Practical Approach A captain in the TA is complaining of ringing in the ears, which has become more noticeable. What could have exacerbated the problem?

Practical Approach The six-year-old son of a customer has been diagnosed with ADHD. What techniques might help her with her son?

Practical Approach A new customer has been having problems sleeping and feels completely washed out since his marriage ended. What practical advice could you give him?

Practical Approach A customer is alarmed by her husband's appearance and thinks he may have had a stroke. How can you advise her?

Practical Approach A customer has found empty whiskey bottles at home, but her husband is denying he has a problem. What advice can you offer?

Practical Approach A health visitor wants to refer a patient's three-year-old son for an autism test. Why might the test be necessary and what will it involve?

Practical Approach An elderly gentlemen who suffers from alcoholism is complaining of "itchy skin". Is it appropriate to give him an antihistamine?

Practical Approach A 66-year-old patient with comorbidities and a history of MI is suffering with indigestion. What could be causing the problem?

Practical Approach A patient wants to know why she feels so tired after the birth of her third child. What could the problem be and how can you advise her?

Practical Approach A distressed elderly patient wants to know why her prescription for spironolactone has been stopped, particularly as she's feeling so well. What you can tell her?

Practical Approach A patient with intermittent depression is questioning the value of exercise for her condition. What advice can you give her?

Practical Approach A customer's elderly mother keeps getting dizzy and falling over. What could be the cause?

Practical Approach Why could a broken ankle lead to a revised contraceptive prescription?

Practical Approach A customer's daughters are on the 5:2 diet, but one has epilepsy and the other experiences migraines. Could the diet cause problems?

Practical Approach A patient has seen a sharp increase in the number of floaters he is experiencing in his right eye. Should he be concerned?

Practical Approach A patient presents with a large bulbous red nose, which you recognise as rhinophyma, but asks for a conjunctivitis treatment. What would you do?

Practical Approach A local teacher complains of sore and swollen legs, which you suspect are caused by varicose veins. What would you advise?

Practical Approach A woman comes in with a 32-day-old script for amoxicillin and Yasmin tablets, is there a cause for concern?

Practical Approach A patient presents with a pinky-red circular rash on his leg after returning from a Spanish hiking holiday. What could it be?

Practical Approach A 33-year-old male customer is asking for Cymalon for interstitial cystitis, but the advice is not to sell to men unless advised to by a GP. What would you do in this situation?

Practical Approach A customer is worried that 15-year-old son is far too thin and not consuming enough food. Could he have an eating disorder?

Practical Approach A patient with undiagnosed urinary tract symptoms is concerned her condition will affect her relationship. What does she have?

Practical Approach A young couple have been trying to conceive and the man has found out he has a low sperm count. What can you tell him?

Practical Approach An elderly patient claims her eye drops are exacerbating her COPD. Is this possible and what would you do in this situation?

Practical Approach An elderly patient on a large number of medicines seems to be managing well, but is he a good candidate for an MDS?

Practical Approach How would you deal with a suspected trimethoprim overdose in an elderly patient with one kidney?

Practical Approach A patient's carer is asking what a prescription is for. How much can you reveal about your patient?

Practical Approach A patient has been newly diagnosed with endometriosis, but she doesn't understand the condition. What can you tell her?

Practical Approach Following three rounds of IVF, a pregnant patient is very upset to have been diagnosed with diabetes. How can you reassure her?

Practical Approach A patient has a lump in her neck and her partner is urging her to get it checked. What could it be?

Practical Approach A dispensing assistant is puzzled by a diabetic patient's prescription for a drug she doesn't think is for his condition. What can you advise?

Practical Approach An elderly customer has slipped into depression and her daughter thinks a recent steroid prescription is to blame. What would you do next?

Practical Approach Customers may know what to do with unwanted medicines, but what about redundant inhalers? What would you advise?

Practical Approach A patient has a repeat prescription for an inhaler for her Behçets disease. Do you know what Behçets disease is and how it is treated?

Practical Approach A customer has developed a cough after quitting smoking and is also concerned about potential weight gain. What would you advise?

Practical Approach A customer, whose pregnancy test she bought from you this morning was positive, returns to ask for advice on managing her asthma during pregnancy. How do you respond?

Practical Approach A patient complains about depression and irregular bleeding after having her second coil fitted four and a half years ago. How do you proceed?

Practical Approach A customer with two small children is requesting EHC for a second time. You both agree long-acting reversible contraception would be most suitable for her, but which method would you recommend?

Practical Approach A patient on antiepileptics is expecting her second baby and is concerned about the medication advice she is being give this time around. What advice can you give?

Practical Approach A distressed patient who is 24 weeks pregnant has been told she has SPD but given no information about the condition. Can you help?

Update Module 1655 This module covers how MS affects neural tissues, risk factors, diagnosis, the four types and management of this inflammatory condition

Update Module 1654 This module covers the stages and diagnosis of migraine, common triggers, and OTC and prescription treatment options.

Update Module 1653 This module covers the suspected prevalence of chronic fatigue syndrome, theories about causes, symptoms, diagnosis, management and prognosis

Update Module 1652 This module covers key side effects, safety profiles, signs of serotonin syndrome and how to manage discontinuation symptoms

Update Module 1651 This module examines screening for depression, guidance and management, and the link between depression and comorbidities.

Update Module 1650 When antipsychotics are used, the potential side effects, the signs of neuroleptic malignant syndrome and key points to consider when treating a patient prescribed antipsychotics.

Update Module 1649 This module covers the risk factors and causes of hypertension, its diagnosis and assessment, as well as the stepwise treatment and clinical classifications

Update Module 1648 This module covers the risks following a myocardial infarction, the different treatments for secondary prevention and key lifestyle advice.

Update Module 1647 This module covers the key risk factors,the incidence, the possible presentations and initial treatment of myocardial infarction

Update Module 1646 This module covers key possible side effects of statins, when to refer for further investigation and how comorbidities, lifestyle, liver and thyroid function can affect statin therapy.

Update Module 1645 This module covers the facts and figures about childhood obesity, as well as the health risks it poses.

Update Module 1644 This module covers vaccination programmes, including those in childhood, for key at-risk groups, and the latest statistics on uptake rates in the UK.

Update Module 1643 This module covers STIs, including chlamydia, genital warts, gonorrhoea, herpes and HIV, and sexual health messages to promote to customers.

Update Module 1642 This module looks at the six most common childhood skin conditions, including pictures to aid identification, treatment options and when to refer.

Update Module 1641 This module comprises a picture guide that covers key features and presentation of eczema and psoriatic conditions; treatments; signs of infection.

Update Module 1640 This module covers the incidence, symptoms and causes of acne vulgaris, treatment options, self-care and lifestyle advice for acne patients.

Update Module 1639 This module covers possible causes and treatment of erectile dysfunction; sexual health for men who have sex with men; gynaecomastia and red flags for breast cancer; and testicular cancer.

Update Module 1638 This module covers benign prostatic hyperplasia and associated problems; symptoms and assessments; latest treatment and red-flags for prostate cancer.

Update Module 1637 This module covers the common causes of hair loss in men and women, treatments available, key advice for suffers and practical tips.

Update Module 1636 This module covers drug therapy and behavioural and psychological symptoms, plus treatment and management options and a tricky case study.