LEARNING FROM
CLINICAL CASES IN
PRIMARY CARE
For MRCGP and Beyond
Samar Razaq
CRC Press
, Learning from
Clinical Cases in
Primary Care
This new book is designed around 20 clinical cases, each representative of scenarios
encountered by doctors who work in primary care and which will prompt learning in
related issues surrounding each clinical scenario. Each case description concludes
with an initial exam style question, which Membership of the Royal College of General
Practitioners (MRCGP) candidates will recognize as being directed towards learning for
the Applied Knowledge Test (AKT). An expanded answer to that initial question is fol-
lowed by a detailed explanation, concluding with further questions for self-assessment
and reflection.
The cases also provide a template for the preparation of the Simulated Consultation
Assessment (SCA) component of the MRCGP exam and can be used by trainers and
trainees alike as a prototype for role play. Some cases offer learning opportunities through
discussion of discrete clinical entities, whilst others use the clinical cases to introduce the
reader to broader concepts that often need grappling with in primary care.
Covering the wide range of specialities that are encountered in primary care, the book
reflects the remarkable breadth of clinical knowledge that is required of a primary care
practitioner and demonstrates why general practice remains a challenging but rewarding
specialty to master.
, Learning from
Clinical Cases in
Primary Care
For MRCGP and Beyond
Samar Razaq
MBChB, MRCGP, DGM, DCH, DRCOG
General Practitioner
Buckinghamshire, UK
, Designed cover image: Credit: sturti. Getty Images.
First edition published 2025
by CRC Press
2385 NW Executive Center Drive, Suite 320, Boca Raton, FL 33431
and by CRC Press
4 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN
CRC Press is an imprint of Taylor & Francis Group, LLC
© 2025 Samar Razaq
This book contains information obtained from authentic and highly regarded sources. While all reason-
able efforts have been made to publish reliable data and information, neither the author[s] nor the pub-
lisher can accept any legal responsibility or liability for any errors or omissions that may be made. The
publishers wish to make clear that any views or opinions expressed in this book by individual editors,
authors or contributors are personal to them and do not necessarily reflect the views/opinions of the pub-
lishers. The information or guidance contained in this book is intended for use by medical, scientific or
health-care professionals and is provided strictly as a supplement to the medical or other professional’s
own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions
and the appropriate best practice guidelines. Because of the rapid advances in medical science, any infor-
mation or advice on dosages, procedures or diagnoses should be independently verified. The reader is
strongly urged to consult the relevant national drug formulary and the drug companies’ and device or
material manufacturers’ printed instructions, and their websites, before administering or utilizing any of
the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular
treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of
the medical professional to make his or her own professional judgements, so as to advise and treat patients
appropriately. The authors and publishers have also attempted to trace the copyright holders of all material
reproduced in this publication and apologize to copyright holders if permission to publish in this form has
not been obtained. If any copyright material has not been acknowledged please write and let us know so
we may rectify in any future reprint.
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, trans-
mitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter
invented, including photocopying, microfilming, and recording, or in any information storage or retrieval
system, without written permission from the publishers.
For permission to photocopy or use material electronically from this work, access www.copyright.com or
contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-
8400. For works that are not available on CCC please contact mpkbookspermissions@tandf.co.uk
Trademark notice: Product or corporate names may be trademarks or registered trademarks and are used
only for identification and explanation without intent to infringe.
ISBN: 9781032583570 (hbk)
ISBN: 9781032577203 (pbk)
ISBN: 9781003449737 (ebk)
DOI: 10.1201/9781003449737
Typeset in Minion
by Deanta Global Publishing Services, Chennai, India
CLINICAL CASES IN
PRIMARY CARE
For MRCGP and Beyond
Samar Razaq
CRC Press
, Learning from
Clinical Cases in
Primary Care
This new book is designed around 20 clinical cases, each representative of scenarios
encountered by doctors who work in primary care and which will prompt learning in
related issues surrounding each clinical scenario. Each case description concludes
with an initial exam style question, which Membership of the Royal College of General
Practitioners (MRCGP) candidates will recognize as being directed towards learning for
the Applied Knowledge Test (AKT). An expanded answer to that initial question is fol-
lowed by a detailed explanation, concluding with further questions for self-assessment
and reflection.
The cases also provide a template for the preparation of the Simulated Consultation
Assessment (SCA) component of the MRCGP exam and can be used by trainers and
trainees alike as a prototype for role play. Some cases offer learning opportunities through
discussion of discrete clinical entities, whilst others use the clinical cases to introduce the
reader to broader concepts that often need grappling with in primary care.
Covering the wide range of specialities that are encountered in primary care, the book
reflects the remarkable breadth of clinical knowledge that is required of a primary care
practitioner and demonstrates why general practice remains a challenging but rewarding
specialty to master.
, Learning from
Clinical Cases in
Primary Care
For MRCGP and Beyond
Samar Razaq
MBChB, MRCGP, DGM, DCH, DRCOG
General Practitioner
Buckinghamshire, UK
, Designed cover image: Credit: sturti. Getty Images.
First edition published 2025
by CRC Press
2385 NW Executive Center Drive, Suite 320, Boca Raton, FL 33431
and by CRC Press
4 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN
CRC Press is an imprint of Taylor & Francis Group, LLC
© 2025 Samar Razaq
This book contains information obtained from authentic and highly regarded sources. While all reason-
able efforts have been made to publish reliable data and information, neither the author[s] nor the pub-
lisher can accept any legal responsibility or liability for any errors or omissions that may be made. The
publishers wish to make clear that any views or opinions expressed in this book by individual editors,
authors or contributors are personal to them and do not necessarily reflect the views/opinions of the pub-
lishers. The information or guidance contained in this book is intended for use by medical, scientific or
health-care professionals and is provided strictly as a supplement to the medical or other professional’s
own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions
and the appropriate best practice guidelines. Because of the rapid advances in medical science, any infor-
mation or advice on dosages, procedures or diagnoses should be independently verified. The reader is
strongly urged to consult the relevant national drug formulary and the drug companies’ and device or
material manufacturers’ printed instructions, and their websites, before administering or utilizing any of
the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular
treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of
the medical professional to make his or her own professional judgements, so as to advise and treat patients
appropriately. The authors and publishers have also attempted to trace the copyright holders of all material
reproduced in this publication and apologize to copyright holders if permission to publish in this form has
not been obtained. If any copyright material has not been acknowledged please write and let us know so
we may rectify in any future reprint.
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, trans-
mitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter
invented, including photocopying, microfilming, and recording, or in any information storage or retrieval
system, without written permission from the publishers.
For permission to photocopy or use material electronically from this work, access www.copyright.com or
contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-
8400. For works that are not available on CCC please contact mpkbookspermissions@tandf.co.uk
Trademark notice: Product or corporate names may be trademarks or registered trademarks and are used
only for identification and explanation without intent to infringe.
ISBN: 9781032583570 (hbk)
ISBN: 9781032577203 (pbk)
ISBN: 9781003449737 (ebk)
DOI: 10.1201/9781003449737
Typeset in Minion
by Deanta Global Publishing Services, Chennai, India
