of dramatically increased thirst and passing very large volumes of pale urine, drinking approximatel…

    ConsultationNephrologypass

    Diabetic nephropathy

    Progressive bilateral ankle swelling and breathlessness on exertion over the past three months

    ConsultationGastroenterologypass

    Diarrhoea — Infectious (Post-Travel)

    Ten days of profuse watery diarrhoea with cramps and fever after returning from a three-week trip to India; OTC antid…

    ConsultationGastroenterologypass

    Diarrhoea in Liver Transplant — PTLD

    Six weeks of worsening diarrhoea, unintentional weight loss, drenching night sweats, and persistent low-grade fevers …

    ConsultationGastroenterologypass

    Diarrhoea in Type 1 Diabetes — Coeliac Disease

    The patient has been referred for assessment of an underlying condition.

    ConsultationNeurologypass

    Difficulty Walking — Subacute Combined Degeneration

    A 62-year-old woman presents with a several-month history of unsteadiness when walking, numbness and tingling in her …

    ConsultationNeurologypass

    Diplopia

    Three-week double vision worse at end of day with bilateral drooping eyelids and evening difficulty swallowing. Patr…

    ConsultationRespiratorypass

    Dry Cough — Asthma

    Three-month history of dry cough worse at night and in the early morning, associated with intermittent wheeze and che…

    ConsultationRespiratorypass

    Dry Cough — Hypersensitivity Pneumonitis

    Four-month history of dry cough and increasing breathlessness on exertion, noticeably worse on working weekdays and i…

    ConsultationRespiratorypass

    Dry Cough — ILD

    A PACES consultation station presenting with undifferentiated symptoms. Take a focused history, perform relevant exam…

    ConsultationGastroenterologypass

    Dysphagia — Achalasia

    Two-year progressive difficulty swallowing solids and liquids, regurgitation of undigested food at night, and 8 kg we…

    ConsultationNeurologypass

    Fatigue — Myasthenia Gravis

    Four-month fatigue and weakness worse in evenings; drooping eyelids when tired and occasional swallowing difficulty a…

    ConsultationRespiratorypass

    Fatigue — Obstructive Sleep Apnoea

    Eight-month excessive daytime sleepiness, unrefreshing sleep, morning headaches; wife reports loud snoring. BMI 39. …

    ConsultationNeurologypass

    Fatigue with Weight Gain — Acromegaly

    Three-year fatigue, increasing shoe and glove size, facial changes noted by wife, poorly controlled hypertension and …

    ConsultationGeneralpass

    Fatigue with Weight Loss

    Three-month fatigue, unintentional 8 kg weight loss, heat intolerance, palpitations; appearance of eyes has changed. …

    ConsultationGeneralpass

    Fever in Traveller

    Five days of high fever, rigors, headache, and myalgia after returning from three weeks in Kenya and Uganda; unsure i…

    ConsultationRheumatologypass

    Giant Cell Arteritis

    Three-week severe new headache, scalp discomfort, some jaw discomfort on chewing; ESR 95 mm/h at GP. Margaret Harris…

    ConsultationNephrologypass

    Haematuria — Renal Cell Carcinoma

    Three months of painless frank haematuria and left loin discomfort; 30 pack-year smoker; haemoglobin 105 g/L; associa…

    ConsultationNephrologypass

    Haematuria in Renal Transplant — Rejection vs Pyelonephritis

    Five days of fever, right iliac fossa pain over the transplant site, visible blood in urine, and creatinine rising fr…

    ConsultationHepatologypass

    Haemochromatosis

    Fatigue, hand joint pains, and abnormal liver enzymes; ferritin 1850 μg/L; father had unspecified liver problems. Co…

    ConsultationRespiratorypass

    Haemoptysis — Lung Cancer

    A 67-year-old man presents with six weeks of blood-streaked sputum, approximately 5 kg of unintentional weight loss o…

    ConsultationNeurologypass

    Headache — Migraine

    Recurrent severe headaches for 2 years, often one-sided, with nausea and sensory disturbance before onset, impacting …

    ConsultationCardiologypass

    Heart Failure

    Two-week history of worsening breathlessness on exertion, swelling of both ankles, and inability to lie flat at night…

    ConsultationCardiologypass

    Heart Failure in Young Male — Haemochromatosis

    Progressive breathlessness on exertion, fatigue, ankle swelling, and joint pain in both hands over the past 8 months,…

    ConsultationHepatologypass

    Hepatomegaly — Alcoholic Liver Disease

    A 54-year-old man presents with a several-month history of right upper quadrant fullness and discomfort, fatigue, and…

    ConsultationHepatologypass

    Hepatomegaly — Metastatic Disease

    The patient has been referred for assessment of an underlying condition. Brian Foster is a 61-year-old man referred …

    ConsultationNephrologypass

    HIV Nephropathy

    Progressive leg swelling and puffiness around the eyes over the past six weeks, associated with foamy urine and incre…

    ConsultationEndocrinologypass

    Hypercalcaemia — Hyperparathyroidism

    A 62-year-old woman referred with several months of increasing fatigue, low mood, poor concentration, constipation, a…

    ConsultationEndocrinologypass

    Hyperthyroidism

    Helen has noticed progressive unintentional weight loss, a persistent tremor, palpitations, and an inability to toler…

    ConsultationEndocrinologypass

    Hypothyroidism

    A 52-year-old woman presents with a six-month history of progressive fatigue, unexplained weight gain, feeling consta…

    ConsultationNeurologypass

    Idiopathic Intracranial Hypertension

    Six-month daily headache, seconds-long visual obscurations, and pulsatile tinnitus. Amy Wilson is a 32-year-old woma…

    ConsultationCardiologypass

    Infective Endocarditis

    Three weeks of swinging fevers, drenching night sweats, progressive fatigue, and unintentional weight loss, with no c…

    ConsultationGastroenterologypass

    Inflammatory Bowel Disease — Crohn's Disease

    Six-month history of right iliac fossa pain, 7 kg weight loss, intermittent diarrhoea with blood and mucus, and a pai…

    ConsultationEndocrinologypass

    Insulinoma

    Recurrent episodes of palpitations and sweating over the past eight months.

    ConsultationRespiratorypass

    IPF

    Progressive breathlessness on exertion and persistent dry cough worsening over the past 6 months, with associated uni…

    ConsultationGeneralpass

    Iron deficiency anaemia

    Three-month history of progressive fatigue and shortness of breath on exertion, found to have a low haemoglobin on re…

    ConsultationGeneralpass

    Iron Deficiency Anaemia

    Fatigue and exertional breathlessness; haemoglobin 78 g/L, MCV 64 fL, ferritin 4 μg/L; post-menopausal with no gynaec…

    ConsultationNeurologypass

    Lambert-Eaton Myasthenic Syndrome

    Six-month progressive proximal leg weakness, difficulty climbing stairs, and dry mouth; recently diagnosed lung mass.…

    ConsultationNeurologypass

    Medication Overuse Headache

    Six-month history of daily bilateral dull headache, worsening in the morning, with a background history of episodic h…

    ConsultationCardiologypass

    Metallic Valve with Low Haemoglobin and UGIB Concern

    A 67-year-old woman presents with a six-day history of passing black tarry stools, worsening fatigue, and breathlessn…

    ConsultationNeurologypass

    Migraine

    Recurrent severe headaches 3–4 times monthly for 2 years, each lasting 12–24 hours and preventing work; associated vi…

    ConsultationCardiologypass

    Mitral stenosis

    A 6-month history of progressive breathlessness on exertion, intermittent palpitations, and episodes of waking at nig…

    ConsultationNeurologypass

    Myotonic Dystrophy

    A 35-year-old man presenting with progressive difficulty releasing his grip, increasing weakness in his hands and low…

    ConsultationGeneralpass

    Neutropenic Sepsis in Cancer Patient

    A 58-year-old woman presents with a two-day history of high fever, rigors, drenching sweats, and feeling extremely un…

    ConsultationRespiratorypass

    Obstructive Sleep Apnoea

    A 47-year-old male HGV driver presents with a 2-year history of loud snoring, witnessed pauses in breathing during sl…

    ConsultationNeurologypass

    Painful Visual Loss — Unilateral

    Five-day painful right eye with progressive visual loss; pain worse on eye movement; prior leg numbness episode 2 yea…

    ConsultationNeurologypass

    Painless Jaundice

    Three weeks of progressive painless jaundice with dark urine, pale and greasy stools, 5 kg weight loss, and itching f…

    ConsultationGeneralpass

    Palpitations — Comprehensive Screen

    Two months of intermittent episodes of rapid, irregular heart racing lasting minutes at a time, occurring mainly in t…

    ConsultationCardiologypass

    Peripartum Cardiomyopathy

    A 29-year-old woman presents three weeks after delivery of her first child with progressive breathlessness, inability…

    ConsultationGeneralpass

    Phaeochromocytoma

    A 42-year-old man presenting with recurrent episodes of severe headache, profuse sweating, palpitations, and facial f…

    ConsultationGeneralpass

    Pituitary Apoplexy

    Sudden severe headache with visual disturbance and feeling extremely unwell for 2 days; prior incidental brain imagin…

    ConsultationEndocrinologypass

    Polyuria — Diabetes Mellitus

    Four months of polydipsia, polyuria 8–10 times daily including twice at night, blurred vision, and fatigue; BMI 32; r…

    ConsultationNeurologypass

    Postural Dizziness

    Six-month dizziness and lightheadedness on standing with three near-faints; worse mornings and after meals. Laura Si…

    ConsultationNeurologypass

    PRES Syndrome

    Sudden visual disturbance, severe headache, and one seizure; BP 195/115 mmHg today. The patient has been referred fo…

    ConsultationHepatologypass

    Primary biliary cholangitis

    A 58-year-old woman with a 6-month history of worsening generalised itch and persistent fatigue

    ConsultationRespiratorypass

    Productive Cough — Bronchiectasis

    Six-month history of daily productive cough with large volumes of green and yellow sputum, worst in the mornings, wit…

    ConsultationRespiratorypass

    Productive Cough — Tuberculosis

    A 34-year-old man presents with a three-month history of productive cough with occasional blood-streaked sputum, dren…

    ConsultationRheumatologypass

    Reactive Arthritis

    Four weeks of painful swollen right knee and left ankle, burning on urination, and a red, discharging eye without pho…

    ConsultationGeneralpass

    Recurrent Melaena

    Recurrent black tarry stools for four months; regular ibuprofen for arthritis and aspirin 75 mg; haemoglobin 89 g/L. …

    ConsultationCardiologypass

    Recurrent Syncope — Cardiac

    Three episodes of transient loss of consciousness over recent months — two during exercise and one at rest. James Th…

    ConsultationCardiologypass

    Recurrent Syncope — Epilepsy

    Three episodes of loss of consciousness over 6 months; husband witnessed unusual movements followed by a period of co…

    ConsultationRheumatologypass

    Rheumatoid Arthritis

    A PACES consultation station presenting with undifferentiated symptoms. Take a focused history, perform relevant exam…

    ConsultationCardiologypass

    Severe Aortic Stenosis

    Progressive breathlessness on exertion, chest tightness when walking uphill or hurrying, and one episode of dizziness…

    ConsultationCardiologypass

    Severe Mitral Regurgitation

    A PACES consultation station presenting with undifferentiated symptoms. Take a focused history, perform relevant exam…

    ConsultationEndocrinologypass

    Sheehan's Syndrome

    Fatigue, amenorrhoea, inability to breastfeed, and cold intolerance for 8 months after complicated delivery with majo…

    ConsultationHaematologypass

    Shortness of Breath — Anaemia

    Three months of progressive breathlessness on exertion, fatigue, and light-headedness, with a history of heavier mens…

    ConsultationGeneralpass

    Shortness of Breath — Drug-Induced ILD (Methotrexate)

    The patient has been referred for assessment of an underlying condition.

    ConsultationRheumatologypass

    Shortness of Breath — IPF in Rheumatoid Arthritis

    Twelve-month history of progressive breathlessness on exertion and a persistent dry cough, now limiting her to walkin…

    ConsultationGeneralpass

    Space Occupying Lesion

    Three-month progressive morning headache with vomiting and personality change; past medical history of note four year…

    ConsultationNeurologypass

    Subarachnoid Haemorrhage

    Sudden severe headache during exercise 10 days ago; normal CT in A&E; persistent headache described as worst of life.…

    ConsultationGeneralpass

    Sudden Severe Fatigue — Pituitary Apoplexy

    Sudden severe headache and profound fatigue for 3 days; wife noticed subtle facial changes over past year; new diabet…

    ConsultationGeneralpass

    Transient Ischaemic Attack

    Sudden onset weakness of the right arm and difficulty speaking clearly this morning, lasting approximately 15 minutes…

    ConsultationGeneralpass

    Ulcerative colitis

    Three weeks of bloody diarrhoea with mucus, lower abdominal cramping, and urgency occurring up to eight times daily i…

    ConsultationRespiratorypass

    Uncontrolled Asthma — ABPA

    A 38-year-old baker with longstanding asthma presenting with worsening breathlessness over the past six months despit…

    ConsultationCardiologypass

    Uncontrolled Hypertension — Acromegaly

    A 47-year-old man referred with poorly controlled blood pressure, progressive increase in shoe size and glove size ov…

    ConsultationGeneralpass

    Uncontrolled Hypertension — Comprehensive Screen

    Referred for specialist review of persistently elevated blood pressure despite taking three prescribed tablets, with …

    ConsultationCardiologypass

    Uncontrolled Hypertension — Middle Age (Multiple Causes)

    Persistent high blood pressure readings at home and at the GP surgery despite taking three blood pressure tablets, as…

    ConsultationGeneralpass

    Uncontrolled Hypertension — Obstructive Sleep Apnoea

    A 48-year-old male lorry driver presents with persistent high blood pressure despite taking two antihypertensive medi…

    ConsultationGeneralpass

    Uncontrolled Hypertension — Space Occupying Lesion

    Six-month history of worsening morning headaches with nausea and occasional vomiting, alongside intermittent visual d…

    ConsultationCardiologypass

    Uncontrolled Hypertension — Young Male (Coarctation/Drugs)

    Incidentally discovered markedly elevated blood pressure at a routine occupational health screening, with no prior hi…

    ConsultationGeneralpass

    Vasculitis with Renal and Pulmonary Involvement

    Patricia is a 54-year-old woman presenting with a three-week history of coughing up blood, blood in her urine, and ra…

    ConsultationEndocrinologypass

    Vomiting — Addison's Disease

    Three months of persistent nausea and vomiting with 6 kg weight loss, fatigue, and postural dizziness; sodium 126 mmo…

    ConsultationGeneralpass

    Wernicke's Encephalopathy

    A 46-year-old man presenting with several days of worsening confusion and unsteadiness when walking, in the context o…

    CommunicationNeurologydistinction

    Advance Care Planning — Young Patient with MND

    Neurology outpatient clinic, district general hospital This end_of_life communication station assesses structured cli…

    CommunicationGeneralmerit

    Alcohol Dependence — Motivational Interviewing

    General Practice — GP surgery consultation room This occupational communication station assesses structured clinical …

    CommunicationGeneralmerit

    Antibiotic Drug Error — Wrong Patient

    General Medical Ward, Royal Infirmary NHS Trust This angry_relative communication station assesses structured clinica…

    CommunicationRespiratorymerit

    Asbestosis — Occupational Lung Disease and Compensation

    Respiratory Outpatient Clinic, Queen Elizabeth Hospital, Birmingham This occupational communication station assesses …

    CommunicationRespiratorypass

    Asthma — Occupational Exposure and Workplace Rights

    General Medical Outpatient Clinic, Northfield General Hospital This occupational communication station assesses struc…

    CommunicationGeneraldistinction

    Blood Transfusion — Jehovah's Witness Refusing

    Haematology ward, City General Hospital, Birmingham This consent communication station assesses structured clinical c…

    CommunicationOncologymerit

    Breast Cancer — Young Woman

    Oncology outpatient clinic, City General Hospital, Leeds This breaking_bad_news communication station assesses struct…

    CommunicationGeneraldistinction

    Ceiling of Care Discussion — Deteriorating Patient

    General Medical Ward, Royal Stoke University Hospital This end_of_life communication station assesses structured clin…

    CommunicationOncologymerit

    Chemotherapy Consent — Side Effects

    Oncology Outpatient Clinic, Northgate University Hospital NHS Trust This consent communication station assesses struc…

    CommunicationNephrologymerit

    CKD Stage 4 — Planning for Dialysis

    Renal Outpatient Clinic, City Hospital NHS Foundation Trust This explaining_diagnosis communication station assesses …

    CommunicationGeneralmerit

    Clinical Trial Consent

    General Medical Outpatient Clinic, Royal Infirmary of Edinburgh This consent communication station assesses structure…

    CommunicationGeneralmerit

    Collateral from Carer — Psychiatric Patient Off Medication

    Acute Medical Unit, City General Hospital, Manchester This collateral_history communication station assesses structur…

    CommunicationGeneraldistinction

    Collateral from Parent — Self-Harm in Teenager

    Outpatient consultation room, General Hospital, Tuesday afternoon This collateral_history communication station asses…

    CommunicationNeurologymerit

    Collateral from Spouse — Memory Loss and Dementia

    Neurology outpatient clinic, District General Hospital, Sheffield This collateral_history communication station asses…

    CommunicationGastroenterologypass

    Colonoscopy Consent — Anxious Patient

    Gastroenterology Outpatient Clinic, Northfield General Hospital This consent communication station assesses structure…

    CommunicationGeneraldistinction

    Confidentiality vs Third Party Risk — Violent Patient

    Acute Medicine Unit, Northgate General Hospital This capacity_ethics communication station assesses structured clinic…

    CommunicationNeurologymerit

    Dementia Patient Refusing Medication — Artificial Feeding

    Neurology ward, District General Hospital This capacity_ethics communication station assesses structured clinical com…

    CommunicationEndocrinologypass

    Diabetes and Shift Work — Insulin Adjustment

    Diabetes Outpatient Clinic, City General Hospital This occupational communication station assesses structured clinica…

    CommunicationGeneralmerit

    DNAR — Frail Elderly Patient

    General Medicine Ward, Northfield General Hospital This capacity_ethics communication station assesses structured cli…

    CommunicationGeneraldistinction

    DNAR — Patient Wants Everything Done

    General Medical Ward, Northfield General Hospital This capacity_ethics communication station assesses structured clin…

    CommunicationEndocrinologypass

    Driving with Diabetes on Insulin

    Diabetes outpatient clinic, District General Hospital This capacity_ethics communication station assesses structured …

    CommunicationNeurologymerit

    Driving with Epilepsy — DVLA Duty to Notify

    Neurology Outpatient Clinic, City General Hospital This capacity_ethics communication station assesses structured cli…

    CommunicationRespiratorymerit

    Driving with OSA — HGV Licence

    Respiratory Outpatient Clinic, Northwick Park Hospital This capacity_ethics communication station assesses structured…

    CommunicationNeurologymerit

    Epilepsy and Employment — Disclosure Obligations

    Neurology outpatient clinic, City Hospital, Birmingham This occupational communication station assesses structured cl…

    CommunicationGeneralmerit

    Family Asking Do Not Tell Patient — Son with LPA Misconception

    General Medicine Ward, Northfield General Hospital This capacity_ethics communication station assesses structured cli…

    CommunicationGeneraldistinction

    Family Requesting to Withhold Diagnosis — Patient Has Capacity

    General Medicine Ward, City General Hospital, Birmingham This capacity_ethics communication station assesses structur…

    CommunicationCardiologymerit

    Heart Failure — Poor Prognosis

    Cardiology Outpatient Clinic, City Hospital, Birmingham This breaking_bad_news communication station assesses structu…

    CommunicationVascularmerit

    High Risk Surgery Consent — AAA Repair

    Vascular Surgery Pre-Assessment Clinic, Queen Elizabeth Hospital, Birmingham This consent communication station asses…

    CommunicationGeneralmerit

    HIV Positive Result

    Sexual Health Clinic, City General Hospital, outpatient consultation room This breaking_bad_news communication statio…

    CommunicationGeneraldistinction

    Hospice Referral — Patient Not Ready to Accept

    Oncology Day Unit, City General Hospital This end_of_life communication station assesses structured clinical communic…

    CommunicationNeurologydistinction

    Huntington's Disease — Predictive Test Result

    Neurology outpatient clinic, regional NHS hospital This breaking_bad_news communication station assesses structured c…

    CommunicationGeneraldistinction

    Jehovah's Witness Refusing Blood — Has Capacity

    Surgical Assessment Unit, Royal Victoria Hospital, Newcastle This capacity_ethics communication station assesses stru…

    CommunicationHaematologymerit

    Leukaemia — Young Patient

    Haematology Day Unit, Northern General Hospital, Sheffield This breaking_bad_news communication station assesses stru…

    CommunicationNeurologypass

    Lumbar Puncture Consent — Patient Refusing

    Neurology Assessment Unit, Royal Hallamshire Hospital, Sheffield This consent communication station assesses structur…

    CommunicationRespiratorymerit

    Mesothelioma — Occupational Exposure

    Respiratory Outpatient Clinic, Salford Royal NHS Foundation Trust This breaking_bad_news communication station assess…

    CommunicationGeneraldistinction

    Morphine Infusion in Terminal Patient — Relative Concerned

    Palliative Care Ward, Royal Infirmary NHS Trust This end_of_life communication station assesses structured clinical c…

    CommunicationNeurologydistinction

    Motor Neurone Disease — New Diagnosis

    Neurology outpatient clinic, Northampton General Hospital This breaking_bad_news communication station assesses struc…

    CommunicationNeurologymerit

    Multiple Sclerosis — First Diagnosis

    Neurology outpatient clinic, District General Hospital, NHS England This breaking_bad_news communication station asse…

    CommunicationCardiologymerit

    New AF — Starting Anticoagulation

    Cardiology Outpatient Clinic, City Hospital NHS Trust This explaining_diagnosis communication station assesses struct…

    CommunicationRespiratorypass

    New Asthma — Inhaler Technique and Triggers

    GP Practice, Respiratory Nurse / Foundation Doctor Clinic Room This explaining_diagnosis communication station assess…

    CommunicationGastroenterologydistinction

    New Colorectal Cancer — Inoperable

    Oncology outpatient clinic, District General Hospital, NHS Trust This breaking_bad_news communication station assesse…

    CommunicationGastroenterologydistinction

    New Colorectal Cancer — Inoperable

    Oncology outpatient clinic, City Hospital, Manchester This breaking_bad_news communication station assesses structure…

    CommunicationGastroenterologypass

    New Colorectal Cancer — Operable

    Outpatient clinic room, City General Hospital, Gastroenterology Department This breaking_bad_news communication stati…

    CommunicationGastroenterologypass

    New Colorectal Cancer — Operable (Carer Concern)

    Outpatient clinic room, City General Hospital Gastroenterology Department This breaking_bad_news communication statio…

    CommunicationRespiratorypass

    New COPD — Diagnosis and Management Plan

    General Respiratory Outpatient Clinic, City Hospital, Manchester This explaining_diagnosis communication station asse…

    CommunicationCardiologypass

    New Heart Failure — Post MI Counselling

    Cardiology Ward, Northern General Hospital, Sheffield This explaining_diagnosis communication station assesses struct…

    CommunicationCardiologypass

    New Hypertension — Lifestyle and Medication

    Cardiology Outpatient Clinic, City General Hospital This explaining_diagnosis communication station assesses structur…

    CommunicationEndocrinologypass

    New Hypothyroidism — Levothyroxine and Monitoring

    General Medicine Outpatient Clinic, Northfield NHS Foundation Trust This explaining_diagnosis communication station a…

    CommunicationGastroenterologymerit

    New IBD — Crohn's Disease Diagnosis

    Gastroenterology outpatient clinic, district general hospital This explaining_diagnosis communication station assesse…

    CommunicationRespiratorypass

    New Lung Cancer Diagnosis

    Respiratory Outpatient Clinic, City Hospital, Manchester This breaking_bad_news communication station assesses struct…

    CommunicationRespiratorypass

    New Lung Cancer Diagnosis — Fear of Suffering

    Respiratory outpatient clinic, City General Hospital, Birmingham This breaking_bad_news communication station assesse…

    CommunicationEndocrinologypass

    New Type 2 Diabetes — Starting Insulin

    Diabetes Outpatient Clinic, City General Hospital, Birmingham This explaining_diagnosis communication station assesse…

    CommunicationGeneralpass

    Obesity — Lifestyle, Medication and Bariatric Referral

    General Practice, afternoon clinic This occupational communication station assesses structured clinical communication…

    CommunicationRespiratorymerit

    OSA — Fitness to Drive HGV

    Respiratory Outpatient Clinic, Northfield General Hospital This occupational communication station assesses structure…

    CommunicationOncologydistinction

    Ovarian Cancer — Poor Prognosis

    Outpatient Oncology Clinic, City General Hospital, Manchester This breaking_bad_news communication station assesses s…

    CommunicationGeneralmerit

    Overdose Assessment — Suicide Risk Stratification

    Acute Medical Unit, City General Hospital, Manchester This declining_treatment communication station assesses structu…

    CommunicationOncologydistinction

    Palliative Chemotherapy vs Best Supportive Care

    Oncology outpatient clinic, St Bartholomew's Hospital, London This end_of_life communication station assesses structu…

    CommunicationNeurologypass

    Parkinson's Disease — New Diagnosis

    Neurology outpatient clinic, City Hospital, Manchester This breaking_bad_news communication station assesses structur…

    CommunicationGeneralpass

    Patient Angry About Junior Doctor Behaviour

    General Medical Ward, Hartfield NHS Trust This angry_relative communication station assesses structured clinical comm…

    CommunicationGeneraldistinction

    Patient Angry About Medication Error — Gentamicin Ototoxicity

    General Medical Ward, Royal Infirmary NHS Trust This angry_relative communication station assesses structured clinica…

    CommunicationGeneralmerit

    Patient Angry About Previous Wrong Diagnosis

    Acute Medicine Unit, outpatient follow-up clinic room This angry_relative communication station assesses structured c…

    CommunicationGeneralpass

    Patient Angry About Waiting Time

    Acute Medical Unit, City General Hospital This angry_relative communication station assesses structured clinical comm…

    CommunicationGeneralmerit

    Patient Declining HIV Test — High Risk Individual

    General Medicine Outpatient Clinic, City Hospital NHS Trust This declining_treatment communication station assesses s…

    CommunicationRespiratorymerit

    Patient Declining TB Contact Tracing

    Respiratory outpatient clinic, City Hospital NHS Trust This declining_treatment communication station assesses struct…

    CommunicationGeneraldistinction

    Patient Lacking Capacity — Best Interests Decision

    General Medical Ward, Northfield General Hospital This capacity_ethics communication station assesses structured clin…

    CommunicationNephrologydistinction

    Patient Refusing Dialysis — CKD Stage 5

    Renal Outpatient Clinic, City Hospital NHS Foundation Trust This declining_treatment communication station assesses s…

    CommunicationGeneraldistinction

    Patient Refusing Life-Saving Treatment with Capacity

    General Medicine Ward, Royal Infirmary NHS Trust This capacity_ethics communication station assesses structured clini…

    CommunicationGeneraldistinction

    Patient Wanting Self-Discharge Against Medical Advice

    Acute Medical Unit, Royal Infirmary of Edinburgh This declining_treatment communication station assesses structured c…

    CommunicationGeneraldistinction

    Relative Angry About Delayed Cancer Diagnosis

    Side room on a general medical ward, City Hospital NHS Trust This angry_relative communication station assesses struc…

    CommunicationGeneralmerit

    Relative Angry About Discharge Plan

    Acute Medical Unit, Northfield General Hospital This angry_relative communication station assesses structured clinica…

    CommunicationGeneralmerit

    Relative Angry About Ward Care Quality

    Ward 7, General Medicine, Northgate General Hospital This angry_relative communication station assesses structured cl…

    CommunicationGeneraldistinction

    Relative Demanding Futile Treatment

    Oncology ward, District General Hospital This angry_relative communication station assesses structured clinical commu…

    CommunicationGeneraldistinction

    Relative Threatening Formal Complaint

    General Medical Ward, Northfield General Hospital NHS Trust This angry_relative communication station assesses struct…

    CommunicationNephrologymerit

    Renal Biopsy — Patient Refusing

    Nephrology Outpatient Clinic, City General Hospital, Birmingham This consent communication station assesses structure…

    CommunicationNephrologydistinction

    Renal Cell Carcinoma with Metastases

    Oncology outpatient clinic, City Hospital, Birmingham This breaking_bad_news communication station assesses structure…

    CommunicationCardiologypass

    Starting Statin — Explaining Cardiovascular Risk

    GP Practice Consultation Room, East Midlands This explaining_diagnosis communication station assesses structured clin…

    CommunicationGeneraldistinction

    Terminal Prognosis — Weeks to Live

    Oncology Day Unit side room, Royal Infirmary This breaking_bad_news communication station assesses structured clinica…

    CommunicationNeurologydistinction

    Thrombolysis Consent — Acute Stroke

    Acute Stroke Unit, Queen Elizabeth Hospital, Birmingham This consent communication station assesses structured clinic…

    ExaminationCardiovascularpass

    Acute Pulmonary Oedema (cardiogenic)

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Aortic Regurgitation

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Aortic Stenosis

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationAbdominalpass

    Ascites with Chronic Liver Disease

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationRespiratorypass

    Asthma Exacerbation

    Prepare for a Respiratory clinical examination station in the MRCP PACES format. Examine the patient systematically, …

    ExaminationCardiovascularpass

    Atrial Fibrillation with Rapid Ventricular Response

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Atrial Septal Defect

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationAbdominalpass

    Autosomal Dominant Polycystic Kidney Disease (ADPKD)

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationRespiratorypass

    Bilateral Lung Transplant (Clam Shell Scar)

    Prepare for a Respiratory clinical examination station in the MRCP PACES format. Examine the patient systematically, …

    ExaminationRespiratorypass

    Bronchiectasis

    Prepare for a Respiratory clinical examination station in the MRCP PACES format. Examine the patient systematically, …

    ExaminationNeurologicalpass

    Cerebellar Syndrome — Cranial Nerves

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Cerebellar Syndrome — Lower Limb

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Cerebellar Syndrome — Upper Limb

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Charcot-Marie-Tooth Disease — Lower Limb

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationAbdominalpass

    Chronic Liver Disease

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationCardiovascularpass

    Coarctation of the Aorta

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Combined Mitral and Aortic Regurgitation

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationRespiratorypass

    COPD

    Prepare for a Respiratory clinical examination station in the MRCP PACES format. Examine the patient systematically, …

    ExaminationCardiovascularpass

    Coronary Artery Bypass Grafting (post-operative)

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationAbdominalpass

    Crohn's Disease with Ileostomy (Right)

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationNeurologicalpass

    Dystrophia Myotonica

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationAbdominalpass

    End-Stage Renal Failure with Haemodialysis (Left AV Fistula)

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationNeurologicalpass

    Facial Nerve Palsy — Right (Lower Motor Neurone)

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Friedreich's Ataxia

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Guillain-Barré Syndrome (Recovery Phase)

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationAbdominalpass

    Haemochromatosis

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationCardiovascularpass

    Heart Failure with Reduced Ejection Fraction

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationAbdominalpass

    Hepatosplenomegaly

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationNeurologicalpass

    Hereditary Motor Sensory Neuropathy (Charcot-Marie-Tooth)

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Hereditary Spastic Paraplegia

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationCardiovascularpass

    Hypertrophic Obstructive Cardiomyopathy

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationRespiratorypass

    ILD in Ankylosing Spondylitis

    Prepare for a Respiratory clinical examination station in the MRCP PACES format. Examine the patient systematically, …

    ExaminationRespiratorypass

    Interstitial Lung Disease with Connective Tissue Disease Features

    Prepare for a Respiratory clinical examination station in the MRCP PACES format. Examine the patient systematically, …

    ExaminationAbdominalpass

    Isolated Hepatomegaly

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationAbdominalpass

    Isolated Splenomegaly

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationAbdominalpass

    Liver Transplant

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationCardiovascularpass

    Metallic Aortic Valve Replacement

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Metallic Mitral Valve Replacement

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Mitral Regurgitation

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Mitral Stenosis

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Mixed Aortic Valve Disease (AS and AR)

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationNeurologicalpass

    Motor Neurone Disease — Upper Limb

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Multiple Sclerosis — Lower Limb

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Multiple Sclerosis — Upper Limb

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Myasthenia Gravis — Cranial Nerves

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Myasthenia Gravis — Upper Limb

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Parkinson's Disease — Upper Limb

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationCardiovascularpass

    Patent Ductus Arteriosus

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationNeurologicalpass

    Peripheral Neuropathy — Lower Limb

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Post-Polio Syndrome

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationRespiratorypass

    Post-VATS Left Lobectomy

    Prepare for a Respiratory clinical examination station in the MRCP PACES format. Examine the patient systematically, …

    ExaminationRespiratorypass

    Post-VATS Right Lobectomy

    Prepare for a Respiratory clinical examination station in the MRCP PACES format. Examine the patient systematically, …

    ExaminationCardiovascularpass

    Pulmonary Stenosis

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Pulmonic Regurgitation

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationAbdominalpass

    Renal Transplant (Right Iliac Fossa)

    Prepare for a Abdominal clinical examination station in the MRCP PACES format. Examine the patient systematically, pr…

    ExaminationNeurologicalpass

    Retinal Artery Occlusion

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Retinal Vein Occlusion

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Retinitis Pigmentosa

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Right Homonymous Hemianopia

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationRespiratorypass

    Right-Sided Pneumothorax

    Prepare for a Respiratory clinical examination station in the MRCP PACES format. Examine the patient systematically, …

    ExaminationNeurologicalpass

    Sensory Ataxic Neuropathy

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Spastic Paraparesis

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Stroke — Right Lower Limb (Left ACA Territory)

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Stroke — Right Upper Limb (Left MCA Territory)

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationNeurologicalpass

    Syringomyelia — Upper Limb

    Prepare for a Neurological clinical examination station in the MRCP PACES format. Examine the patient systematically,…

    ExaminationCardiovascularpass

    Tetralogy of Fallot (repaired)

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Tricuspid Regurgitation

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…

    ExaminationCardiovascularpass

    Ventricular Septal Defect

    Prepare for a Cardiovascular clinical examination station in the MRCP PACES format. Examine the patient systematicall…