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 followed for stable pulmonary sarcoidosis describes a brief loss of consciousness with palpitations during a usual activity.
Can the episode be attributed to chronic fatigue?
No. Syncope with palpitations requires urgent medical assessment, including for a cardiac cause without assuming the diagnosis. Make the patient safe, record circumstances and recovery, monitor vital signs and follow the local emergency pathway. Previous pulmonary stability is insufficient reassurance. Hand over medication information and confirm effective transfer of care.