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 myositis walks better but coughs with every sip and has eaten less. He requests only a cough tablet.
Does improved walking establish that swallowing is safe?
No. Swallowing can deteriorate independently of overall strength. Stop the problematic intake, monitor breathing and promptly request medical and swallowing assessment. Do not mask the finding with self-medication or improvise drink trials. Hand over circumstances, intake and progression; the team determines a safe nutritional and medication strategy.