In this MRCS Part B scenario you are in preassessment clinic. Mr Jones is a 60-year-old gentleman due to have a elective hernia repair next month.

Please examine his cardiovascular system.

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Actor briefing

You are Tom Jones a 60-year-old who has a left sided inguinal hernia, which has been bothering you for years. You recently had an operation on your heart, have recovered well and are eager to have your hernia operation. Do not offer any information to the candidate, but you may respond to questions asking if you are in pain, and be responsive to their instructions