By Iram Chaudhry • June 20, 2026 • Last reviewed: 26/07/2026 •

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A 57-year-old male presents to the pharmacy consultation room concerned about rectal bleeding and changes in his bowel habits over the past six weeks. The student must take a sensitive, thorough history, identify red flag symptoms, and explore risk factors for colorectal pathology.

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 OSCE station.