Lesson 4.7: Clinical Scenario Practice Workshop

This is the most important practice session in the clinical module. It contains 12 clinical scenarios presented in interview format, designed to replicate real JCF interview conditions. For each scenario, the lesson follows a structured format: you hear the question, pause the video, deliver your answer aloud within 3–4 minutes using the A–E template, then watch the model answer and compare your response against the scoring criteria.

The 12 Practice Scenarios

1. Scenario 1: 65-year-old male with crushing central chest pain and diaphoresis (ACS)
2. Scenario 2: 28-year-old female post-operative day 7, acute breathlessness and pleuritic chest pain (PE)
3. Scenario 3: 78-year-old female from a nursing home, confused, febrile, tachycardic, hypotensive (urosepsis)
4. Scenario 4: 45-year-old male with haematemesis and melaena, on warfarin (upper GI bleed)
5. Scenario 5: 22-year-old type 1 diabetic, vomiting, drowsy, Kussmaul breathing (DKA)
6. Scenario 6: 55-year-old male with sudden severe tearing chest pain radiating to the back (aortic dissection)
7. Scenario 7: 3-year-old child with fever, non-blanching purpuric rash, and reduced consciousness (meningococcal sepsis)
8. Scenario 8: 80-year-old female found on the floor at home, shortened and externally rotated left leg (fractured neck of femur)
9. Scenario 9: 35-year-old male with severe sudden-onset abdominal pain, rigid abdomen (perforated viscus)
10. Scenario 10: Post-operative patient day 1, increasing pain in casted limb, pain on passive extension (compartment syndrome)
11. Scenario 11: 40-year-old female given IV co-amoxiclav, develops urticaria, wheeze, and hypotension within 10 minutes (anaphylaxis)
12. Scenario 12: 70-year-old male with acute onset facial droop, arm weakness, and speech difficulty (acute stroke — FAST recognition and thrombolysis window)

Each model answer demonstrates: structured A–E approach, relevant investigations with rationale, condition-specific management with drug doses where appropriate, clear escalation plan naming who you would contact, and documentation. The scoring annotation shows which elements earn marks and which are bonus points.