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 thrombotic APS taking a vitamin K antagonist plans a dental extraction. She has decided to omit doses before the appointment.
How can the caregiver intervene without independently choosing the regimen?
Arrange contact with the prescriber and dentist for a shared plan before the procedure. Record doses already omitted and the latest INR, then hand over without prescribing catch-up doses. Thrombotic risk, bleeding risk and procedure characteristics guide the medical decision. Check for understood written instructions, the testing date and responsibility for follow-up.