Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 832 questions.
A 61-year-old man presents to the emergency department with a 6-hour history of hematemesis and melena. He reports a long-standing history of osteoarthritis, fo…
Year 4 · Clinical rotations · common
A 68-year-old man presents to his general practitioner for a routine review of his medications. He has a history of osteoarthritis, for which he takes naproxen…
Year 4 · Clinical rotations · middle twist
A 76-year-old man presents to the emergency department with a 6-hour history of passing large volumes of bright red blood per rectum. He feels lightheaded and f…
Year 4 · Clinical rotations · middle twist
A 68-year-old man presents to the emergency department with a 24-hour history of worsening abdominal pain, nausea, and vomiting. He has a history of open sigmoi…
Year 4 · Clinical rotations · middle twist
A 34-year-old woman presents to the clinic with sudden onset right eye pain and blurred vision that worsens with eye movement for the past 4 days. She denies fe…
Year 3 · Clinical rotations · common
A 72-year-old man with a history of hypertension and heart failure with reduced ejection fraction (HFrEF) presents the emergency department due to sudden onset…
Year 4 · Clinical rotations · middle twist
A 5-day-old newborn presents with purulent conjunctivitis, eyelid swelling, and significant eye discharge. What is the most appropriate initial treatment?
Year 4 · Clinical rotations · middle twist
A 33-year-old woman presents to the clinic with complaints of burning and numbness over the outer aspect of her left thigh for the past 2 months. The pain worse…
Year 4 · Clinical rotations · common
A 29-year-old woman presents to dermatology clinic complaining from a red, itchy, scaly lesion on her forearm. The lesion has been slowly enlarging over the pas…
Year 4 · Clinical rotations · common
A 38-year-old male presents to the dermatology clinic with red, scaly plaques on his back and palms. He reports increased symptoms with stress. He has no histor…
Year 3 · Clinical rotations · common
A 50-year-old woman presents to the rheumatology clinic due to an 8-month history of joint pain and swelling that affects her bilateral wrists, MCP, and PIP joi…
Year 3 · Clinical rotations · common
A 24-year-old woman presents with right knee pain, swelling, and difficulty walking for the past 2 days. She also reports multiple joint pains and swelling. The…
Year 4 · Clinical rotations · middle twist
A 72-year-old male with history of stage 4 chronic kidney disease presents to the clinic after suffering from increasing fatigability and pallor. · Hemoglobin:…
Year 4 · Clinical rotations · middle twist
Which of the following is the most evidence-based therapy for treating borderline personality disorder?
Year 4 · Clinical rotations · common
Which of the following is the first-line treatment for an acute gout attack?
Year 3 · Clinical rotations · common
Which of the following is NOT a diagnostic criterion for metabolic syndrome?
Year 4 · Clinical rotations · common
A 45-year-old woman presents with progressive tingling in her feet, difficulty walking, and imbalance for the past three months. She also reports generalized fa…
Year 3 · Clinical rotations · common
A 25-year-old male is brought to the emergency department after a road traffic accident. On examination, he opens his eyes to pain, speaks incomprehensible soun…
Year 3 · Clinical rotations · middle twist
A 65-year-old man with a history of severe myopia presents to the emergency room with a sudden onset of flashes of light and floaters in his left eye. He descri…
Year 4 · Clinical rotations · common
A 68-year-old woman presents to the clinic with a severe right-sided headache and temple tenderness for the past two weeks. She also reports jaw pain while chew…
Year 3 · Clinical rotations · common