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 lupus says her pain has improved. However, she has noticed swollen ankles and less urine since yesterday.
Does reduced pain justify waiting until the next appointment?
No. Obtain vital signs, describe the swelling and quantify the urinary change if possible, then promptly request medical assessment. The combination may suggest kidney involvement or another complication; it does not establish a diagnosis. Do not suggest an unsupervised increase in fluid intake or a diuretic. Document observations and confirm that follow-up is arranged.