Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
A 38-year-old woman presents with two days of very heavy bleeding during an otherwise predictable menstrual cycle. Her blood pressure is 118/72 mmHg, she is not…
Obstetrics and Gynaecology · Clinical rotations · common
A 42-year-old man was treated with radioactive iodine for Graves disease three days ago. He now reports dry mouth and painful swelling in front of both ears, wo…
Geriatrics and Palliative Care · Clinical rotations · common
A 34-year-old woman taking carbimazole for Graves disease presents with fever, malaise and two painful oral ulcers. She has a temperature of 38.7°C and mild cer…
Endocrine and Metabolic · Clinical rotations · common
A 58-year-old man with primary adrenal insufficiency is scheduled for multiple dental extractions under general anaesthesia. He takes hydrocortisone 20 mg in th…
Endocrine and Metabolic · Clinical rotations · common
A 46-year-old woman presents with fatigue, jaundice and dark urine that began after a respiratory infection. She has mild splenomegaly but no renal or neurologi…
AMC · Clinical rotations · common
A 27-year-old woman has painless enlargement of the left side of her neck and drenching night sweats. She has no sore throat, dental symptoms or recent travel.…
AMC · Clinical rotations · common
A 74-year-old man reports several months of fatigue and burning of his feet. He has a smooth, sore tongue and impaired vibration sense at both ankles. His haemo…
AMC · Clinical rotations · common
A 24-year-old woman at 10 weeks of pregnancy has vomited repeatedly for three weeks and has lost 7 kg. She is alert, with a pulse of 104 beats/minute and blood…
Obstetrics and Gynaecology · Clinical rotations · common
A 32-year-old woman presents at 7 weeks of pregnancy with left lower abdominal pain and light vaginal bleeding. The pregnancy followed in-vitro fertilisation, a…
Obstetrics and Gynaecology · Clinical rotations · common
Thirty-five minutes after a vaginal birth, the placenta has not separated and the woman has lost 900 mL of blood. The uterus is firm, the placenta is palpable a…
Obstetrics and Gynaecology · Clinical rotations · common
A 67-year-old man with a previous anterior myocardial infarction develops palpitations while being monitored in hospital. He is alert, has a blood pressure of 1…
Cardiovascular · Clinical rotations · common
A 38-year-old man develops left-sided neck pain and a new unilateral headache after forceful neck stretching. He has a mild left ptosis and a smaller left pupil…
AMC · Clinical rotations · common
A 46-year-old woman develops a sudden, severe headache while lifting a suitcase. It reaches maximal intensity within seconds and is followed by vomiting and nec…
AMC · Clinical rotations · common
A 35-year-old woman at 31 weeks’ gestation has six weeks of low mood, guilt and early-morning waking. During the past week she has stopped eating, believes her…
Psychiatry and Mental Health · Clinical rotations · common
A 27-year-old man with no previous psychiatric history is brought to hospital by his family after two weeks of little sleep, expansive business plans and increa…
Psychiatry and Mental Health · Clinical rotations · common
A 24-year-old woman with type 1 diabetes on a basal-bolus insulin regimen is an inpatient awaiting elective surgery scheduled for the afternoon. Mid-morning she…
Nursing · Clinical rotations · common
A 58-year-old man is receiving his first dose of intravenous vancomycin for a surgical site infection, charted to run over 60 minutes. Twenty minutes into the i…
Nursing · Clinical rotations · common
A 76-year-old man with newly diagnosed type 2 diabetes is being discharged on a nightly basal insulin. The nurse has explained and demonstrated the injection te…
Nursing · Clinical rotations · common
A registered nurse on night shift realises she has written a progress note about one patient in a different patient's paper medical record. The entry is factual…
Nursing · Clinical rotations · common
A 74-year-old woman develops profuse watery diarrhoea on day 5 of intravenous antibiotic therapy for pneumonia. Stool testing confirms Clostridioides difficile…
Nursing · Clinical rotations · common