Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 400 questions.
A midwife makes a home visit to a 2-week-old girl. She was born at term, is exclusively breastfed and has regained her birth weight. Her mother is exhausted and…
Paediatrics · Clinical rotations · common
A medical student writes a medication order on the chart of a 3-year-old girl weighing 14 kg who has been admitted with an asthma exacerbation. The order reads:…
Paediatrics · Clinical rotations · common
A 15-year-old girl attends the general practice with her mother because of four months of daily headaches. Her mother answers every question, describes the head…
Paediatrics · Clinical rotations · common
A term newborn girl is examined on the postnatal ward. She lay in a breech position from 34 weeks and was delivered by caesarean section. With the baby relaxed…
Paediatrics · Clinical rotations · common
A girl born at 28 weeks gestation is brought to the child health nurse for a routine review. She is now 5 months old by the calendar and has been home from the…
Paediatrics · Clinical rotations · common
An 81-year-old woman attends a Perth general practice for a diabetes review, accompanied by her son, who moved in with her this year and has driven her today. T…
Psychiatry · Clinical rotations · common
A 22-year-old apprentice electrician has recovered from a first episode of psychosis and is well on aripiprazole. He lives with his parents, has no debts, showe…
Psychiatry · Clinical rotations · common
A 34-year-old primary school teacher describes six months of constant worry, difficulty getting to sleep and irritability that is now affecting her teaching. Sh…
Psychiatry · Clinical rotations · common
A 29-year-old woman has had eight episodes over four months in which her heart pounds, she cannot get enough air, her hands tingle and she becomes certain she i…
Psychiatry · Clinical rotations · common
A 24-year-old woman started sertraline 50 mg daily eleven days ago for a moderate depressive episode, with no previous psychiatric history. She telephones to sa…
Psychiatry · Clinical rotations · common
A general practice registrar is deciding which antidepressant to start for a 40-year-old man with a first episode of major depression of moderate severity. She…
Psychiatry · Clinical rotations · common
A 26-year-old woman consults her general practitioner five weeks after her relationship ended. She feels flat most days, cries easily and takes an hour to fall…
Psychiatry · Clinical rotations · common
A 15-year-old boy is brought to a general practice by his mother, who says he has become withdrawn over four months. He has stopped playing football, his marks…
Psychiatry · Clinical rotations · common
A 31-year-old woman is seen two months after her small business failed. She is tearful, sleeps poorly and has withdrawn from friends, but continues to care for…
Psychiatry · Clinical rotations · common
A 47-year-old man is seen six weeks after being told his position will be made redundant at the end of the year. He is tearful in the consultation, sleeps poorl…
Psychiatry · Clinical rotations · common
An 82-year-old widow attends her general practitioner with her son, who lives in her house and answers most questions for her. Seen alone, she says he shouts at…
Psychiatry · Clinical rotations · common
A 78-year-old man with moderate Alzheimer disease is brought in by his wife, who is his only carer and is exhausted. For six weeks he has been getting up at 2 a…
Psychiatry · Clinical rotations · common
A 71-year-old woman is seen seven weeks after the death of her husband of 48 years. She cries most days and sleeps poorly, and has lost 3 kg. She is still cooki…
Psychiatry · Clinical rotations · common
A 14-year-old girl attends your general practice with her mother for the fourth time this year with abdominal pain. She has lost 4 kg, stopped playing netball,…
Psychiatry · Clinical rotations · common
A 15-year-old girl is brought to the general practice by her mother because her grades have fallen and she is tired all the time. The mother answers most of the…
Psychiatry · Clinical rotations · common