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: someone taking metformin attends for contrast-enhanced CT. They ask whether to stop the medicine independently and drink large amounts before the scan.
What response and referral are appropriate?
Establish the instructions already received and report the medicine and kidney context to radiology. Do not improvise interruption or large fluid intake. The team specifies any adjustments according to kidney function, acute injury and the planned pathway. Then restate the individual instructions and check the patient understands them.