Common
The decision you make weekly on the ward. 494 questions.
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 46-year-old man with recurrent major depression tells his general practitioner that he intends to take all his prescribed medicines after his partner leaves f…
Psychiatry and Mental Health · Pre-internship · common
A 29-year-old man with schizophrenia is brought to the emergency department after threatening another patient. He is pacing, shouting and clenching his fists; h…
Psychiatry and Mental Health · Pre-internship · common
A laboratory technician is found unconscious in a poorly ventilated garage. Arterial blood shows pH 7.39, PaO2 13.0 kPa (reference 10.7–13.3 kPa), and PaCO2 5.1…
Biomedical Science · Mechanisms of disease · common
A 68-year-old man develops sudden pleuritic chest pain and tachypnoea after prolonged immobility. Arterial blood gas analysis on room air shows pH 7.48, PaCO2 3…
Biomedical Science · Mechanisms of disease · common
A patient with profuse watery diarrhoea caused by enterotoxin receives an oral solution containing sodium and glucose. Before treatment, stool output is high an…
Biomedical Science · Foundations · common
An enzyme catalyses conversion of substrate S to product P. Without inhibitor, Vmax is 120 μmol/min and the Michaelis constant is 4 mmol/L. In the presence of i…
Biomedical Science · Foundations · common
A 35-year-old woman has palpitations and a 9 kg weight loss over 3 months. Her free thyroxine is 48 pmol/L (reference 10–22 pmol/L), TSH is less than 0.01 mIU/L…
Biomedical Science · Mechanisms of disease · common
A healthy adult receives an intravenous glucose load. Plasma glucose is 12 mmol/L (reference 3.5–7.8 mmol/L), the measured glomerular filtration rate is 120 mL/…
Biomedical Science · Mechanisms of disease · common
A 48-year-old woman has a new holosystolic murmur and exertional dyspnoea. Echocardiography shows a regurgitant volume from the left ventricle into the left atr…
Biomedical Science · Mechanisms of disease · common
A 62-year-old man undergoes left ventricular pressure-volume loop analysis during cardiac catheterisation. Before an intervention, his end-diastolic volume is 1…
Biomedical Science · Mechanisms of disease · 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 62-year-old woman is receiving her first unit of packed red blood cells for symptomatic anaemia. Fifteen minutes after commencement her temperature rises from…
Nursing · Pre-internship · 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