Common
The decision you make weekly on the ward. 494 questions.
A 68-year-old man with chronic kidney disease presents with weakness after spironolactone was added to his medicines. His serum potassium is 7.0 mmol/L (3.5–5.2…
Cardiovascular · Clinical rotations · common
An 82-year-old woman has fallen twice since her medicines were changed. She is slower when walking and has recently complained of constipation, blurred vision a…
Geriatrics and Palliative Care · Pre-internship · common
A 74-year-old man is referred after three falls over two months. He describes a brief feeling of faintness after rising from a chair, without spinning sensation…
Geriatrics and Palliative Care · Clinical rotations · common
A 59-year-old man suddenly develops difficulty speaking and weakness of the right arm while driving. His wife reports that, immediately beforehand, the right si…
Neurology · Clinical rotations · common
A 63-year-old woman has three sudden episodes over two days of dizziness followed by double vision, slurred speech and veering to the left; each episode lasted…
Neurology · Clinical rotations · common
A 70-year-old woman vomits during a generalised seizure and becomes cyanosed. One hour later her temperature is 38.4°C, oxygen saturation is 88% on room air and…
Infectious Diseases · Clinical rotations · common
A 5-month-old boy is brought to hospital with 2 days of nasal congestion, cough and reduced breastfeeds. He is alert but has subcostal recession and widespread…
Paediatrics · Clinical rotations · common
A 42-year-old man is brought to hospital 45 minutes after taking an unknown number of amitriptyline tablets. He is drowsy, has a blood pressure of 78/46 mmHg an…
Emergency and Toxicology · Clinical rotations · common
A 29-year-old woman presents with three days of worsening unilateral throat pain, fever and difficulty swallowing. She cannot open her mouth fully, her voice is…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 62-year-old man has a regular broad-complex tachycardia at 190 beats per minute three hours after treatment for an acute myocardial infarction. He is consciou…
Emergency and Toxicology · Pre-internship · common
A 39-year-old man with bipolar disorder is brought to the emergency department one hour after becoming agitated and incoherent. His medicines are sertraline, tr…
Emergency and Toxicology · Pre-internship · common
A 46-year-old man with schizophrenia becomes restless and confused two days after his haloperidol dose was increased. He is febrile at 39.8°C, has widespread mu…
Emergency and Toxicology · Pre-internship · common
A 7-year-old boy has complained of pain in both thighs and an intermittent limp for one month. He is pale but afebrile, and there is no joint swelling; both hip…
Haematology and Oncology · Clinical rotations · common
A 13-year-old boy with obesity has had aching pain in his left knee for three weeks. He suddenly develops severe groin pain while rising from a chair and cannot…
Surgery and Perioperative Care · Clinical rotations · common
A 24-year-old university student presents with three days of migratory joint pain involving both knees and one wrist. He has a temperature of 38.1°C and a small…
Infectious Diseases · Clinical rotations · common
A 71-year-old man presents with three days of dyspnoea. CT pulmonary angiography shows bilateral pulmonary emboli and right ventricular enlargement; his blood p…
Cardiovascular · Clinical rotations · common
A 34-year-old woman wants reliable contraception while receiving rifampicin for pulmonary tuberculosis. She has previously used a combined oral contraceptive pi…
Obstetrics and Gynaecology · Clinical rotations · common
A 46-year-old man is brought from a house fire with burns to his face and upper chest. He is awake, has soot around his mouth and is coughing; initially his voi…
Emergency and Toxicology · Clinical rotations · common
A 76-year-old woman taking denosumab for osteoporosis develops pain around a mandibular molar and undergoes extraction. Twelve weeks later, a segment of hard ti…
Endocrine and Metabolic · Clinical rotations · common
A 26-year-old woman has painless enlargement of several cervical lymph nodes, night sweats and generalised itch. She has no recent dental infection, cat exposur…
Haematology and Oncology · Foundations · common