By Ruba Kulsoom • March 06, 2026 • Last reviewed: 2026-03-08 •

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In this scenario, the student pharmacist has been asked to counsel a patient who is presenting with lower back pain and requesting to purchase co-codamol. The student must explore the patient’s request, take an accurate history and assess red flag symptoms if present. 

 Please ensure that this scenario and mark scheme align with the most up-to-date guidelines from the UK NICE and the BNF when using it for your OSCE assessment. 

You will need a student pharmacist and an actor for this scenario.