In this case, you will be scored according to the choices you make - correct answers will gain 5 marks.

Mr Maller presents to A&E (Accident and Emergency) with a history of feeling generally unwell, fever up to 40 degrees, occipital headache despite treatment with erythromycin, acetyl cysteine and paracetamol, given by his GP three days ago.

On examination, the following is found:

• Tachycardic (100 beats/min)

• Temperature 38.4 deg C

• Normal auscultation of heart and lung

• BP 120/75 mmHg

• Oxygen saturation 97% on air

• No meningism.

What would you like to ask Mr Maller? Think about what questions are appropriate before moving on.