Based Consultation & Diagnosis
Framework 2025 – 2026 Based
Assessment Evaluation Test.
What is the first step in the PSA diagnosis framework? - ANSWER Patient
identification and introduction.
What should you confirm during patient identification? - ANSWER Patient's name
and date of birth.
What is the purpose of the presenting complaint step? - ANSWER To understand
the main symptom and its details.
What does WWHAM stand for in structured history taking? - ANSWER Who is it for,
What are the symptoms, How long, Action taken, Medication history.
What is the significance of red flag screening? - ANSWER To rule out serious
causes of symptoms.
Give an example of a red flag for headaches. - ANSWER Sudden 'worst ever'
headache, neck stiffness, or neurological deficit.
What is the goal of differential diagnosis in PSA? - ANSWER To identify the most
likely minor ailment based on history.
What should a working diagnosis statement include? - ANSWER A clear statement
of the likely condition based on patient information.
What are the two options in the management plan? - ANSWER Option A - Treat in
Pharmacy; Option B - Refer.
What is safety netting in the context of PSA? - ANSWER Providing advice on when
to seek further medical attention.
What should be documented after a PSA consultation? - ANSWER Symptoms,
advice given, product supplied, referral made, and red flags excluded.
What is the purpose of the example case provided in the framework? - ANSWER
To illustrate the application of the PSA diagnosis steps.
What is the first question to ask during the presenting complaint step? - ANSWER
An open question: 'How can I help you today?'
What does the acronym SOCRATES refer to in pain assessment? - ANSWER Site,
Onset, Character, Radiation, Associations, Time course, Exacerbating/relieving
factors, Severity.