Clinical learning
Choose your next CPD topic
Start with a clinical case, test your reasoning in a focused question session, then turn what you learned into a reflection and a professional record.
Your first introductory session has five questions. All-access supports further learning, Tutor and CPD evidence in one subscription.
Acne vulgaris
Recognise acne vulgaris and distinguish it from common facial mimics.
UK clinical content · 5 questionsAcute coronary syndrome
Identify NSTEMI from ischaemic symptoms, ECG changes and acute troponin dynamics.
UK clinical content · 5 questionsAcute kidney injury
Stage AKI using the most severe creatinine or urine-output criterion.
UK clinical content · 5 questionsAcute pancreatitis
Classify acute pancreatitis severity using persistent organ failure.
UK clinical content · 5 questionsAdrenal insufficiency
Select initial biochemical investigation for suspected adrenal insufficiency in a stable patient.
UK clinical content · 5 questionsAlcohol misuse
Recognise delirium tremens and select immediate management after an alcohol-withdrawal seizure.
UK clinical content · 5 questionsAllergic rhinitis
Recognise exposure-related allergic rhinitis and correct intranasal spray technique.
UK clinical content · 5 questionsAnaphylaxis
Select initial intramuscular adrenaline and recognise when to repeat it.
UK clinical content · 5 questionsAntenatal care
Distinguish high-chance prenatal screening from diagnosis and select confirmatory testing.
Australian clinical content · 5 questionsAntibiotic stewardship
Select antibiotic treatment for acute sore throat with immediate penicillin allergy and for first-episode confirmed C. difficile infection.
UK clinical content · 5 questionsAnticoagulation
Recognise the requirement for vitamin K antagonist anticoagulation in patients with mechanical heart valves.
UK clinical content · 5 questionsAnxiety disorders
Differentiate GAD from panic and phobic disorders and address caffeine-associated anxiety.
Australian clinical content · 5 questionsAsthma
Interpret adult bronchodilator reversibility results in the diagnostic pathway.
UK clinical content · 5 questionsAtopic dermatitis
Recognise atopic dermatitis and choose foundational care and site-appropriate flare treatment.
Australian clinical content · 5 questionsAtrial fibrillation
Select ambulatory ECG monitoring for suspected frequent paroxysmal AF.
UK clinical content · 5 questionsBenign prostatic hyperplasia
Select immediate catheterisation and alpha-blocker treatment before a trial without catheter in acute urinary retention.
UK clinical content · 5 questionsBipolar disorder
Select initial treatment for acute mania and adapt management when mania emerges during antidepressant monotherapy.
UK clinical content · 5 questionsBleeding disorders
Select initial VWD investigations and the specialist assay distinguishing type 2N VWD from mild haemophilia A.
UK clinical content · 5 questionsBreast cancer
Recognise the indication for adjuvant endocrine therapy and discuss ovarian-suppression options in premenopausal ER-positive disease.
UK clinical content · 5 questionsCellulitis
Distinguish venous eczema from cellulitis and select organism-appropriate oral treatment for an explicitly staphylococcal presentation.
Australian clinical content · 5 questionsChronic kidney disease
Classify CKD using eGFR and ACR, and identify when family history warrants renal ultrasound.
UK clinical content · 5 questionsChronic lymphocytic leukaemia
Recognise likely CLL and select flow cytometry for confirmation.
UK clinical content · 5 questionsClinical confidentiality
Distinguish confidential contraceptive care from circumstances requiring safeguarding disclosure.
UK clinical content · 5 questionsCoeliac disease
Select appropriate diagnostic testing initially, in IgA deficiency, and after prior gluten exclusion.
UK clinical content · 5 questionsColorectal cancer
Interpret a positive symptomatic FIT and select baseline distant-staging imaging.
UK clinical content · 5 questionsConsent in clinical care
Assess informed, voluntary consent and apply Fraser criteria to confidential contraception.
UK clinical content · 5 questionsContraception
Apply Fraser criteria to confidential contraceptive provision for patients under 16.
UK clinical content · 5 questionsCOPD
Determine when a COPD exacerbation warrants antibiotics.
UK clinical content · 5 questionsCrohn’s disease
Diagnose Crohn disease from endoscopic and histological findings and select initial induction when systemic corticosteroids are unsuitable.
UK clinical content · 5 questionsDelirium
Recognise postoperative delirium and select the 4AT for bedside assessment.
UK clinical content · 5 questionsDementia
Choose specialist referral for suspected dementia and initial management for acute delirium superimposed on dementia.
UK clinical content · 5 questionsDepression
Choose initial combined treatment and medication escalation after inadequate guided self-help according to patient preference.
UK clinical content · 5 questionsDiabetes in pregnancy
Select risk-based screening and interpret OGTT results to diagnose gestational diabetes and arrange timely review.
UK clinical content · 5 questionsDiabetic ketoacidosis
Recognise SGLT2-associated DKA despite modest glucose elevation.
UK clinical content · 5 questionsDysphagia
Recognise characteristic achalasia findings and identify dysphagia requiring suspected-cancer referral.
UK clinical content · 5 questionsEctopic pregnancy
Distinguish immediate specialist referral from structured follow-up in symptomatic early pregnancy.
UK clinical content · 5 questionsEmergency contraception
Select intrauterine or oral emergency contraception according to timing and preferences.
UK clinical content · 5 questionsEndometriosis
Distinguish initial ultrasound assessment from the diagnostic role of laparoscopy.
UK clinical content · 5 questionsEpilepsy
Select the appropriate EEG modality and timing after a first suspected epileptic seizure.
UK clinical content · 5 questionsFalls prevention
Select multifactorial falls management and appropriate strength and balance exercise.
Australian clinical content · 5 questionsGastro-oesophageal reflux disease
Recognise Barrett's oesophagus from endoscopy and histology, and identify dysphagia requiring suspected-cancer referral.
UK clinical content · 5 questionsGlaucoma
Identify appropriate confirmatory case-finding and risk-based management for raised intraocular pressure.
UK clinical content · 5 questionsGout
Adjust urate targets and allopurinol dosing when frequent flares persist despite urate below 360 micromol/L.
UK clinical content · 5 questionsHaematuria
Distinguish suspected-cancer referral for unexplained visible haematuria from tissue diagnosis of a detected bladder mass.
UK clinical content · 5 questionsHeadache assessment
Recognise migraine and select further investigation for suspected subarachnoid haemorrhage after a negative delayed CT.
UK clinical content · 5 questionsHeart failure
Select echocardiography to assess suspected heart failure and underlying structural abnormalities.
UK clinical content · 5 questionsHeavy menstrual bleeding
Select first-line LNG-IUS treatment and counsel about early bleeding changes and the treatment trial.
UK clinical content · 5 questionsHepatitis B
Apply HCC surveillance criteria and antiviral-treatment indications in the chronic hepatitis B scenarios presented.
UK clinical content · 5 questionsHIV
Recognise the clinical presentation of Pneumocystis jirovecii pneumonia in HIV.
UK clinical content · 5 questionsHormone replacement therapy
Choose systemic HRT with appropriate endometrial protection and route for thrombotic risk.
UK clinical content · 5 questionsHyperkalaemia
Recognise pseudohyperkalaemia using discordant serum and promptly analysed whole-blood potassium results.
UK clinical content · 5 questionsHypertension
Recognise pre-eclampsia and identify when magnesium sulfate prophylaxis should be considered.
UK clinical content · 5 questionsHypertension in pregnancy
Recognise pre-eclampsia from hypertension and proteinuria, and interpret PLGF testing alongside clinical surveillance.
UK clinical content · 5 questionsHyperthyroidism
Recognise Graves disease and select TRAb testing to clarify the cause of thyrotoxicosis.
UK clinical content · 5 questionsHypoglycaemia
Resolve symptom–CGM discordance and treat severe hypoglycaemia with unconsciousness.
UK clinical content · 5 questionsHyponatraemia
Identify the biochemical findings and exclusions needed to support SIADH.
UK clinical content · 5 questionsHypothyroidism
Select initial thyroid testing and recognise when suspected central hypothyroidism requires adrenal assessment and treatment first.
UK clinical content · 5 questionsImmunisation
Select tetanus and hepatitis B post-exposure prophylaxis using wound risk and immunisation-response history.
UK clinical content · 5 questionsIron deficiency anaemia
Interpret ferritin during inflammation and the early haemoglobin response supporting absolute iron deficiency.
UK clinical content · 5 questionsIrritable bowel syndrome
Select baseline IBS investigations and recognise alarm features requiring investigation for organic disease.
UK clinical content · 5 questionsJaundice
Select bilirubin assessment and apply age- and gestation-specific phototherapy thresholds in neonatal jaundice.
UK clinical content · 5 questionsLithium monitoring
Select routine organ-function monitoring and an appropriate initial maintenance lithium concentration target.
UK clinical content · 5 questionsLyme disease
Diagnose typical erythema migrans clinically and choose an oral antibiotic regimen.
UK clinical content · 5 questionsLymphoma
Select adequate diagnostic tissue and molecular testing for high-grade B-cell lymphoma.
UK clinical content · 5 questionsMalaria
Choose itinerary-specific malaria prevention advice combining chemoprophylaxis and bite avoidance.
UK clinical content · 5 questionsMelanoma
Apply suspicious-lesion referral criteria and select an appropriate diagnostic biopsy technique.
UK clinical content · 5 questionsMeningitis
Select empirical antibiotics and appropriately timed adjunctive dexamethasone for suspected bacterial meningitis.
UK clinical content · 5 questionsMental capacity
Identify the functional abilities required for decision-specific capacity.
UK clinical content · 5 questionsMethotrexate safety
Select baseline safety checks and prevent erroneous daily methotrexate prescribing.
UK clinical content · 5 questionsMigraine
Distinguish non-oral acute rescue from rimegepant eligibility after unsuccessful acute treatment.
UK clinical content · 5 questionsMultiple sclerosis
Identify disease-modifying options for relapsing-remitting and inflammatory primary-progressive multiple sclerosis.
UK clinical content · 5 questionsOsteoarthritis
Select topical NSAIDs and recognise when a monitored oral NSAID trial is appropriate.
UK clinical content · 5 questionsOsteoporosis
Select bone-protective treatment for long-term glucocorticoid exposure and established postmenopausal osteoporosis.
UK clinical content · 5 questionsOtitis media
Choose initial supportive care and explain when to start a back-up antibiotic.
UK clinical content · 5 questionsPalliative care
Calculate subcutaneous morphine conversion and regular-dose titration from effective rescue use.
UK clinical content · 5 questionsParkinson’s disease
Select initial levodopa treatment when Parkinson motor symptoms impair quality of life.
UK clinical content · 5 questionsPeptic ulcer disease
Select initial H. pylori investigation and cause-directed treatment for uncomplicated ulcer presentations.
UK clinical content · 5 questionsPerinatal mental health
Use perinatal depression screening and assess a positive result in its clinical and safety context.
Australian clinical content · 5 questionsPeripheral arterial disease
Select exercise ABI testing for typical claudication with a borderline resting ABI.
UK clinical content · 5 questionsPneumonia
Select initial oral CAP antibiotics and targeted microbiological tests in the presented settings.
UK clinical content · 5 questionsPostpartum haemorrhage
Use immediate physical measures for uterine atony and recognise genital tract trauma when the uterus is well contracted.
UK clinical content · 5 questionsProstate cancer
Select suspected cancer referral and subsequent prostate MRI in the presented raised-PSA scenarios.
UK clinical content · 5 questionsPsoriasis
Choose initial topical regimens with appropriate corticosteroid potency and duration for trunk/limb versus flexural psoriasis.
UK clinical content · 5 questionsPulmonary embolism
Distinguish low-suspicion PERC assessment from immediate CTPA investigation for likely PE.
UK clinical content · 5 questionsRheumatoid arthritis
Recognise rheumatoid arthritis and neurological red flags requiring urgent cervical assessment.
UK clinical content · 5 questionsSchizophrenia
Assess first-episode psychosis comprehensively and select initial oral antipsychotic treatment.
UK clinical content · 5 questionsSmoking cessation
Combine behavioural support with pharmacotherapy and prioritise cessation for cardiovascular prevention.
Australian clinical content · 5 questionsStable angina
Distinguish first-line angina symptom control from cardiovascular secondary prevention.
UK clinical content · 5 questionsStroke
Identify the swallowing-screen requirement before oral intake or medication after stroke.
UK clinical content · 5 questionsSyncope
Identify cardiac red flags after transient loss of consciousness and investigate exertional syncope with a murmur.
UK clinical content · 5 questionsSyphilis
Identify primary syphilis and arrange investigation and specialist assessment for suspected secondary syphilis.
UK clinical content · 5 questionsTransient ischaemic attack
Arrange urgent TIA assessment and initiate aspirin–statin secondary prevention after retinal ischaemia.
Canadian clinical content · 5 questionsTuberculosis
Select microbiological testing for pulmonary TB and understand the standard drug-susceptible treatment sequence.
UK clinical content · 5 questionsType 2 diabetes
Select empirical antibiotics for progressive diabetic foot infection and cardiorenal-protective therapy for albuminuric CKD.
UK clinical content · 5 questionsUlcerative colitis
Recognise the characteristic colonic distribution of ulcerative colitis and investigate infection before escalating immunosuppression.
UK clinical content · 5 questionsUpper gastrointestinal bleeding
Prioritise ABC resuscitation and recognise when active bleeding with thrombocytopenia warrants platelet transfusion.
UK clinical content · 5 questionsUrinary tract infection
Select lower-UTI treatment accounting for pregnancy, antibiotic allergy and resistance risk.
UK clinical content · 5 questionsVitamin B12 deficiency
Recognise B12 deficiency from megaloblastic blood findings with characteristic neurological signs.
UK clinical content · 5 questionsWarfarin monitoring
Manage INR above 8 without bleeding and advise safely after a missed warfarin dose.
UK clinical content · 5 questionsWernicke’s encephalopathy
Select thiamine prophylaxis or urgent parenteral treatment according to neurological risk.
UK clinical content · 5 questions