In this scenario, the student is expected to counsel a pataient who is about to start methotrexate for their condition. Their role is to answer the patient’s questions appropriately and provide them with any important information. 

Please ensure that this scenario and mark scheme aligns 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.