Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 400 questions.
A 63-year-old man who has smoked for 40 years and worked for 20 years in a tyre factory reports that on two occasions in the last month his urine has been brigh…
Renal, Urology and Electrolytes · Clinical rotations · common
A 68-year-old man who smokes 20 cigarettes a day has an ultrasound of the abdomen for vague right upper quadrant discomfort. The gallbladder is normal, but the…
Surgery and Perioperative Care · Clinical rotations · common
A 27-year-old man is brought in 20 minutes after his motorcycle struck a tree at speed. He is agitated, with a respiratory rate of 38/min, oxygen saturation 84%…
Emergency and Toxicology · Clinical rotations · common
A 19-year-old woman presents six hours after taking 30 × 500 mg paracetamol tablets in a single impulsive act following an argument. She also took "a few&q…
Emergency and Toxicology · Clinical rotations · common
A 52-year-old fair-skinned man who worked outdoors for 30 years presents because his wife noticed that a mole on his upper back has changed. It is now 8 mm acro…
Dermatology · Clinical rotations · common
A 45-year-old man wakes to find the left side of his face drooping. When he tries to raise his eyebrows only the right side moves, and he cannot fully close his…
Neurology · Clinical rotations · common
A 41-year-old woman presents with a headache that began abruptly while she was lifting weights at the gym yesterday evening, reaching maximum intensity within s…
Neurology · Clinical rotations · common
A 31-year-old woman presents with six months of fatigue, nausea and 7 kg of weight loss. She has been adding extra salt to everything and craves potato chips. F…
Endocrine and Metabolic · Clinical rotations · common
A 34-year-old woman describes 18 months of intermittent difficulty swallowing. From the beginning both liquids and solids have been affected, and it is worse wh…
Gastroenterology and Hepatology · Clinical rotations · common
You are a general practice registrar in a regional town of 6,000 people. Over six weeks the public health unit has confirmed seven cases of measles, four of the…
Paediatrics · Clinical rotations · common
A 6-year-old girl attends a general practice with her aunt for a rash. While her aunt is out of the room collecting a prescription, the girl says, without any p…
Paediatrics · Clinical rotations · common
You are working in a busy regional emergency department on a winter evening. Five children are waiting and the nurse in charge asks which one should be brought…
Paediatrics · Clinical rotations · common
At a six-week check, the mother of a healthy term baby says he brings up milk after most feeds and seems more settled when he is not flat on his back. Her own m…
Paediatrics · Clinical rotations · common
An 18-month-old boy is carried into the emergency department floppy and unrousable. He has vomited several times over the past day and has refused food since ye…
Paediatrics · Clinical rotations · common
A 15-year-old girl is brought to the emergency department by her mother two hours after swallowing a handful of tablets during an argument. She says she took on…
Paediatrics · Clinical rotations · common
A mother telephones her general practice mid-morning. Her two-year-old daughter has been found in the laundry sitting beside an open bottle of a garden product,…
Paediatrics · Clinical rotations · common
A three-year-old boy weighing 15 kg is brought to the emergency department 90 minutes after his parents found him with an open bottle of perfume containing 60%…
Paediatrics · Clinical rotations · common
An Australian poisons information centre is reviewing the 4200 calls it took last year about children younger than 16 years, so that it can direct a prevention…
Paediatrics · Clinical rotations · common
A 14-year-old girl is brought to the emergency department by her mother three hours after being found crying in her bedroom beside an empty packet of ibuprofen…
Paediatrics · Clinical rotations · common
A 14-month-old girl is brought to a rural general practice with three days of watery diarrhoea and vomiting. She is alert and playing, her lips are dry, her cap…
Paediatrics · Clinical rotations · common