Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 832 questions.
A 45-year-old man is brought to the emergency department after taking 20 paracetamol tablets following an argument. He is medically cleared and a psychiatric as…
Psychiatry and Mental Health · Clinical rotations · common
A 28-year-old man with schizophrenia that failed to respond to two previous antipsychotics has been taking clozapine for four months with good effect. He presen…
Psychiatry and Mental Health · Clinical rotations · common
A 34-year-old woman taking sertraline 100 mg daily for depression presents with two hours of agitation and profuse sweating. Two days earlier her general practi…
Emergency and Toxicology · Clinical rotations · common
A 74-year-old man is brought to his general practitioner by his daughter, who is worried about his memory over the past three months. He has stopped attending h…
Geriatrics and Palliative Care · Clinical rotations · common
A 52-year-old man is admitted to hospital after a fall at home and is managed with analgesia and bed rest. Thirty-six hours after admission he becomes restless…
Psychiatry and Mental Health · Clinical rotations · common
A 51-year-old woman presents with eight months of frequent hot flushes and drenching night sweats that wake her four to five times each night and are affecting…
Obstetrics and Gynaecology · Clinical rotations · common
A 58-year-old woman presents after a single episode of light vaginal bleeding one week ago. Her last menstrual period was at age 51 and she has never used menop…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 31-year-old primigravida at 33 weeks gestation reports one week of intense generalised itching that is worst at night and most severe over her palms and the s…
Obstetrics and Gynaecology · Clinical rotations · common
A 26-year-old primigravida presents at 11 weeks gestation by dates with two weeks of persistent vomiting and one day of light vaginal bleeding. Her blood pressu…
Obstetrics and Gynaecology · Clinical rotations · common
A 31-year-old woman presents with two days of right iliac fossa pain and light vaginal spotting. Her last menstrual period was six weeks ago and a home pregnanc…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 27-year-old nulliparous woman requests reliable long-term contraception. Several times a year she has severe unilateral throbbing headaches that are preceded…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 28-year-old primigravida gives birth vaginally at 38 weeks gestation. During labour she was commenced on oral labetalol for blood pressure readings of 160/108…
Obstetrics and Gynaecology · Clinical rotations · common
A 29-year-old woman, gravida 2 para 1, is in spontaneous labour at 39 weeks gestation. One hour after her cervix was 5 cm dilated, the membranes rupture spontan…
Obstetrics and Gynaecology · Clinical rotations · common
A 34-year-old woman, gravida 3 para 2, presents at 34 weeks gestation with two hours of constant severe abdominal pain and a small amount of dark red vaginal bl…
Obstetrics and Gynaecology · Clinical rotations · common
A 34-year-old woman attends her general practitioner eight weeks after the vaginal birth of her first child. Her pregnancy was complicated by gestational diabet…
Obstetrics and Gynaecology · Clinical rotations · common
A 7-month-old previously well boy is brought to the emergency department after six hours of episodes of sudden inconsolable screaming during which he draws his…
Paediatrics · Clinical rotations · common
A 4-week-old girl born at term is reviewed because she is still visibly jaundiced. The jaundice was first noticed on day three of life; she is fully breastfed,…
Paediatrics · Clinical rotations · common
A 6-day-old boy born at term is brought to the emergency department after vomiting three times over four hours; the most recent vomitus was dark green. He fed n…
Paediatrics · Clinical rotations · middle twist
A 22-month-old boy is brought to his general practitioner because he is not yet talking. He says 'mum' and 'dada' only, but points to things he wants, waves goo…
Paediatrics · Clinical rotations · common
A 3-year-old boy presents with six days of fever above 39°C that has persisted despite regular paracetamol; he is miserable and difficult to console. Both eyes…
Paediatrics · Clinical rotations · common