Common
The decision you make weekly on the ward. 494 questions.
A 68-year-old man is on the surgical ward 6 hours after an open appendicectomy. The nurse records a respiratory rate of 28 breaths/min, heart rate 132/min, bloo…
Nursing · Pre-internship · common
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 28-year-old woman is brought in by ambulance 90 minutes after being found drowsy next to an empty box of amitriptyline. Her Glasgow Coma Scale score is 12, he…
Emergency and Toxicology · Pre-internship · common
A 21-year-old man collapses at the 14 km mark of a city fun run on a 34°C day. In the trackside medical tent he is confused and agitated with a Glasgow Coma Sca…
Emergency and Toxicology · Pre-internship · 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 32-year-old woman develops widespread urticaria, lip swelling and wheeze within 15 minutes of eating a satay dish at a restaurant. On arrival of paramedics he…
Emergency and Toxicology · Pre-internship · common
An 84-year-old woman who lives alone is found to have a 2.5 cm breast mass, and core biopsy shows invasive carcinoma. The surgeon has recommended wide local exc…
Ethics and Professional Practice · Pre-internship · 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 24-year-old man presents with four days of fever, a runny nose, red watery eyes and a dry cough, ten days after returning from Bali. This morning a blotchy re…
Ethics and Professional Practice · Pre-internship · 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