Free MRCGP CSA cases
for GP registrars 


These are mock CSA scenarios for the MRCGP CSA exam. The CSA cases are written by recently qualified GPs who have attended and successfully navigated through the CSA exams. They have been constructed to be near to the exam as possible drawing from challenging real life consultations as well as from previous CSA preparation. They should offer you excellent CSA scenarios for the MRCGP CSA exam or MRCGP [INT] examination.

The mock cases attempt to cover a wide variety of the MRCGP curriculum allowing candidates to practice amongst themselves in small groups. Similar if not more challenging cases will be available on the CSA course. A complete list of CSA cases will be offered as part of the CSA course material. 

Each case is broadly divided into candidate information, actors brief and examiners marks sheet. We have also included a systematic guide into how to approach the station as well as background information regarding medical management.



MRCGP CSA Courses Cases: Genetic cases from our new from CSA Book 
MRCGP CSA Courses Cases: Domestic violence
MRCGP CSA Courses Cases: Diarrhoea
MRCGP CSA Courses Cases: Depresssion
MRCGP CSA Courses Cases: UTI
MRCGP CSA Courses Cases: Dealing with a complaint
MRCGP CSA Course Cases: Angry patient
MRCGP CSA Course Cases: Breaking bad news
MRCGP CSA Course Cases: Weight loss
MRCGP CSA Course Cases: CVA
MRCGP CSA Course Cases: Abdomen pain
MRCGP CSA Course Cases: Hearing loss


Consider purchasing our MRCGP CSA cases book 


Essential Cases & Communication for the CSA exam 
Muhammed Akunjee (Author), Nazmul Akunjee (Author) 


Publisher: Clinical Prep, ISBN 978-0-99276610-8. Published: 1 Dec 2013. 360 pages 

One of the largest CSA case books around contains 26 difficult but realistic CSA scenarios for the MRCGP exam. Click for CSA book genetic case sample chapter. Also available in book stores in waterstonesblackwellsbook depository. wise press. For more information visit google books  


mrcgp csa cases



£24.99 price includes UK delivery
Expedited Royal Mail with tracker (2-3 working days)
Normal price £34.99 including delivery, 25% discounted off list price - £10 off









Clinical frameworks for the MRCGP CSA exam

Muhammed Akunjee (Author)Nazmul Akunjee (Author)


Publisher: Clinical Prep, ISBN 978-0-9927661-1-5, Published: 22 Aug 2014. 530 pages 

The largest most comprehensive CSA book available (double the size of others), which offers excellent CSA revision notes for the MRCGP CSA exam.  Detailed preview also available on Google Books as well as Several CSA book chapters. Also available from book shops such as blackwellswaterstoneswisepressbook-depository  


CSA books mrcgp csa symptoms solver csa courses




£39.99 price includes UK delivery
Expedited Royal Mail with tracker (2-3 working days)
Normal price £44.99 including delivery, 22% discounted off list price - £10 off









quick reference to csa cases and exam

Quick Reference Tools for the MRCGP CSA exam

The MRCGP CSA course organisers have written some quick reference tools to help you pass your MRCGP CSA exam or MRCGP [INT} examination and aid you in your consultation skills. We recommend using and adapting them into your daily consultations to improve your communication skills. All the articles and headings below are covered on the MRCGP CSA Prep courses in detail and role-played in the group. For more information regarding communication skills and cases: Click here





detailed reference for the mrcgp csa exam

Detailed Explanation of Consultations Models and Skills


These articles cover in detail on how one should introduce once self to the patient, how to ask the patient's ideas, concerns and expectations and impact on their life. All the articles are covered in detail on the MRCGP CSA Prep courses and practiced in role-play in the group.



Introduction and information gathering

How one greets and introduces yourself to the patient can set the scene for the rest of the consultation. Actively listening to the patient as well as using a range open and close questions can help you get to the root of the problem efficiently


Eliciting the patient’s ideas, concerns and expectations (ICE)

Eliciting the patient’s health beliefs as well as as concerns are a useful way of contextualising the complaint against the their cultural and social background. Often the skill in the CSA exam is to know exactly when to ‘ICE’ the patient


Impact on life: psychological, social, occupational

Eliciting the psychological, social and occupational impact of the presenting complaint and shed some light upon the severity of the illness, rapport to be formed and permit the doctor to tailor the management plan towards the patient



Explaining the diagnosis

Having gathered all the information necessary to have a working diagnosis, the next task is to explain to the patient what you think is going on whilst avoiding jargon



Formulating a management plan

You have an idea in your mind how to manage such a problem. However, unless you negotiate with the patient this information it is unlikely to be adhered to


Checking understanding

Checking understanding ensures that the patient has full absorbed all the information you have given as well as offer an opportunity to clarify any misunderstandings



Interpersonal skills

A consultation is two way dynamic process and often contain complex subtleties that need to be picked up. Patients may reveal a number of verbal as well as non-verbal cues that should be addressed appropriately




testimonial feedback csa courses

Interpreting the RCGP CSA Exam Feedback 

Below is an article written by MRCGP CSA Prep to try and help explain how to interpret the feedback given from the RCGP. In what can be somewhat confusing, the GP facilitator attempt to demystify this information. Alternatively you can download the article: 


How to Interpret the MRCGP CSA exam feedback



A structured mark sheet for how each CSA case is assessed is found on the RCGP website. Other resources including advice how to interpret the feedback of the MRCGP CSA exam score cards as well as the grade descriptors the MRCGP CSA examiners use to assess you with across the three domains.


An example of an MRCGP CSA Exam Feedback sheet:



Summative feedback

Candidate: MRCGP CSA PREP
GMC number: 123456
Assessment Date: 01.02.2014
Mark of 117: 72
Result: Fail
Mark needed to pass: 78



Formative feedback

MRCGP CSA exam feedback

Once you have completed your CSA exam the RCGP will send to you your final results electronically to your e-portfolio. It can often be quite confusing to interpret the results of your CSA exam score but in this article we hope to unravel some of the mystery behind it.


Summative section
Currently there are two separate sections to the feedback received from the Royal college. The upper part represents the ‘summative section’ with information given about the candidates own mark on the exam compared to the pass mark needed to pass on the day. This score is calibrated based upon the day’s performance, difficulty of the stations and standardised against your peers’ performance on other days.

Your overall score is determined by 13 MRCGP CSA examiners who have scored with a grade across 3 domains – Data gathering, clinical management and interpersonal skills.

The grades on the MRCGP CSA exam include:



CP       Clear Pass     Score 3             Displays above-average level of competence with fluency, 
                                                          proficient and focused

P          Pass               Score 2             Demonstrates adequate level of competence

F          Fail                Score 1             Fails to show adequate competence, unsystematic, inconsistent

CF        Clear Fail      Score 0             Fails to demonstrate competence with poor clinical management, 
                                                          unacceptable for practice.


Each domain had 3 points and a total of 9 points can be achieved per station in a perfectly performed station. A maximum of 117 points can be achieved from 13 consecutive CSA stations. A pass or fail is achieved if your personal score is found to be above the pass mark to pass on the day.

This means that it is often quite difficult to compare candidates MRCGP CSA score across different days as the mark needed to pass may fluctuate as described earlier.


Formative section
The second half of your MRCGP CSA feedback is the formative section with is presented with a general description of the station encountered and a grid like score across 16 areas of performance. To confuse things, not all 16 areas are assessed in each station so a blank box without a cross may suggest either you have successfully performed in that area on a particularly station or that it had not assessed you on that domain resulting in a blank.

A cross in a particular box suggests that an examiner had felt your performance was not satisfactory for that area in that particular station. However, importantly, crosses are only highlighted if two or more MRCGP CSA examiners have identified the same area that requires improvement.

Whilst it may be fair to assume an absence of a cross means you have performed well on that case, unfortunately an equally possible explanation can be sought. A candidate despite having no crosses along the 16 performance areas in a particular station can in fact have scored poorly on the case. This is possible if no other examiner had reported a similar concern within the same performance area on your exam day.

The feedback offered on the formative section via the grid does not indicate your personal mark rather the total overall score obtained out of 9 by the examiner. This score is not reflected here but can be obtained, via the Data Protection Act.