Management
163 free questions tagged Management, each with a full explanation of every option.
Often studied with
A 54-year-old man with cirrhosis secondary to chronic hepatitis C presents with two episodes of haematemesis over the past hour. On arrival his blood pressure i…
Gastroenterology and Hepatology · Clinical rotations · middle twist
A 45-year-old woman has a 7-mm calculus in the distal ureter on non-contrast CT. Her pain is controlled with oral analgesia, creatinine is normal, and she is af…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
A 70-year-old man with diabetic kidney disease takes ramipril and spironolactone. Routine testing shows potassium 6.4 mmol/L, confirmed on a non-haemolysed samp…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
A 46-year-old woman presents with a generalised tonic-clonic seizure. Serum sodium is 112 mmol/L, serum osmolality is 240 mOsm/kg and glucose is 5.2 mmol/L. She…
Neurology · Clinical rotations · common
A 42-year-old man presents with haemoptysis, fatigue and rapidly worsening renal function. Creatinine is 486 micromol/L, urine microscopy shows dysmorphic red c…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
An 8-year-old child has written documentation of two valid diphtheria-tetanus-acellular pertussis doses given at 2 and 4 months of age, but no subsequent doses…
Paediatrics · Clinical rotations · common
A 10-week pregnant woman is found to be non-immune to rubella during antenatal screening. She has no symptoms and has never had an immediate hypersensitivity re…
Obstetrics and Gynaecology · Clinical rotations · common
A 34-year-old woman with known autoimmune Addison disease presents with vomiting, abdominal pain and profound weakness. Her blood pressure is 82/48 mmHg, sodium…
Endocrine and Metabolic · Clinical rotations · common
A 61-year-old man has a 1.5-cm thyroid nodule with a solid markedly hypoechoic appearance, irregular margins and punctate echogenic foci on ultrasound. His TSH…
Endocrine and Metabolic · Clinical rotations · common
A 52-year-old woman has progressive headaches and difficulty seeing objects to either side. MRI shows a 2.6-cm sellar mass elevating and compressing the optic c…
Endocrine and Metabolic · Clinical rotations · middle twist
A 44-year-old man has an incidental 8-mm pituitary lesion discovered during MRI for headaches. He has normal visual fields, normal pituitary hormone testing, an…
Endocrine and Metabolic · Clinical rotations · middle twist
A 46-year-old man notices sudden hearing loss in his left ear on waking 48 hours ago. He has no pain, discharge or recent upper respiratory infection, and otosc…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 64-year-old woman develops sudden, profound painless loss of vision in her left eye 90 minutes before assessment. The left pupil has a relative afferent pupil…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 42-year-old woman presents with recurrent anterior epistaxis from the right nostril. She is haemodynamically stable, and firm compression for 15 minutes plus…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 34-year-old swimmer has had increasing right ear pain for three days. Moving the pinna and pressing the tragus markedly worsen the pain, and the external cana…
Eyes, Ears, Nose and Throat · Clinical rotations · middle twist
A 31-year-old woman attends for routine care and has never had cervical screening. She has no abnormal bleeding, pelvic pain or visible cervical lesion. A self-…
Obstetrics and Gynaecology · Clinical rotations · niche
A 61-year-old man has erectile dysfunction and stable angina treated with regular glyceryl trinitrate spray. He would like to resume sexual activity and has no…
Cardiovascular · Clinical rotations · common
A 29-year-old woman requests emergency contraception 4 days after unprotected intercourse. Her BMI is 36 kg/m², she is not pregnant and has no contraindication…
Emergency and Toxicology · Pre-internship · middle twist
A 32-year-old woman wants highly effective contraception and would prefer predictable light bleeding. She does not want a method requiring daily action and has…
Obstetrics and Gynaecology · Clinical rotations · middle twist
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