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 systemic sclerosis reports new headaches and less urine. Her blood pressure is markedly above her usual readings.
Can assessment wait to see whether the headache resolves?
No. This combination requires urgent medical assessment, including for a kidney complication. Repeat the measurement correctly without delaying escalation, and provide usual and current readings plus the medication list. Do not administer extra antihypertensive medication without a prescription. Monitoring and handover must be explicit and documented.