Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 400 questions.
A 19-year-old man is admitted with a first episode of psychosis after eight weeks of persecutory beliefs and voices. He has never taken an antipsychotic. His bo…
Psychiatry · Clinical rotations · common
A 23-year-old apprentice has had persecutory beliefs and voices commenting on his actions continuously for three months. He has stopped attending work and rarel…
Psychiatry · Clinical rotations · common
A 26-year-old accountant is brought to his general practitioner by his sister. For four months he has believed that the presenter of the evening news bulletin a…
Psychiatry · Clinical rotations · common
A 19-year-old man is brought to the emergency department by friends two hours after a party. He is frightened, is convinced the other guests were laughing at hi…
Psychiatry · Clinical rotations · common
A 58-year-old man is on the second postoperative day after an elective right hemicolectomy. Overnight he became restless and drenched with sweat; this morning h…
Psychiatry · Clinical rotations · common
A general practitioner in a regional town is asked to run a drug and alcohol education session at the local secondary school. Media coverage over the past year…
Psychiatry · Clinical rotations · common
A 26-year-old man has waited four hours in the emergency department to be seen about a hand injury. He is now standing at the triage window, speaking loudly and…
Psychiatry · Clinical rotations · common
A 47-year-old truck driver is referred by his general practitioner with insomnia and low mood after two months of exhaustion. He is in bed for nine hours a nigh…
Psychiatry · Clinical rotations · common
A 19-year-old man with moderate depression agrees to start sertraline after a discussion of the options. He has no psychotic features, no manic history, takes n…
Psychiatry · Clinical rotations · common
A medical student presents a new admission at the morning meeting. She gives his age, occupation and living situation, the presenting complaint and its history,…
Psychiatry · Clinical rotations · common
A 27-year-old man with schizophrenia attends the clinic for review. Grinning broadly and giggling, he tells the registrar that his mother died last month and th…
Psychiatry · Clinical rotations · common
A 58-year-old man attends his general practice for review of his mood. Asked how he has been sleeping, he begins with the layout of his bedroom, moves on to the…
Psychiatry · Clinical rotations · common
A 71-year-old man with long-standing poorly controlled hypertension wakes to find the vision in his left eye blurred. There is no pain, no flashing lights and n…
Ophthalmology · Clinical rotations · common
A 26-year-old primary school teacher has had a red, watering right eye for four days; the left eye became red two days ago. She had a sore throat the week befor…
Ophthalmology · Clinical rotations · common
You are the intern in a Perth emergency department at 0200. Paramedics have just handed over a 78-year-old woman brought in after a fall at home, using the stru…
Acute Care · Clinical rotations · common
A 34-year-old woman born in Vietnam is investigated for tiredness. Her periods are normal, she eats meat, takes no medicines, and was told she was slightly anae…
Acute Care · Clinical rotations · common
A 74-year-old man on a surgical ward reports palpitations on the second day after a right hemicolectomy. He is alert and comfortable, with a blood pressure of 1…
Acute Care · Clinical rotations · common
A 19-year-old man is thrown from his motorcycle at highway speed. On arrival he is alert and complains only of neck pain. His blood pressure is 78/44 mmHg and h…
Acute Care · Clinical rotations · common
A medical student is bag-mask ventilating a 62-year-old woman who is apnoeic after a benzodiazepine overdose. She has a palpable pulse and a correctly sized ora…
Acute Care · Clinical rotations · common
You are a medical student on placement in a rural general practice 90 minutes by road from the nearest hospital. A grandmother brings in her 2-year-old grandson…
Acute Care · Clinical rotations · common