Table 2.

Example of a clinical vignette with items from the diagnostic section of the SC test. Clinical Vignette: A 25 year-old male patient is admitted to the emergency room after a fall from a motorcycle with a direct impact to the pubis. Vital signs are normal. The X-ray reveals a fracture of the pelvis with a disjunction of the pubic symphysis.

If you were thinking of	And then you find	This hypothesis becomes
Urethral rupture	Urethral bleeding	-2	-1	0	+1	+2
Retroperitoneal bladder rupture	Bladder distension	-2	-1	0	+1	+2
Urethral rupture	Upward and bulging prostatic apex at the digital rectal examination	-2	-1	0	+1	+2
Intra-peritoneal bladder rupture	Spontaneous micturition after the accident	-2	-1	0	+1	+2
Urethral rupture	Perineal haematoma	-2	-1	0	+1	+2