Branching cross-examination

This is a MedVellum formative viva. It is not an official RACP, MRCPCH, ABP, ACGME or RCPSC station, mark scheme, duration or pass standard. Release each update only after the candidate states the principle, the dose, and the safeguard. ^{[5] [9]}

Candidate brief

You are the paediatric registrar in a rheumatology joint clinic. Speak as you would when starting a child on methotrexate and later on a biologic. State the schedule, the safeguard, and the monitoring at each step. This is one continuous case. Each escalation branch leads to the next update. ^[5]