Free Case Library

Free SCA Practice Cases — Mapped to the RCGP Curriculum

200 free cases mapped to the RCGP curriculum. 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

Tree surgeon given one adrenaline pen after a wasp sting

44yo • Owain Pritchard

Video12m

Young woman requesting HIV test

24yo • Chloe Watson

Video12m

Cardiovascular Health

9 Cases

Father concerned about sudden cardiac death screening

12yo • David Thompson

Video12m

Keen cyclist whose blood pressure monitor flagged an irregular pulse

67yo • Rosemary Okoro

Video12m

Man concerned about chest pain during exercise

52yo • Mark Henderson

Video12m

Man whose smartwatch keeps warning him about a slow heart rate

69yo • Winston Campbell

Telephone12m

Woman who stopped her statin because of aching legs

63yo • Lucia Ferraro

Telephone12m

Woman with a cough for months that her inhalers have not touched

58yo • Wendy Lau

Video12m

Woman with a low cardiovascular risk asking for a statin

50yo • Stella Georgiou

Telephone12m

Woman with newly confirmed high blood pressure who wants to try lifestyle changes first

52yo • Chipo Mutasa

Telephone12m

Woman with worsening heart failure symptoms

74yo • Margaret Hale

Telephone12m

Continuity and Quality of Care, Safety and Prescribing

4 Cases

Calling a patient after a pharmacist flagged your methotrexate prescribing error

64yo • Bernice Pomfret

Telephone12m

Daughter angry that a locum missed her father's fracture

82yo • Alfred Sedgwick

Video12m

Woman asking you to delete her depression history before a job medical

35yo • Thandiwe Quayle

Telephone12m

Woman on long term alendronate who needs a tooth taken out

72yo • Winifred Ashcroft

Video12m

Dermatology

7 Cases

Man with itchy, darkened skin patches

32yo • Marcus Okonjo

Telephone12m

Teacher on methotrexate with a new shingles rash

44yo • Farah Siddiqui

Video12m

Waiter with excessive sweating

24yo • James Miller

Telephone12m

Woman losing handfuls of hair four months after giving birth

31yo • Ifeoma Bankole

Video12m

Woman whose acne flared after stopping the pill

26yo • Nadia Chowdhury

Video12m

Woman whose eczema flares every winter and who wants to avoid steroids

30yo • Siobhan Gallagher

Video12m

Woman with patchy hair loss

34yo • Elena Rossi

Video12m

Ear, Nose and Throat

9 Cases

Hearing-impaired man with troublesome tinnitus

68yo • Arthur Vance

Video12m

Man who wants a camera test for a lump feeling in his throat

45yo • Imran Bhatti

Video12m

Man who woke up deaf in one ear

50yo • Hamish Calder

Telephone12m

Man with sinusitis asking for antibiotics before a work trip

40yo • Kwame Asante

Telephone12m

Middle-aged woman with sudden-onset dizziness

54yo • Sarah Jenkins

Video12m

Older woman with shooting jaw pain

72yo • Brenda Higgins

Video12m

Swimmer with a painful, itchy, discharging ear

38yo • Ravi Menon

Video12m

Teacher with a blocked nose for months asking for something stronger

34yo • Hannah Price

Video12m

Woman with one blocked nostril for two months

61yo • Yvonne Baptiste

Video12m

Gastroenterology

8 Cases

Elderly woman asking for explanation of diverticular disease diagnosis

75yo • Margaret Gable

Video12m

Man who does not believe cannabis is causing his vomiting

30yo • Elliot Varley

Video12m

Night shift nurse with heartburn who wants omeprazole on repeat

41yo • Maricel Dizon

Telephone12m

Obese man with nocturnal cough

54yo • Gary Wilson

Video12m

Woman with gallstones on her A&E letter who wants them out now

45yo • Gwen Tremayne

Video12m

Woman with six weeks of loose stools and weight loss who thinks it is stress

25yo • Hollie Drummond

Telephone12m

Woman with ulcerative colitis whose flare is not settling

34yo • Rhiannon Bassey

Telephone12m

Young female with chronic abdominal pain

24yo • Emily Thorne

Telephone12m

Genetics

5 Cases

Man whose ferritin came back high on routine bloods

52yo • Niall Sweeney

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 whose father has polycystic kidney disease asking if she should be checked

31yo • Esme Haddad

Video12m

Woman with Autosomal Recessive Ataxia discussing risks to her children

42yo • Helen Clarke

Video12m

Gynaecology and Breast

7 Cases

Mother under pressure to submit daughter to FGM

32yo • Faduma Hassan

Telephone12m

Sixteen year old missing college with period pains

16yo • Julia Kowalska

Telephone12m

Woman discovering a breast lump on self-examination

45yo • Emma Carter

Video12m

Woman still bleeding four months after her hormonal coil was fitted

38yo • Tanvi Shah

Video12m

Woman with a past blood clot asking whether HRT is safe for her

51yo • Ruth Abernethy

Video12m

Woman with fibroids whose main problem is needing the toilet

46yo • Charmaine Gayle

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 with pernicious anaemia asking to switch from injections to tablets

60yo • Kayode Ogunleye

Telephone12m

Teenager with persistent sore throat, lymphadenopathy, and abdominal pain

17yo • Liam Connor

Video12m

Woman of 68 with iron deficiency anaemia who only wants iron tablets

68yo • Parveen Akhtar

Telephone12m

Woman who found a lump above her collarbone

40yo • Ioana Marinescu

Video12m

Woman with tiredness, macrocytic anaemia, and hypercholesterolaemia

52yo • Susan Davies

Video12m

Young woman with bruises, tiny red spots and a heavy period

23yo • Tamara Boateng

Telephone12m

Infectious Disease and Travel Health

7 Cases

Daughter worried about her mother's diarrhoea in a care home

84yo • Philomena Kavanagh

Telephone12m

Dog walker who found a tick on her leg this morning

55yo • Jaswinder Dhillon

Telephone12m

Elderly woman with persistent itchy rash

78yo • Dorothy Higgins

Video12m

Father of a 7 year old with crusted sores at the hairline and an itchy scalp

7yo • Callan Ridgway

Telephone12m

Newly registered patient with HIV concerned about confidentiality

34yo • Marcus Thorne

Video12m

Student returning from SE Asia with fever and headache

21yo • Jack Reynolds

Video12m

Woman whose partner has just been diagnosed with hepatitis A

29yo • Orla Lockhart

Telephone12m

Learning Disability

4 Cases

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

24yo • Thomas Miller

Telephone12m

Support worker who found a breast lump in a woman with a learning disability

52yo • Lorraine Pickering

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

Gym goer whose semen analysis shows no sperm

31yo • Rohan Pillai

Video12m

Postnatal woman with flu-like symptoms and a painful breast

28yo • Sarah Harding

Video12m

Pregnant woman with low mood asking if antidepressants are safe

29yo • Esther Adjei

Video12m

Sixteen year old who is pregnant and unsure what to do

16yo • Imogen Holroyd

Video12m

Woman at 30 weeks whose bile acids came back raised

34yo • Harpreet Sandhu

Video12m

Woman at seven weeks with spotting and one sided pain

26yo • Shanice Okpara

Telephone12m

Woman at ten weeks unable to keep fluids down

27yo • Aoife Lennon

Video12m

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 lithium who wants to try for a baby

30yo • Cerys Llewellyn

Video12m

Woman unsure whether to have Down's syndrome screening at all

37yo • Rukhsana Mirza

Telephone12m

Woman with an underactive thyroid who has just found out she is pregnant

32yo • Beatriz Santos

Telephone12m

Mental Health

10 Cases

First time mother who says she is just tired

34yo • Tessa Abrahams

Video12m

Man with schizophrenia who wants to stop his antipsychotic because of weight gain

45yo • Jamal Osborne

Video12m

Student assaulted at a party two nights ago

20yo • Keira Nwosu

Telephone12m

Teenager with compulsive tidying

16yo • Leo Baxter

Video12m

Widower with weight loss and poor sleep who is sure it is his stomach

74yo • Clifton Bailey

Video12m

Woman on sertraline for two months who says it has done nothing

38yo • Bronagh Teague

Video12m

Woman on sleeping tablets for years told the practice is reducing them

70yo • Merle Brathwaite

Telephone12m

Woman with ongoing abdominal pain following normal gastroenterology discharge

38yo • Clara Jenkins

Video12m

Young man with a low potassium who is preparing for a modelling job

22yo • Jonah Kapadia

Telephone12m

Young mother with ideas of reference

24yo • Sophie Turner

Video12m

Metabolic Problems and Endocrinology

8 Cases

Airline pilot with Type 2 Diabetes and rising HbA1c

52yo • Captain David Sterling

Video12m

Daughter worried her mother keeps having hypos

78yo • Hyacinth Brissett

Telephone12m

Man buying a weight loss injection online who wants you to prescribe it

45yo • Marlon Ashby

Video12m

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

52yo • Paul Hughes

Video12m

Woman of 80 on citalopram whose sodium is low

80yo • Doreen Strachan

Telephone12m

Woman with burning feet who mentions a blister she never felt

71yo • Beryl Cattermole

Telephone12m

Woman with known high calcium asking if she really needs an operation

64yo • Hilary Costello

Telephone12m

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

Man who started allopurinol and now has another gout attack

55yo • Ranjit Sohal

Telephone12m

Man whose hip X ray report mentions Paget's disease

74yo • Kenneth Ormerod

Telephone12m

Man with new white fingers in winter who uses power tools

52yo • Brendan Garside

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

Teenage runner whose periods have stopped

17yo • Maisie Brearley

Video12m

Warehouse worker with sciatica asking for a scan and stronger painkillers

42yo • Gavin Abbott

Video12m

Woman whose polymyalgia came back as her steroids were reduced

71yo • Hazel Kerslake

Video12m

Woman with tennis elbow asking for a second steroid injection

47yo • Nicola Pascoe

Video12m

Woman with widespread pain who wants more scans and a rheumatology referral

45yo • Lakshmi Varghese

Video12m

Young man with months of morning back stiffness that eases with exercise

27yo • Dylan Sarkar

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

Man with recurrent daily headaches not responding to analgesia

45yo • Simon Fletcher

Telephone12m

Man with sudden double vision and a droopy eyelid

58yo • Dilip Mistry

Telephone12m

Patient with a witnessed first seizure on holiday

42yo • Marcus Vance

Video12m

Pregnant woman with one side of her face drooping

31yo • Catriona Dunn

Video12m

Woman with frequent migraines asking for something to prevent them

29yo • Leyla Demir

Video12m

Woman with transient hand weakness and clumsiness

62yo • Brenda Clark

Video12m

Older Adults

8 Cases

Adult son concerned about elderly father’s rapid decline

82yo • Arthur Higgins

Telephone12m

Care home nurse asking for something to calm an agitated resident with dementia

84yo • Hilda Skerritt

Telephone12m

Elderly man requesting more analgesia for hip OA

78yo • George Henderson

Video12m

Man on hormone treatment for prostate cancer told he has osteoporosis

70yo • Cedric Lamptey

Telephone12m

Son worried his father with memory problems keeps running out of tablets early

81yo • Aubrey Ellacott

Telephone12m

Wife of a man on apixaban who hit his head in a fall yesterday

79yo • Leonard Fenwick

Telephone12m

Woman with heart failure and diuretic-induced incontinence

78yo • Brenda Wallace

Telephone12m

Woman worried about her memory because her mother had dementia

56yo • Georgina Fairweather

Video12m

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 4 week old with a watery, sticky eye

Infant • Linus Aldridge

Video12m

Schoolteacher with painful red eye

34yo • Sarah Collins

Video12m

Woman raised in Australia whose eye growth is blurring her close work

34yo • Georgia Pellow

Telephone12m

Patient < 19 years old

10 Cases

Adolescent wanting to start contraceptive pill

15yo • Maya Gupta

Telephone12m

Father of a 10 month old who has dropped two centiles

Infant • Nell Hallett

Video12m

Father of a 10 year old bedwetter before a school residential trip

10yo • Ronan Raftery

Telephone12m

Fifteen year old whose mother found cuts on her thighs

15yo • Tegan Rutherford

Video12m

Health visitor has safeguarding concerns for an infant

Infant • Karen

Telephone12m

Mother calling about her 7 week old's fever

Infant • Arlo Treharne

Telephone12m

Mother of a 7 year old with episodes of tummy pain and pallor

7yo • Felix Farrington

Telephone12m

Mother of a baby born early who wants to space his vaccines

Infant • Archie Varga

Telephone12m

Mother of a baby with hard stools since starting solids

Infant • Wilf Pettigrew

Telephone12m

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

3yo • Lisa King

Video12m

People at the End of Life

6 Cases

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

72yo • Ahmed Rahman

Video12m

Daughter calling about her dying mother's noisy breathing

88yo • Phyllis Barraclough

Telephone12m

District Nurse requesting an antiemetic

76yo • Arthur Pendelton

Telephone12m

Man with lung cancer whose morphine is making him drowsy and muddled

72yo • Alasdair Dunmore

Telephone12m

Man with metastatic bowel cancer discussing ongoing care

68yo • Thomas Wright

Telephone12m

Woman with motor neurone disease who wants to refuse a ventilator in future

61yo • Philippa Fairclough

Video12m

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 with type 2 diabetes planning to fast during Ramadan

58yo • Kamran Hashmi

Video12m

Newly arrived woman asking for the oxycodone she was given after surgery abroad

39yo • Joana Figueiredo

Video12m

Woman finishing cancer treatment who wants to go back to work

48yo • Priscilla Hartnett

Video12m

Woman with epilepsy on lamotrigine asking about the combined pill

24yo • Ffion Maddocks

Telephone12m

Population and Planetary Health

3 Cases

Health Inequalities, Temporary Accommodation & COPD Exacerbation

54yo • Gary Miller

Telephone12m

South Asian man with pre-diabetes and cardiovascular risk after a health check

45yo • Tariq Miah

Telephone12m

Woman in early pregnancy requesting minimal antenatal intervention

31yo • Maya Sharma

Video12m

Renal and Urology

10 Cases

Acute Kidney Injury following Gastroenteritis

62yo • Susan Clarke

Telephone12m

Man of 46 who saw blood in his semen once

46yo • Hector Pelling

Video12m

Man of 49 asking about prostate cancer after a TV campaign

49yo • Everton Beckford

Video12m

Man whose kidney function dropped after starting ramipril

63yo • Bernard Tolliver

Telephone12m

Man with a painful bend in his penis after an injury during sex

52yo • Hamid Rostami

Video12m

Man with a urine infection

45yo • Rhydian Brightwell

Telephone12m

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

56yo • David Thorne

Video12m

Roofer told he may have kidney disease after months on a high protein diet

54yo • Lloyd Rutter

Telephone12m

Urinary Incontinence in Multiple Sclerosis

32yo • Jessica Hayes

Video12m

Woman whose urine still shows blood after her infection was treated

61yo • Veronica Harcourt

Telephone12m

Respiratory Health

7 Cases

Asthma Management and Visual Impairment

42yo • Eleanor Vance

Telephone12m

Man told his CT scan found a small lung nodule

60yo • Bryn Ainsley

Telephone12m

Man treated for lung cancer with new morning headaches and muddled words

63yo • Barnaby Teasdale

Telephone12m

Remote Triage of Acute Respiratory Decline & Confusion

86yo • George Higgins

Telephone12m

Sales rep with sleep apnoea who has stopped using his CPAP

52yo • Roland Pennock

Video12m

Woman discharged after a COPD admission asking for home oxygen

70yo • Edwina Pargeter

Video12m

Woman who stopped her preventer inhaler because it gives her a sore throat

33yo • Abena Mensah

Video12m

Sexual Health

9 Cases

Father of three asking about a vasectomy who is worried about pain and sex

41yo • Stephen Mallory

Video12m

Gender Identity Exploration and Parent Communication

12yo • Leo Jenkins

Telephone12m

Man whose partner has tested positive for gonorrhoea

25yo • Dexter Quarshie

Telephone12m

Man whose sildenafil is not working

58yo • Clement Ashdown

Video12m

Man worried after condomless sex two nights ago

30yo • Anton Wilkes

Telephone12m

Postpartum Low Libido

31yo • Chloe Martin

Video12m

Remote Triage of the Acute Scrotum

25yo • Liam Davis

Telephone12m

Woman needing emergency contraception four days after sex

28yo • Mhairi Galbraith

Telephone12m

Woman with new vaginal discharge after a new partner

27yo • Anneka Hollis

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 on pregabalin who keeps running out early

45yo • Philip Whitcombe

Telephone12m

Seventeen year old who wants to cut down his ketamine use

17yo • Ezra Bellamy

Telephone12m

Student with tingling feet who uses nitrous oxide at parties

19yo • Caleb Fashola

Video12m

Woman on methadone who has found out she is pregnant

33yo • Alanna Corrigan

Video12m

Urgent & Unscheduled care

8 Cases

New mother with breathlessness and sharp chest pain

33yo • Kavita Desai

Telephone12m

Paramedic handover for ‘nerve entrapment’

56yo • Mark Roberts

Telephone12m

Presyncopal Young Female: Examination Expected

24yo • Sarah Jenkins

Video12m

Remote Triage of the Acute Headache - examination expected

22yo • Jake Thorne

Video12m

Woman five days after giving birth with a headache and high blood pressure

30yo • Mairead Colquhoun

Telephone12m

Woman on chemotherapy with a temperature who thinks it is just a cold

52yo • Lynsey Wardle

Telephone12m

Woman with indigestion and breathlessness for three hours

63yo • Josephine Adewumi

Telephone12m

Woman with type 1 diabetes and a stomach bug

24yo • Briony Ledgard

Telephone12m