Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 84 questions.
A woman arrives at a remote clinic in labour, having had no antenatal care and no dating ultrasound. She gives birth to a girl weighing 1980 g who cries at birt…
Paediatrics · Pre-internship · common
A 6-year-old boy with laboratory-confirmed SARS-CoV-2 infection is admitted to a paediatric ward. Over an hour his oxygen saturation falls to 88 per cent on 6 L…
Paediatrics · Pre-internship · common
A 16-year-old girl asks you to sign a clearance form for state-level netball. Twice this year she has collapsed without warning, once in the third quarter of a…
Paediatrics · Pre-internship · common
A 4-year-old boy is brought to a general practice for the third time this year, now with six weeks of night waking and new bedwetting after a year of being dry.…
Paediatrics · Pre-internship · common
A 10-year-old boy is seen in a paediatric outpatient clinic. Over six months he has become irritable, has stopped playing soccer, which he loved, and takes over…
Paediatrics · Pre-internship · common
A 14-year-old boy attends the general practice with his father because of headaches on most school days for three months. His neurological examination, includin…
Paediatrics · Pre-internship · common
A woman who is 19 weeks pregnant with her second child asks what she can do to protect the new baby from whooping cough. Her 2-year-old daughter is fully immuni…
Paediatrics · Pre-internship · common
You are the intern on the postnatal ward. The newborn screening laboratory telephones about a 5-day-old girl: the immunoreactive trypsinogen was raised on the b…
Paediatrics · Pre-internship · common
A 3-year-old boy is brought to the general practice because he uses only about twenty single words and no two-word phrases. He passed his newborn hearing screen…
Paediatrics · Pre-internship · common
You are the intern on the paediatric ward. A 2-year-old girl admitted with gastroenteritis needs a nasogastric tube for rehydration. Her parents arrived in Aust…
Paediatrics · Pre-internship · common
An 8-year-old boy is referred to the paediatric clinic after a school nursing screen recorded a blood pressure of 132/84 mmHg, above the 95th centile for his ag…
Paediatrics · Pre-internship · common
A psychiatry registrar in Perth tells you, a fellow registrar, that since his father died four months ago he has had low mood, waking at 4 am and poor concentra…
Psychiatry · Pre-internship · common
A 52-year-old woman who arrived in Australia from Afghanistan eleven months ago attends a community mental health clinic for review of post-traumatic stress dis…
Psychiatry · Pre-internship · common
An 83-year-old woman in residential care has advanced Alzheimer disease. Over six weeks she has repeatedly struck staff during personal care and shouts that the…
Psychiatry · Pre-internship · common
A 78-year-old man is reviewed four weeks after starting sertraline for a depressive episode that began when his wife died. His mood is unchanged. He tells you h…
Psychiatry · Pre-internship · common
A first-year doctor on a community mental health placement has been seeing a 24-year-old woman with borderline personality disorder. Over six weeks he has given…
Psychiatry · Pre-internship · common
At 11 pm a 27-year-old woman with borderline personality disorder comes to the emergency department after her flatmate ended their friendship. She has three sup…
Psychiatry · Pre-internship · common
A 74-year-old woman is referred with six months of worry, restlessness and broken sleep. She has never been anxious before and can point to no trigger. She has…
Psychiatry · Pre-internship · common
A 47-year-old farmer is brought to a regional emergency department by his brother. Over three months he has withdrawn from the family, stopped eating with them…
Psychiatry · Pre-internship · common
A 26-year-old woman is reviewed at home on day 8 after the birth of her first child. Over three days she has slept about two hours a night, talks rapidly about…
Psychiatry · Pre-internship · common