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 Sjögren disease has had newly swollen parotid tissue for several weeks. She assumes this is only part of her dry mouth.
Is increasing mouth care sufficient?
No. Describe duration, pain, progression and associated findings, then arrange early medical assessment. Infection, obstruction and other causes, including lymphoma, require medical consideration. Do not announce cancer or reassure without assessment. Continue suitable comfort care and document the appointment or handover obtained.