Table 1.
Case descriptions.
| 2014 | 2016 | 2018 | |
|---|---|---|---|
| Type of case and starting question | Symptom-based: Something for a running nose |
Condition-based: Something for allergy |
Symptom-based: Something for a running nose |
| For Whom (W) | Simulated patient | Simulated patients' husband | Simulated patients' daughter aged 15 years |
| Additional symptoms (W) |
Sneezing Itching of the nose Itching and tearing of the eyes Itching palate Sometimes nasal congestion |
Allergy to cats Mainly sneezing and a running nose, sometimes itching and tearing of the eyes |
Sneezing Itching of the nose Sometimes itching palate, earache, nasal congestion |
| How long (H) | A few weeks | Since babysitting at her daughter's house the day before | Approximately 4 weeks |
| Action taken already (A) | No | No | No |
| Other medication (M) | No | Tamsulosin | No |
| When | More symptoms in the afternoon and in dry weather | In a house with a cat or other pets | Mainly when she's walking the dog and cycling to school, worse in dry weather. She got the dog, a Labradoodle, 6 months earlier. No complaints when playing with the dog |
| Familiar with symptoms | Yes, since relocation to her current house 2 years ago Does not feel like common cold |
Yes, he had something from a pharmacy earlier | No, no previous symptoms Does not feel like common cold |
| Correct advice (guideline) |
Oral cetirizine or loratadine | Oral cetirizine or loratadine | Oral cetirizine or loratadine |
| Incorrect advice | Other antihistamine Ocular sodium cromoglycate Nasal xylometazoline or xylometazoline/ipratropium Other products (nasal saline, herbal product) No product dispensed |
Other antihistamine Ocular sodium cromoglycate Nasal xylometazoline or xylometazoline/ipratropium Other products (nasal saline, herbal product) No product dispensed |
Other antihistamine Ocular sodium cromoglycate Nasal xylometazoline or xylometazoline/ipratropium Other products (nasal saline, herbal product) No product dispensed |