Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 832 questions.
A 44-year-old man who works on the kill floor of an abattoir in central Queensland presents with six days of high fevers, drenching night sweats, severe headach…
Infectious Diseases · Clinical rotations · middle twist
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 38-year-old woman presents with three weeks of aching pain in the front of her neck that worsens when she turns her head or swallows and radiates up to both e…
Endocrine and Metabolic · Clinical rotations · middle twist
A 24-year-old man presents with dark brown urine that began the day after the onset of a sore throat. He recalls two similar episodes in the past two years, eac…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
A 29-year-old woman asks whether she has coeliac disease. For three years she had bloating, loose stools and tiredness; four months ago she removed gluten from…
Gastroenterology and Hepatology · Clinical rotations · middle twist
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
A 68-year-old man is brought in by his wife after his third collapse in a month. Each time he has been sitting watching television, has suddenly gone grey and s…
Cardiovascular · Clinical rotations · middle twist
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 local health district in western Sydney surveys its primary schools and finds that one in three children aged 5 to 12 years is above the healthy weight range,…
Paediatrics · Clinical rotations · middle twist
You are a general practice registrar in a Western Australian coastal town of 6000 people. Over the past year the proportion of five-year-olds recorded as fully…
Paediatrics · Clinical rotations · middle twist
A Perth tertiary hospital's ear, nose and throat department plans a programme to reduce chronic suppurative otitis media in a remote Aboriginal community 1500 k…
Paediatrics · Clinical rotations · middle twist
A 6-year-old Aboriginal boy attends a Perth general practice with his mother for a certificate to return to school after chickenpox. He is well, fully immunised…
Paediatrics · Clinical rotations · middle twist
A 4-year-old Aboriginal boy from a remote Kimberley community has bilateral chronic suppurative otitis media with a 35 dB conductive hearing loss and delayed sp…
Paediatrics · Clinical rotations · middle twist
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
A 3-year-old girl attends a rural general practice for the fourth time in six months, twice with minor bruises and twice with abdominal pain. Dry at night for a…
Paediatrics · Clinical rotations · middle twist
A 4-year-old boy is brought to a Perth emergency department with a swollen, bruised left forearm. At triage his mother said he fell from a kitchen chair. When y…
Paediatrics · Clinical rotations · middle twist
A 2-year-old girl is brought to the emergency department by her father after falling from a play structure onto grass. She is walking, playing and interactive,…
Paediatrics · Clinical rotations · middle twist
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
A previously well 2-year-old boy has passed two large, dark red stools today. He has had no abdominal pain, has not drawn up his legs, has not vomited and has h…
Paediatrics · Clinical rotations · middle twist