Every question
The whole community bank, newest first. 1,426 questions.
A 63-year-old woman with acute myeloid leukaemia has had febrile neutropenia for 96 hours despite piperacillin-tazobactam. She remains haemodynamically stable,…
Emergency and Toxicology · Pre-internship · middle twist
A 58-year-old man receiving induction chemotherapy for acute myeloid leukaemia presents with a temperature of 39.1°C. His absolute neutrophil count is 0.05 × 10…
Haematology and Oncology · Clinical rotations · common
A 45-year-old man becomes acutely unwell after receiving approximately 20 mL of an incompatible red-cell unit. He develops fever, severe flank pain, hypotension…
Emergency and Toxicology · Pre-internship · common
A 67-year-old woman develops a temperature of 38.3°C and rigors 30 minutes after a red-cell transfusion begins. She is haemodynamically stable and has no dyspno…
Haematology and Oncology · Pre-internship · common
A 54-year-old woman has a symptomatic isolated posterior calf-vein thrombosis found on ultrasound. She has no cancer, previous venous thromboembolism, marked sw…
Cardiovascular · Clinical rotations · middle twist
A 31-year-old woman at 10 weeks of pregnancy develops unilateral calf swelling and pleuritic discomfort. Ultrasound confirms a proximal femoral deep-vein thromb…
Obstetrics and Gynaecology · Clinical rotations · common
A 68-year-old man reports persistent thoracic back pain and fatigue for 3 months. His haemoglobin is 92 g/L (reference range 130–170), creatinine is 180 micromo…
Haematology and Oncology · Clinical rotations · common
A 59-year-old man has a painless left cervical mass that has enlarged over 6 weeks. He reports drenching night sweats and has no dental infection, pharyngitis o…
Haematology and Oncology · Clinical rotations · middle twist
A 40-year-old woman presents for routine preventive care and has never had an abnormal cervical screening result. She is asymptomatic, immunocompetent and has n…
Obstetrics and Gynaecology · Clinical rotations · common
A 62-year-old man attends his general practitioner for preventive health care and has no gastrointestinal symptoms. He has no personal or family history suggest…
Gastroenterology and Hepatology · Clinical rotations · common
A 74-year-old woman with advanced dementia is unable to make decisions and has no advance care directive. Her husband is the recognised substitute decision-make…
Ethics and Professional Practice · Pre-internship · common
A 91-year-old man with moderate dementia is admitted after a fall and has developed new agitation overnight. He is afebrile, oxygen saturation is 96% on room ai…
Geriatrics and Palliative Care · Clinical rotations · common
A 77-year-old man with metastatic prostate cancer and an estimated glomerular filtration rate of 18 mL/min/1.73 m² has been receiving regular oral morphine. Ove…
Geriatrics and Palliative Care · Pre-internship · middle twist
An 88-year-old woman has a dry, adherent black eschar covering the heel. The surrounding skin is warm but not erythematous, there is no drainage or fluctuance,…
Geriatrics and Palliative Care · Clinical rotations · common
A 79-year-old woman with limited mobility has a sacral ulcer measuring 5 cm in diameter. The ulcer extends through the dermis, with visible subcutaneous fat and…
Geriatrics and Palliative Care · Clinical rotations · common
A 90-year-old man is dying from advanced heart failure and is no longer able to swallow. His breathing is noisy because of pooled respiratory secretions, but he…
Ethics and Professional Practice · Pre-internship · common
A 72-year-old woman with metastatic breast cancer has decision-making capacity and asks that cardiopulmonary resuscitation not be attempted if she becomes unabl…
Ethics and Professional Practice · Pre-internship · common
A 76-year-old man with probable dementia with Lewy bodies has recurrent visual hallucinations that are frightening but not associated with aggression or immedia…
Geriatrics and Palliative Care · Clinical rotations · middle twist
An 87-year-old woman living independently develops confusion over 2 days after a chest infection. Her alertness varies during the day, and she cannot sustain at…
Geriatrics and Palliative Care · Clinical rotations · common
An 84-year-old inpatient becomes agitated and inattentive over 12 hours. He repeatedly tries to pass urine, reports lower abdominal discomfort and has a palpabl…
Geriatrics and Palliative Care · Clinical rotations · common