Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 400 questions.
A 38-year-old man develops left-sided neck pain and a new unilateral headache after forceful neck stretching. He has a mild left ptosis and a smaller left pupil…
AMC · Clinical rotations · common
A 46-year-old woman develops a sudden, severe headache while lifting a suitcase. It reaches maximal intensity within seconds and is followed by vomiting and nec…
AMC · Clinical rotations · common
A 35-year-old woman at 31 weeks’ gestation has six weeks of low mood, guilt and early-morning waking. During the past week she has stopped eating, believes her…
Psychiatry and Mental Health · Clinical rotations · common
A 27-year-old man with no previous psychiatric history is brought to hospital by his family after two weeks of little sleep, expansive business plans and increa…
Psychiatry and Mental Health · Clinical rotations · common
A 24-year-old woman with type 1 diabetes on a basal-bolus insulin regimen is an inpatient awaiting elective surgery scheduled for the afternoon. Mid-morning she…
Nursing · Clinical rotations · common
A 58-year-old man is receiving his first dose of intravenous vancomycin for a surgical site infection, charted to run over 60 minutes. Twenty minutes into the i…
Nursing · Clinical rotations · common
A 76-year-old man with newly diagnosed type 2 diabetes is being discharged on a nightly basal insulin. The nurse has explained and demonstrated the injection te…
Nursing · Clinical rotations · common
A registered nurse on night shift realises she has written a progress note about one patient in a different patient's paper medical record. The entry is factual…
Nursing · Clinical rotations · common
A 74-year-old woman develops profuse watery diarrhoea on day 5 of intravenous antibiotic therapy for pneumonia. Stool testing confirms Clostridioides difficile…
Nursing · Clinical rotations · common
A registered nurse is preparing to administer flucloxacillin 1 g in 100 mL of sodium chloride 0.9% intravenously over 30 minutes. No infusion pump is available,…
Nursing · Clinical rotations · common
A 17-year-old girl presents six hours after a deliberate ingestion of tablets taken from the family bathroom cabinet. She complains of nausea, repeated vomiting…
Emergency and Toxicology · Clinical rotations · common
A 26-year-old backpacker is snorkelling off Port Douglas in far north Queensland in December when she feels a mild sting on her forearm, leaving only faint redn…
Emergency and Toxicology · Clinical rotations · common
A 34-year-old man in suburban Sydney felt a sharp pinprick on the back of his hand while moving pot plants stacked against the house. Over the next two hours he…
Emergency and Toxicology · Clinical rotations · common
A 34-year-old schoolteacher presents with three weeks of cough. Her illness began with a runny nose and mild sore throat, after which she developed bouts of sev…
Infectious Diseases · Clinical rotations · common
A 61-year-old man returns to discuss the result of a bowel cancer screening kit he completed through the national program, which detected blood in one of two sa…
Gastroenterology and Hepatology · Clinical rotations · common
A 24-year-old university student commenced sertraline 50 mg daily three weeks ago for a depressive episode. His flatmates bring him to the emergency department…
Psychiatry and Mental Health · Clinical rotations · common
A 46-year-old woman with bipolar disorder has been stable on lithium carbonate for five years. She presents with two days of nausea, vomiting and unsteadiness o…
Psychiatry and Mental Health · Clinical rotations · common
A 17-year-old girl is admitted for nutritional rehabilitation. She weighs 39 kg with a height of 168 cm, having lost 15 kg over six months through severe dietar…
Psychiatry and Mental Health · Clinical rotations · common
A 45-year-old man is brought to the emergency department after taking 20 paracetamol tablets following an argument. He is medically cleared and a psychiatric as…
Psychiatry and Mental Health · Clinical rotations · common
A 28-year-old man with schizophrenia that failed to respond to two previous antipsychotics has been taking clozapine for four months with good effect. He presen…
Psychiatry and Mental Health · Clinical rotations · common