Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
A 58-year-old woman presents with a unilateral red eye that began this morning. She reports marked discomfort and says bright light is unpleasant, but has no hi…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 29-year-old woman presents with painful genital lesions that began as small blisters 3 days ago. She describes burning on urination and has bilateral tender i…
General Practice and Population Health · Clinical rotations · common
A 68-year-old man presents with fever, rigors, dysuria and perineal pain. He has been unable to pass urine for 10 hours, and examination shows a markedly tender…
Renal, Urology and Electrolytes · Clinical rotations · common
A 61-year-old man has erectile dysfunction and stable angina treated with regular glyceryl trinitrate spray. He would like to resume sexual activity and has no…
Cardiovascular · Clinical rotations · common
A 27-year-old woman presents with 2 days of lower abdominal pain and deep dyspareunia. She has purulent cervical discharge, a temperature of 38.1 °C and marked…
Obstetrics and Gynaecology · Clinical rotations · common
A 74-year-old woman with metastatic breast cancer presents with sudden dyspnoea and pleuritic chest pain. CT pulmonary angiography confirms bilateral pulmonary…
Emergency and Toxicology · Clinical rotations · common
A 29-year-old woman has painless cervical and mediastinal lymphadenopathy that has progressed over 2 months. She reports drenching night sweats and pruritus but…
Haematology and Oncology · Clinical rotations · common
A 71-year-old man presents with headache, blurred vision and spontaneous bruising. Blood tests show haemoglobin 86 g/L (reference range 130–170), total protein…
Haematology and Oncology · Clinical rotations · common
A 58-year-old man receiving induction chemotherapy for acute myeloid leukaemia presents with a temperature of 39.1°C. His absolute neutrophil count is 0.05 × 10…
Haematology and Oncology · Clinical rotations · common
A 31-year-old woman at 10 weeks of pregnancy develops unilateral calf swelling and pleuritic discomfort. Ultrasound confirms a proximal femoral deep-vein thromb…
Obstetrics and Gynaecology · Clinical rotations · common
A 68-year-old man reports persistent thoracic back pain and fatigue for 3 months. His haemoglobin is 92 g/L (reference range 130–170), creatinine is 180 micromo…
Haematology and Oncology · Clinical rotations · common
A 40-year-old woman presents for routine preventive care and has never had an abnormal cervical screening result. She is asymptomatic, immunocompetent and has n…
Obstetrics and Gynaecology · Clinical rotations · common
A 62-year-old man attends his general practitioner for preventive health care and has no gastrointestinal symptoms. He has no personal or family history suggest…
Gastroenterology and Hepatology · Clinical rotations · common
A 91-year-old man with moderate dementia is admitted after a fall and has developed new agitation overnight. He is afebrile, oxygen saturation is 96% on room ai…
Geriatrics and Palliative Care · Clinical rotations · common
An 88-year-old woman has a dry, adherent black eschar covering the heel. The surrounding skin is warm but not erythematous, there is no drainage or fluctuance,…
Geriatrics and Palliative Care · Clinical rotations · common
A 79-year-old woman with limited mobility has a sacral ulcer measuring 5 cm in diameter. The ulcer extends through the dermis, with visible subcutaneous fat and…
Geriatrics and Palliative Care · Clinical rotations · common
An 87-year-old woman living independently develops confusion over 2 days after a chest infection. Her alertness varies during the day, and she cannot sustain at…
Geriatrics and Palliative Care · Clinical rotations · common
An 84-year-old inpatient becomes agitated and inattentive over 12 hours. He repeatedly tries to pass urine, reports lower abdominal discomfort and has a palpabl…
Geriatrics and Palliative Care · Clinical rotations · common
An 82-year-old man has had two falls since his blood pressure treatment was intensified. His seated blood pressure is 138/72 mmHg, falling to 108/60 mmHg after…
Geriatrics and Palliative Care · Clinical rotations · common
A 78-year-old woman is assessed after three falls over 2 months. She has not sustained a major injury and denies a clear loss of consciousness. Her medicines in…
Geriatrics and Palliative Care · Clinical rotations · common