What is your differential diagnosis?

So, here we have a simple set of steps, working your way through initial history and exam. 

But were there any decisions? Did you find it annoying to do steps in a certain order? 

Choices like these are quite commonly set up by beginning virtual patient authors. But there is really no consequence or true decision making here. 

Learners usually just find this annoying. Far better to give them choices that matter.