Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
A 67-year-old woman has new bilateral shoulder and hip girdle aching with difficulty lifting her arms and rising from a chair. Symptoms are worst in the morning…
Rheumatology and Musculoskeletal · Clinical rotations · common
A 36-year-old woman with systemic lupus erythematosus has increasing ankle swelling and foamy urine. Her urine protein-to-creatinine ratio is 180 mg/mmol (refer…
Renal, Urology and Electrolytes · Clinical rotations · common
A 42-year-old woman has 6 months of symmetrical swelling and tenderness of the metacarpophalangeal and proximal interphalangeal joints. Morning stiffness lasts…
Rheumatology and Musculoskeletal · Clinical rotations · common
A 58-year-old man develops severe pain and swelling at the base of his right great toe overnight. He is afebrile and has no skin wound or prosthetic joint. Syno…
Rheumatology and Musculoskeletal · Clinical rotations · common
A 29-year-old woman has photosensitive facial erythema, painless oral ulcers and symmetrical pain and swelling of the small joints of both hands. Urinalysis sho…
Rheumatology and Musculoskeletal · Clinical rotations · common
A 69-year-old man presents with 2 months of progressive low back pain that is worse at night and is not relieved by rest. He has lost 6 kg unintentionally and h…
Rheumatology and Musculoskeletal · Clinical rotations · common
A 72-year-old woman sustains a low-trauma vertebral compression fracture while lifting a light shopping bag. She has no renal impairment, oesophageal disease or…
Endocrine and Metabolic · Clinical rotations · common
A 67-year-old woman reports several years of pain at the bases of both thumbs and in the distal finger joints. The pain is worse after gardening, morning stiffn…
Rheumatology and Musculoskeletal · Clinical rotations · common
A 54-year-old woman presents with a painful, swollen right knee that became symptomatic over 12 hours. She has a temperature of 37.8°C and is unable to fully fl…
Infectious Diseases · Clinical rotations · common
A a 68-year-old man with a history of gastroesophageal reflux disease presents with worsening kidney function over the past two weeks. He started a proton pump…
Year 4 · Clinical rotations · common
A 50-year-old man presents to the emergency department with confusion, rapid breathing, and general weakness. He has a history of chronic kidney disease. On exa…
Year 4 · Clinical rotations · common
A 2-year-old girl is brought to the emergency department after falling off a bunk bed at home. She was playing unsupervised in her older sibling’s room. She hit…
Year 4 · Clinical rotations · common
A 3-year-old boy is brought to the emergency department after falling from a low-height chair at home. He has swelling and tenderness over his left forearm. X-r…
Year 4 · Clinical rotations · common
A 40-year-old woman presents with a 6-month history of intermittent upper abdominal discomfort described as postprandial fullness and occasional epigastric pain…
Year 4 · Clinical rotations · common
A 58-year-old man is undergoing evaluation for chronic upper gastrointestinal symptoms. He reports longstanding retrosternal burning, especially at night and af…
Year 4 · Clinical rotations · common
A 52-year-old man presents to the emergency department with sudden onset of vomiting blood and lightheadedness. He reports passing black stools over the past fe…
Year 4 · Clinical rotations · common
A 61-year-old man presents to the emergency department with a 6-hour history of hematemesis and melena. He reports a long-standing history of osteoarthritis, fo…
Year 4 · Clinical rotations · common
A 34-year-old woman presents to the clinic with sudden onset right eye pain and blurred vision that worsens with eye movement for the past 4 days. She denies fe…
Year 3 · Clinical rotations · common
A 33-year-old woman presents to the clinic with complaints of burning and numbness over the outer aspect of her left thigh for the past 2 months. The pain worse…
Year 4 · Clinical rotations · common
A 29-year-old woman presents to dermatology clinic complaining from a red, itchy, scaly lesion on her forearm. The lesion has been slowly enlarging over the pas…
Year 4 · Clinical rotations · common