SCA exam dilemmas, by chapter
300+ exam dilemmas for the MRCGP SCA, organised by chapter: the situations that decide consultations, with the reasoning examiners look for.
The SCA is twelve 12-minute consultations marked across three domains, and most of them turn on a dilemma: the angry patient, the disputed sick note, the request you cannot agree to. Each dilemma here sets out the situation, the questions worth asking, the red flags, and a safe, defensible way through.
Part of AceTheSCA, reviewed and updated by practising UK GPs.