MCQs, short practical answers, synthetic cases, finding errors and qualitative ordering use the existing MICA assessment formats. Sessions, history, progress and optional timing stay within Mon MICA.
FICTIONAL SITUATION · REFLECTION WITHOUT A SCORE
Fictional situation: a patient with limited mobility has a painful heel with colour change persisting after pressure is briefly removed. A prevention mattress is already in use.
Is the mattress sufficient, and should the area be massaged?
No. Effectively offload the heel, avoid massage and request skilled skin assessment. A mattress replaces neither repositioning nor a heel-specific plan. Document pain and appearance, review the support and individualised assessment frequency, and hand over measures so they continue across shifts and transfers.