Candidate card · Medicine
You are the doctorA patient asking about an incidental finding
Setting: A scan-results review
A scan report mentions an unrelated finding; the fictional team plan is comparison with earlier images before deciding whether follow-up is needed.
Task
- Explore the concern behind this opening: The report mentions a second thing. Why did nobody tell me about that first?
- Clarify the patient perspective using an appropriate follow-up, such as: What have you understood the additional finding to mean?
- Explain the supplied information and its limits in manageable sections.
- Explore practical barriers and agree a workable next step from the supplied options.
- Check the patient understanding and identify any unresolved question.
A patient asking about an incidental finding supplied information
- A scan report mentions an unrelated finding; the fictional team plan is comparison with earlier images before deciding whether follow-up is needed.
- The report includes a finding separate from the question the scan was requested to answer. The team's supplied next step is to compare it with earlier images before deciding what follow-up is needed.
- The report alone does not tell us whether this needs treatment, and I cannot turn the online description into your diagnosis.
- The imaging team can request the earlier study after confirming where it was done. We can record those details instead of expecting you to interpret or obtain the images yourself.
- The results team will contact you after comparison; use its number on the card if you need to check that the earlier hospital details were received.
Fictional scenario information supplied for exam communication practice only; not medical guidance for real patients.