Free Case Library

Free SCA Practice Cases — Built from the RCGP Curriculum

200 free cases built directly from RCGP curriculum topic stations. Every case includes a candidate brief, patient script, marking scheme and learning points.

Allergy and Immunology

4 Cases

Beautician with suspected contact dermatitis

29yo • Sophie Miller

Video12m

Parent requesting allergy testing for their child with eczema

4yo • Noah Evans

Telephone12m

Woman requesting adrenaline auto-injector after allergic reaction on holiday

34yo • Emma Fletcher

Telephone12m

Young woman requesting HIV test

24yo • Chloe Watson

Video12m

Cardiovascular Health

9 Cases

Father concerned about sudden cardiac death screening

12yo • David Thompson

Video12m

Man concerned about chest pain during exercise

52yo • Mark Henderson

Video12m

Man contacted about an abnormal ECG result

65yo • Michael Dawson

Telephone12m

Man requesting a statin with a low QRISK score

45yo • Adam Reilly

Video12m

Man with a dry cough several months after his heart attack

63yo • Ian Docherty

Video12m

Man with blood pressure above 180/100 despite ramipril, previous reaction to amlodipine

53yo • Gareth Pryce

Video12m

Man with high cholesterol intolerant of statins and ezetimibe, afraid of needles

61yo • Raymond Clarke

Video12m

Woman found to have a low heart rate at pre-operative assessment

68yo • Maureen Ellis

Video12m

Woman with worsening heart failure symptoms

74yo • Margaret Hale

Telephone12m

Dermatology

7 Cases

Man with itchy, darkened skin patches

32yo • Marcus Okonjo

Telephone12m

Man with shingles asking whether he can attend his pregnant daughter's party

56yo • Paul Whitmore

Video12m

Waiter with excessive sweating

24yo • James Miller

Telephone12m

Woman with hair loss three months after giving birth, still taking lisinopril

33yo • Aisha Rahman

Video12m

Woman with patchy hair loss

34yo • Elena Rossi

Video12m

Young man whose acne is affecting his confidence

17yo • Marcus Adeyemi

Telephone12m

Young man with worsening eczema he has stopped treating

19yo • Callum Hughes

Video12m

Ear, Nose and Throat

8 Cases

Hearing-impaired man with troublesome tinnitus

68yo • Arthur Vance

Video12m

Man with a persistent sensation of a lump in his throat

39yo • Daniel Osei

Video12m

Man with hearing loss

24yo • Ewan Fraser

Video12m

Man with unilateral blood-stained nasal discharge

73yo • Gerald Finch

Telephone12m

Middle-aged woman with sudden-onset dizziness

54yo • Sarah Jenkins

Video12m

Mother phoning about discharge from her child's ear

4yo • Rory Brennan

Telephone12m

Older woman with shooting jaw pain

72yo • Brenda Higgins

Video12m

Woman with facial pressure headache convinced she needs antibiotics for sinusitis

34yo • Rebecca Turner

Video12m

Gastroenterology

8 Cases

Elderly woman asking for explanation of diverticular disease diagnosis

75yo • Margaret Gable

Video12m

Man with persistent indigestion self-treating with over-the-counter remedies

48yo • Steven Ball

Telephone12m

Obese man with nocturnal cough

54yo • Gary Wilson

Video12m

Woman seeking a diagnosis after A&E discharge for abdominal pain that resolved on vomiting

60yo • Denise Holloway

Telephone12m

Woman with recurrent abdominal pain and rectal bleeding requesting steroids

30yo • Sophie Daniels

Video12m

Young female with chronic abdominal pain

24yo • Emily Thorne

Telephone12m

Young man with 2 months of diarrhoea and weight loss

19yo • Jacob Miller

Video12m

Young woman with recurrent vomiting who left A&E, regular cannabis user

24yo • Chloe Marsh

Telephone12m

Genetics

5 Cases

Man with raised ferritin and a family history of haemochromatosis

53yo • Martin Reeve

Telephone12m

Woman requesting genetic screening for breast cancer

38yo • Claire Thompson

Video12m

Woman requesting pre-conceptual advice due to family history of Duchenne Muscular Dystrophy

28yo • Chloe Davies

Video12m

Woman with Autosomal Recessive Ataxia discussing risks to her children

42yo • Helen Clarke

Video12m

Young man newly diagnosed with polycystic kidney disease asking about his children

32yo • Ryan Docherty

Video12m

Gynaecology and Breast

7 Cases

Mother under pressure to submit daughter to FGM

32yo • Faduma Hassan

Telephone12m

Stepmother wanting to discuss her 14-year-old stepdaughter's period pains

14yo • Millie Chapman

Telephone12m

Woman discovering a breast lump on self-examination

45yo • Emma Carter

Video12m

Woman of 45 with 2 years of heavy periods

45yo • Fiona Grant

Video12m

Woman struggling with hot flushes asking whether HRT is safe

49yo • Angela Whitmore

Telephone12m

Woman told her ultrasound scan shows fibroids

35yo • Priya Sharma

Telephone12m

Young woman wishing to discuss borderline cervical smear result

26yo • Sophie Miller

Video12m

Haematology

7 Cases

Child with purpuric rash and abdominal pain

6yo • Lily Jenkins

Video12m

Man of 72 with iron deficiency anaemia and no symptoms

72yo • Frank Whitaker

Telephone12m

Teenager with persistent sore throat, lymphadenopathy, and abdominal pain

17yo • Liam Connor

Video12m

Tired woman with low B12 and folate on blood tests

34yo • Hannah Price

Telephone12m

Woman with tiredness, macrocytic anaemia, and hypercholesterolaemia

52yo • Susan Davies

Video12m

Young adult with a low platelet count on routine bloods

38yo • Daniel Okafor

Telephone12m

Young man with fatigue, night sweats and weight loss about to travel abroad

20yo • Tom Whitfield

Video12m

Infectious Disease and Travel Health

7 Cases

Elderly woman with persistent itchy rash

78yo • Dorothy Higgins

Video12m

Mother of a child with impetigo who provides childcare for an immunosuppressed grandmother

5yo • Alfie Barker

Video12m

Newly registered patient with HIV concerned about confidentiality

34yo • Marcus Thorne

Video12m

Older woman with diarrhoea after a hospital stay

72yo • Sheila Dawson

Telephone12m

Student returning from SE Asia with fever and headache

21yo • Jack Reynolds

Video12m

Walker with a spreading rash after a tick bite

52yo • Brian Foster

Telephone12m

Young man with jaundice after returning from Bangladesh, working in his father's takeaway

20yo • Rahim Uddin

Video12m

Learning Disability

4 Cases

Care home staff reporting rectal bleeding in a non-verbal man with a severe learning disability

68yo • Colin Hartley

Telephone12m

Carer discussing sudden jerky movements in a young man with a learning disability

24yo • Thomas Miller

Telephone12m

Woman with a learning disability limping

32yo • Chloe Davies

Video12m

Young Woman with a Learning Capacity Requesting Contraception

20yo • Sophie Wright

Video12m

Maternity and Reproductive Health

12 Cases

Man attending to discuss an abnormal semen analysis

39yo • Craig Wilson

Video12m

Postnatal woman with flu-like symptoms and a painful breast

28yo • Sarah Harding

Video12m

Pregnant 17-year-old who wants to keep her baby

17yo • Jade Mitchell

Video12m

Pregnant woman bleeding at 11 weeks

28yo • Katie Sullivan

Video12m

Pregnant woman vomiting daily and frightened of taking any medication

28yo • Chloe Bennett

Telephone12m

Pregnant woman with an abnormal thyroid result

35yo • Claire Donnelly

Telephone12m

Pregnant woman with low mood after a bereavement who is drinking to cope

32yo • Emma Wallace

Video12m

Pregnant woman with widespread itching worse at night

30yo • Amara Okonkwo

Telephone12m

Woman in a same-sex relationship requesting assisted conception referral

31yo • Emily Chen

Video12m

Woman in early pregnancy requests an abortion

26yo • Jessica Cole

Video12m

Woman on sertraline planning her first pregnancy

31yo • Rachel Cole

Video12m

Woman with a high-chance Down's syndrome screening result

40yo • Meena Kapoor

Telephone12m

Mental Health

10 Cases

Farmer with low mood and money worries who refuses talking therapy

54yo • Alan Beattie

Video12m

Man with schizophrenia off his medication who believes he is being spied on

28yo • Liam Doyle

Telephone12m

New mother from Thailand feeling low and isolated, referred by the health visitor

31yo • Malee Harding

Video12m

Software engineer waking at 4am requesting sleeping tablets

34yo • Adam Fletcher

Video12m

Teenager with compulsive tidying

16yo • Leo Baxter

Video12m

Woman who was raped 6 months ago and has told no one

34yo • Louise Harper

Video12m

Woman with long-term tiredness previously treated for vitamin D deficiency

48yo • Deborah Clarke

Video12m

Woman with ongoing abdominal pain following normal gastroenterology discharge

38yo • Clara Jenkins

Video12m

Young mother with ideas of reference

24yo • Sophie Turner

Video12m

Young woman with unexplained electrolyte abnormalities

24yo • Amy Sinclair

Telephone12m

Metabolic Problems and Endocrinology

8 Cases

Airline pilot with Type 2 Diabetes and rising HbA1c

52yo • Captain David Sterling

Video12m

Diabetic man with burning feet at night and numbness on his last foot check

66yo • Trevor Higgins

Video12m

Man with a low sodium on routine bloods

72yo • Gerald Simmons

Telephone12m

Man with rising HbA1c who stopped metformin because of stomach upset

62yo • Keith Warren

Telephone12m

Middle-aged man with mildly abnormal LFTs and a fatty liver scan

52yo • Paul Hughes

Video12m

Post-menopausal woman with raised calcium, thirst and urinary frequency

52yo • Patricia Nolan

Telephone12m

Woman asking for a weight loss injection she has seen online

42yo • Zoe Marsh

Video12m

Young woman struggling with weight loss

26yo • Sophie Taylor

Video12m

Musculoskeletal Health

12 Cases

Elderly man has back pain which is keeping him awake at night

72yo • Arthur Pendelton

Video12m

Electrician with elbow pain worse on gripping

46yo • Gary Middleton

Video12m

Man who hurt his back moving furniture, 2 hours from home, mentioning urinary symptoms

55yo • Ian Mercer

Telephone12m

Man with a raised alkaline phosphatase and bone pain

68yo • Derek Ashworth

Telephone12m

Man with a second attack of gout this year

52yo • Paul Griffiths

Telephone12m

Military veteran with chronic widespread pain and normal blood tests

37yo • Lee Sutton

Video12m

Musician with recurrent colour change in her fingers

28yo • Naomi Adebayo

Telephone12m

Sight-impaired man with leg pain while marathon training

28yo • Ben Carter

Video12m

Teenage boy with groin/knee pain and a new limp

13yo • Liam Davies

Video12m

Woman of 68 with shoulder and hip girdle stiffness worst in the morning

68yo • Margaret Boyle

Telephone12m

Young man with known ankylosing spondylitis whose back pain has flared

25yo • Callum Grant

Video12m

Young woman with a recurrent stress fracture

21yo • Freya Watson

Video12m

Neurodiversity and Neurodevelopment Conditions

2 Cases

Adult male requesting an autism assessment due to work struggles

35yo • David Miller

Video12m

Mother discussing possible ADHD in her young son

7yo • Toby Harris

Telephone12m

Neurology

6 Cases

Disengaged 17-year-old with headaches in exam season, sent by his mother

17yo • Josh Freeman

Video12m

Man who woke with one side of his face drooping

42yo • Neil Barrett

Video12m

Man with recurrent daily headaches not responding to analgesia

45yo • Simon Fletcher

Telephone12m

Patient with a witnessed first seizure on holiday

42yo • Marcus Vance

Video12m

Woman with transient hand weakness and clumsiness

62yo • Brenda Clark

Video12m

Young woman with 8 months of intermittent double vision

23yo • Ellie Dawson

Video12m

Older Adults

9 Cases

Adult son concerned about elderly father’s rapid decline

82yo • Arthur Higgins

Telephone12m

BPSD – Aggressive Behaviour in Dementia

79yo • Brian Thompson

Telephone12m

Daughter asking to hide her mother's dementia medication in food

81yo • Nora Whitehead

Telephone12m

Daughter reporting her mother took her tablets twice

80yo • Marjorie Hughes

Telephone12m

Elderly man requesting more analgesia for hip OA

78yo • George Henderson

Video12m

Elderly woman found on the floor by paramedics, on furosemide, wanting only a falls alarm

82yo • Joan Pearce

Telephone12m

Man whose wife says he keeps repeating himself

66yo • Brian Sutcliffe

Video12m

Woman phoning for her DEXA scan result

70yo • Maureen Ellis

Telephone12m

Woman with heart failure and diuretic-induced incontinence

78yo • Brenda Wallace

Telephone12m

Ophthalmology

5 Cases

Elderly man with rapid vision loss

78yo • Arthur Pennyworth

Video12m

Gardener with troublesome allergic conjunctivitis and hay fever

48yo • Brenda Miller

Video12m

Mother of a newborn with a sticky, red eye

12yo • Alfie Merton

Telephone12m

Outdoor worker with a fleshy growth spreading across his eye

52yo • Kevin Ashton

Video12m

Schoolteacher with painful red eye

34yo • Sarah Collins

Video12m

Patient < 19 years old

10 Cases

Adolescent wanting to start contraceptive pill

15yo • Maya Gupta

Telephone12m

Boy with recurrent tummy aches and a family history of migraine

8yo • Oliver Rahman

Telephone12m

Father phoning about his daughter's rash, unable to bring her in or send a photo

4yo • Isla Pryce

Telephone12m

Health visitor has safeguarding concerns for an infant

Infant • Karen

Telephone12m

Mother afraid her coughing child has whooping cough, child found to be unvaccinated

3yo • Freddie Marsh

Telephone12m

Mother of a 2-year-old with runny stools after stopping laxatives

2yo • Leo Bennett

Telephone12m

Mother of a baby who is not gaining weight

15yo • Rory Whittaker

Video12m

Mother of an 8-year-old bedwetter requesting desmopressin

8yo • Charlie Mercer

Telephone12m

Mother requesting referral for 3-year-old not potty trained

3yo • Lisa King

Video12m

Teenager scratching her arms who is being bullied at school

15yo • Mia Sinclair

Video12m

People at the End of Life

6 Cases

A Muslim woman discusses end-of-life care and religious traditions

72yo • Ahmed Rahman

Video12m

District Nurse requesting an antiemetic

76yo • Arthur Pendelton

Telephone12m

Family reporting new confusion in a dying patient

68yo • Raymond Booth

Telephone12m

Man with heart failure asking the doctor to make sure nobody resuscitates him

64yo • Gordon Petrie

Video12m

Man with metastatic bowel cancer discussing ongoing care

68yo • Thomas Wright

Telephone12m

Woman with cancer pain refusing stronger painkillers because she fears addiction

72yo • Margaret Doyle

Telephone12m

People with Long-term Conditions Including Cancer

6 Cases

Childhood Leukaemia Survivor with Health Anxiety

28yo • Liam Davies

Video12m

Ehlers-Danlos Syndrome & Occupational Burnout

29yo • Chloe Evans

Video12m

Man from the Gypsy and Traveller community disengaged from his diabetes care

51yo • Michael Connors

Telephone12m

Newly registered man requesting codeine for chronic back pain

34yo • Tomasz Nowak

Video12m

Woman with epilepsy asking to restart her medication after a seizure

23yo • Chelsea Morgan

Telephone12m

Woman with MS signed off work and worried about money

30yo • Laura Whitfield

Video12m

Population and Planetary Health

3 Cases

Cardiovascular Risk and Impaired Fasting Glycaemia in a South Asian Male

45yo • Tariq Miah

Telephone12m

Health Inequalities, Temporary Accommodation & COPD Exacerbation

54yo • Gary Miller

Telephone12m

Woman in early pregnancy requesting minimal antenatal intervention

31yo • Maya Sharma

Video12m

Prescribing

3 Cases

Man asking the practice to remove an entry from his medical records

48yo • Amir Qureshi

Telephone12m

Man complaining about the care his mother received from another GP

78yo • Elizabeth Ellison

Video12m

Woman with burning chest pain after starting a bone-protection tablet

77yo • Dorothy Vale

Video12m

Renal and Urology

10 Cases

Acute Kidney Injury following Gastroenteritis

62yo • Susan Clarke

Telephone12m

Diabetic woman with new CKD and raised urine ACR booked to discuss results

74yo • Patricia Nolan

Video12m

Man of 52 requesting a PSA test

52yo • Duncan Hargreaves

Video12m

Man whose kidney function is declining while taking ibuprofen for his knees

60yo • Alan Reeve

Telephone12m

Man with a bent and painful erection

48yo • Neil Fairhurst

Video12m

Man with blood in his semen

28yo • Ryan Talbot

Video12m

Middle-aged man has abdominal and loin pain. Examination expected.

56yo • David Thorne

Video12m

Older man who has seen blood in his urine

67yo • Peter Hallam

Telephone12m

Urinary Incontinence in Multiple Sclerosis

32yo • Jessica Hayes

Video12m

Woman with her fourth urine infection this year

58yo • Denise Kerrigan

Telephone12m

Respiratory Health

8 Cases

Asthma Management and Visual Impairment

42yo • Eleanor Vance

Telephone12m

Ex-radiotherapy patient with a worsening cough and weight loss, still smoking

58yo • Martin Deakin

Video12m

Lorry driver falling asleep during the day whose wife reports loud snoring

52yo • Trevor Nash

Video12m

Man told his chest X-ray shows fluid

55yo • Graham Whitlock

Telephone12m

Man with severe COPD asking for home oxygen like his friend has

68yo • Colin Merrick

Telephone12m

Remote Triage of Acute Respiratory Decline & Confusion

86yo • George Higgins

Telephone12m

Woman ordering her third reliever inhaler in 2 months

27yo • Sadie Warburton

Telephone12m

Worsening COPD on Triple Therapy

68yo • Arthur Pendelton

Telephone12m

Sexual Health

9 Cases

17-year-old attending for her swab results, which show chlamydia

17yo • Amber Slade

Video12m

Gender Identity Exploration and Parent Communication

12yo • Leo Jenkins

Telephone12m

Man asking about medication to prevent HIV

31yo • Dominic Farrow

Telephone12m

Man of 39 in a same-sex relationship with erectile difficulties

39yo • Adam Rennie

Video12m

Man requesting a vasectomy

32yo • Dean Halloran

Video12m

Postpartum Low Libido

31yo • Chloe Martin

Video12m

Remote Triage of the Acute Scrotum

25yo • Liam Davis

Telephone12m

Woman in a same-sex relationship who missed her smear invite, requesting STI screening

26yo • Robyn Kearns

Video12m

Woman requesting emergency contraception after a burst condom

29yo • Bethany Cole

Telephone12m

Smoking, Alcohol and Substance Misuse

7 Cases

Adolescent with low mood/irritability and cannabis Withdrawal

17yo • Leo Thorne

Video12m

Alcohol-Related Falls

68yo • Margaret ‘Maggie’ O’Sullivan

Telephone12m

Bus driver asks for help to break his habit of heavy drinking

48yo • Robert Davies

Video12m

Man requesting his methadone prescription after missing collections

41yo • Wayne Corbett

Telephone12m

Teenager asking for a confidential appointment about drug use

17yo • Kai Mensah

Telephone12m

Teenager who collapsed at a party after taking spice

16yo • Tia Ferris

Video12m

Woman released from prison requesting tramadol and gabapentin

34yo • Kelly Brannigan

Telephone12m

Urgent & Unscheduled care

8 Cases

Asthmatic pilot on the pill with breathlessness and sharp chest pain

28yo • Priya Nair

Telephone12m

Man whose chest pain settled an hour ago, planning to drive himself to hospital

55yo • Gordon Renshaw

Telephone12m

Newly diagnosed diabetic man with abdominal pain and vomiting

47yo • Neil Chadwick

Telephone12m

Paramedic handover for ‘nerve entrapment’

56yo • Mark Roberts

Telephone12m

Pregnant woman with a new severe headache

28yo • Anisha Kaur

Video12m

Presyncopal Young Female: Examination Expected

24yo • Sarah Jenkins

Video12m

Remote Triage of the Acute Headache - examination expected

22yo • Jake Thorne

Video12m

Veteran with a haemoglobin of 70 refusing hospital admission

58yo • Frank Doherty

Telephone12m