MICA · General Practice & Urgent Care
Choose a theme to reason through a commented situation. Related MICA sessions retain the same account, access levels, correction engine, history and optional timer.
These exercises cover their original MICA subject, not a newly validated general-practice exam. Counts reflect the currently eligible catalogue.
Commented situations are formative and unscored. In existing sessions, incomplete corrections are excluded and uncalibrated short answers do not receive an automatic score.
FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A patient taking a DOAC for atrial fibrillation reports prolonged diarrhoea, increased creatinine and recent ibuprofen use for toothache. There is no visible bleeding. They assume no review is needed because they never require INR testing.
What review is needed?
Prompt review of bleeding risk, kidney function and concomitant medicines is required. No INR requirement does not guarantee appropriate drug exposure or stable renal function. The clinician checks product criteria and determines management; any adjustment is agreed with the prescriber according to progress and product criteria.