Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
A registered nurse is preparing to administer flucloxacillin 1 g in 100 mL of sodium chloride 0.9% intravenously over 30 minutes. No infusion pump is available,…
Nursing · Clinical rotations · common
A 17-year-old girl presents six hours after a deliberate ingestion of tablets taken from the family bathroom cabinet. She complains of nausea, repeated vomiting…
Emergency and Toxicology · Clinical rotations · common
A 26-year-old backpacker is snorkelling off Port Douglas in far north Queensland in December when she feels a mild sting on her forearm, leaving only faint redn…
Emergency and Toxicology · Clinical rotations · common
A 34-year-old man in suburban Sydney felt a sharp pinprick on the back of his hand while moving pot plants stacked against the house. Over the next two hours he…
Emergency and Toxicology · Clinical rotations · common
A 34-year-old schoolteacher presents with three weeks of cough. Her illness began with a runny nose and mild sore throat, after which she developed bouts of sev…
Infectious Diseases · Clinical rotations · common
A 61-year-old man returns to discuss the result of a bowel cancer screening kit he completed through the national program, which detected blood in one of two sa…
Gastroenterology and Hepatology · Clinical rotations · common
A 24-year-old university student commenced sertraline 50 mg daily three weeks ago for a depressive episode. His flatmates bring him to the emergency department…
Psychiatry and Mental Health · Clinical rotations · common
A 46-year-old woman with bipolar disorder has been stable on lithium carbonate for five years. She presents with two days of nausea, vomiting and unsteadiness o…
Psychiatry and Mental Health · Clinical rotations · common
A 17-year-old girl is admitted for nutritional rehabilitation. She weighs 39 kg with a height of 168 cm, having lost 15 kg over six months through severe dietar…
Psychiatry and Mental Health · Clinical rotations · common
A 45-year-old man is brought to the emergency department after taking 20 paracetamol tablets following an argument. He is medically cleared and a psychiatric as…
Psychiatry and Mental Health · Clinical rotations · common
A 28-year-old man with schizophrenia that failed to respond to two previous antipsychotics has been taking clozapine for four months with good effect. He presen…
Psychiatry and Mental Health · Clinical rotations · common
A 34-year-old woman taking sertraline 100 mg daily for depression presents with two hours of agitation and profuse sweating. Two days earlier her general practi…
Emergency and Toxicology · Clinical rotations · common
A 74-year-old man is brought to his general practitioner by his daughter, who is worried about his memory over the past three months. He has stopped attending h…
Geriatrics and Palliative Care · Clinical rotations · common
A 52-year-old man is admitted to hospital after a fall at home and is managed with analgesia and bed rest. Thirty-six hours after admission he becomes restless…
Psychiatry and Mental Health · Clinical rotations · common
A 51-year-old woman presents with eight months of frequent hot flushes and drenching night sweats that wake her four to five times each night and are affecting…
Obstetrics and Gynaecology · Clinical rotations · common
A 31-year-old primigravida at 33 weeks gestation reports one week of intense generalised itching that is worst at night and most severe over her palms and the s…
Obstetrics and Gynaecology · Clinical rotations · common
A 26-year-old primigravida presents at 11 weeks gestation by dates with two weeks of persistent vomiting and one day of light vaginal bleeding. Her blood pressu…
Obstetrics and Gynaecology · Clinical rotations · common
A 28-year-old primigravida gives birth vaginally at 38 weeks gestation. During labour she was commenced on oral labetalol for blood pressure readings of 160/108…
Obstetrics and Gynaecology · Clinical rotations · common
A 29-year-old woman, gravida 2 para 1, is in spontaneous labour at 39 weeks gestation. One hour after her cervix was 5 cm dilated, the membranes rupture spontan…
Obstetrics and Gynaecology · Clinical rotations · common
A 34-year-old woman, gravida 3 para 2, presents at 34 weeks gestation with two hours of constant severe abdominal pain and a small amount of dark red vaginal bl…
Obstetrics and Gynaecology · Clinical rotations · common