Common
The decision you make weekly on the ward. 494 questions.
A 74-year-old man is referred for six months of recurrent falls. He reports that his feet sometimes seem stuck to the floor when he starts walking, and he takes…
Geriatrics and Palliative Care · Clinical rotations · common
An 81-year-old man is admitted with a fractured neck of femur and becomes inattentive and disorganised over 24 hours. His level of alertness fluctuates, but he…
Geriatrics and Palliative Care · Clinical rotations · common
An 82-year-old woman is assessed after falling in her kitchen. She remembers reaching for a shelf but denies spinning, loss of consciousness, palpitations or li…
Geriatrics and Palliative Care · Clinical rotations · common
A 31-year-old woman with chronic hypertension was taking labetalol before conception. At 30 weeks, her blood pressure has risen from 132/82 to 154/98 mmHg. A ur…
Obstetrics and Gynaecology · Clinical rotations · common
A 37-year-old woman at 37 weeks has a small amount of vaginal bleeding shortly after her membranes rupture. She remains haemodynamically stable, with no abdomin…
Obstetrics and Gynaecology · Clinical rotations · common
A 41-year-old woman presents with sudden right arm weakness and difficulty speaking. Her partner saw rhythmic jerking of the right hand for 90 seconds followed…
Neurology · Clinical rotations · common
A 70-year-old woman is recovering from a small ischaemic stroke and is found to have persistent atrial fibrillation. She has normal renal function and no eviden…
Cardiovascular · Clinical rotations · common
A 72-year-old woman with hypertension reports three episodes in the past week in which the vision in her right eye became obscured from the top down, each lasti…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 72-year-old man is admitted with pneumonia after three days of fever, cough and increasing breathlessness. He is alert, but his respiratory rate is 34/min and…
Infectious Diseases · Clinical rotations · common
A 68-year-old man presents with a two-day history of fever, productive cough and pleuritic chest pain. He is alert, has a respiratory rate of 32/min, blood pres…
Respiratory · Clinical rotations · common
A 32-year-old man is found confused after ingesting an unknown number of amitriptyline tablets. He has a blood pressure of 86/54 mmHg, a pulse of 126/min and a…
Emergency and Toxicology · Clinical rotations · common
A 58-year-old man is brought to the emergency department after being found drowsy beside an empty bottle of methadone mixture. He has a respiratory rate of 7/mi…
Emergency and Toxicology · Clinical rotations · common
A 24-year-old woman presents 30 hours after taking repeated doses of paracetamol for a dental infection. She estimates taking 10–12 g daily for four days; her p…
Emergency and Toxicology · Clinical rotations · common
A 62-year-old woman is reviewed three months after a large anterior myocardial infarction. She has mild exertional breathlessness but no recurrent chest pain; t…
Cardiovascular · Clinical rotations · common
A 71-year-old man is monitored after an inferior ST-elevation myocardial infarction. He becomes dizzy but remains conscious; the ECG shows regular P waves at 84…
Cardiovascular · Clinical rotations · common
A 64-year-old man becomes hypotensive shortly after reperfusion of an inferior ST-elevation myocardial infarction. He is distressed but has clear breath sounds,…
Cardiovascular · Clinical rotations · common
A 67-year-old man is recovering on the fourth day after an inferior myocardial infarction treated with primary percutaneous coronary intervention. He suddenly d…
Cardiovascular · Clinical rotations · common
A 41-year-old woman has been stable on clozapine for 18 months but presents with fever, painful swallowing and malaise. Her temperature is 38.5°C and her absolu…
Haematology and Oncology · Clinical rotations · common
A 34-year-old woman with schizoaffective disorder becomes restless, sweaty and confused six hours after venlafaxine was increased and tramadol was prescribed fo…
Emergency and Toxicology · Mechanisms of disease · common
A 58-year-old man is being treated with unfractionated heparin for a proximal deep vein thrombosis. On day 7, his platelet count has fallen from 224 to 86 × 10⁹…
Cardiovascular · Clinical rotations · common