Pre-internship

The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 488 questions.

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A 79-year-old man has taken diazepam 5 mg nightly for 10 years and wants to stop because of morning unsteadiness. He has no seizures, severe anxiety disorder or…

Geriatrics and Palliative Care · Pre-internship · common

A 45-year-old woman is brought to the emergency room after developing diffuse skin tenderness and blistering. Her symptoms initially started with fever and mala…

Year 4 · Pre-internship · middle twist

A 52-year-old male is currently an inpatient on a hospital ward. He developed rapid-onset swelling of the lips and face during his hospital stay. He reports no…

Year 4 · Pre-internship · common

A 72-year-old man with Alzheimer’s disease is brought to the emergency room by his daughter due to confusion and lethargy over the past few days. His daughter s…

Year 4 · Pre-internship · middle twist

A 75-year-old male presents to the clinic with generalized fatigue, weight loss, and chronic abdominal pain. He was diagnosed with pancreatic cancer a year ago…

Year 4 · Pre-internship · common

A 59-year-old male presents to the emergency room after he develops a fever of 38.5°C (101.3°F). He was recently diagnosed with leukemia and started chemotherap…

Year 4 · Pre-internship · middle twist

A 20-year-old college student presents to the emergency department with a fever, severe headache, and neck stiffness for the past 12 hours. One of his roommates…

Year 4 · Pre-internship · middle twist

Which electrolyte imbalance is most commonly associated with acute pancreatitis?

Year 4 · Pre-internship · common