Results for “opioids”
Matching tags
26 questions found
A 3-year-old boy is brought to a regional emergency department 30 minutes after being carried out of a house fire. There is soot around his nostrils and on his…
Paediatrics · Pre-internship · common
A mother brings her 18-month-old son to the general practice for a routine check. Her own mother has just moved in and keeps her tablets in a weekly pill organi…
Paediatrics · Clinical rotations · middle twist
A five-month-old boy is brought to a regional emergency department at 2 am because he cannot be roused. His respiratory rate is 12 per minute and his pupils are…
Paediatrics · Pre-internship · middle twist
A 12-month audit of a paediatric ward identifies four prescriptions in which a weight-based dose was written ten times higher than intended; two of these reache…
Paediatrics · Clinical rotations · middle twist
A boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when he is undressed, sneezes repeatedly and takes the b…
Paediatrics · Clinical rotations · middle twist
A 44-year-old man with treatment-resistant schizophrenia has taken clozapine 400 mg at night for six years and smokes 30 cigarettes a day. He is admitted to a s…
Psychiatry · Pre-internship · middle twist
A 63-year-old woman has taken slow-release morphine for eighteen months for pain from vertebral metastases, prescribed and reviewed monthly by her oncologist. S…
Psychiatry · Pre-internship · niche
A 68-year-old woman is admitted after a fall at home. She says she takes 'a sleeping tablet now and then' and drinks 'a small sherry before bed'. Her speech is…
Psychiatry · Clinical rotations · middle twist
A 27-year-old man attends a community drug and alcohol service at 9 am asking to start buprenorphine. He has injected heroin daily for four years and last injec…
Psychiatry · Pre-internship · middle twist
A 47-year-old man completed inpatient alcohol withdrawal and has been abstinent for eight days. He wants medication to help him stay off alcohol and is attendin…
Psychiatry · Clinical rotations · middle twist
A 41-year-old woman stabilised on methadone 80 mg daily for opioid dependence has had open reduction and internal fixation of an ankle fracture. Four hours late…
Psychiatry · Pre-internship · middle twist
A 29-year-old man who has injected heroin daily for six years has completed a seven-day inpatient withdrawal. He is medically well and has declined both methado…
Psychiatry · Pre-internship · middle twist
An 84-year-old woman was admitted three days ago with cellulitis, which is settling on flucloxacillin. Since yesterday she has been muddled at night, insists th…
Psychiatry · Clinical rotations · middle twist
A 78-year-old woman is on day six after an elective right hemicolectomy. Since the second postoperative day she has had episodes lasting about twenty minutes in…
Psychiatry · Pre-internship · niche
A 76-year-old woman was admitted five days ago with a severe depressive episode. Her general practitioner started amitriptyline 75 mg at night three weeks ago a…
Psychiatry · Pre-internship · middle twist
You are the intern covering the orthopaedic ward at 2 am. A 79-year-old man, two days after hemiarthroplasty for a fractured neck of femur, is climbing over the…
Psychiatry · Pre-internship · middle twist
A 66-year-old man has had ninety minutes of central chest pain with sweating. His electrocardiogram shows 3 mm ST elevation in leads II, III and aVF with ST dep…
Acute Care · Pre-internship · niche
An 84-year-old woman is on the ward on the evening of the first day after hemiarthroplasty for a fractured neck of femur. She has a morphine patient-controlled…
Acute Care · Clinical rotations · middle twist
A 24-year-old woman is brought in by ambulance after being found unrousable at home. She had swallowed six of her flatmate's morphine tablets, which he takes tw…
Acute Care · Pre-internship · middle twist
A 74-year-old woman is being discharged from the emergency department after a fall at home with an undisplaced pubic ramus fracture on radiography. She can weig…
Acute Care · Pre-internship · middle twist