Common
The decision you make weekly on the ward. 494 questions.
A 62-year-old woman who takes sertraline for depression is brought to the emergency department after a witnessed generalised tonic-clonic seizure at home. She i…
Renal, Urology and Electrolytes · Clinical rotations · common
A 23-year-old man presents because his urine has turned dark brown, which he noticed this morning. Two days ago he developed a sore throat and runny nose, which…
Renal, Urology and Electrolytes · Clinical rotations · common
A 76-year-old woman taking perindopril for hypertension and regular ibuprofen for knee osteoarthritis presents after three days of vomiting and watery diarrhoea…
Renal, Urology and Electrolytes · Clinical rotations · common
A 35-year-old man born in Vietnam attends for pre-employment health screening and is found to have the following results: HBsAg negative, anti-HBs positive at 8…
Gastroenterology and Hepatology · Clinical rotations · common
A 58-year-old man is reviewed after routine blood tests show ALT 68 U/L (<40), AST 44 U/L (<40) and GGT 80 U/L (<60). He has type 2 diabetes and hypertension, h…
Gastroenterology and Hepatology · Clinical rotations · common
A 28-year-old woman presents with eight months of crampy lower abdominal pain that eases after opening her bowels, together with bloating and a bowel habit alte…
Gastroenterology and Hepatology · Clinical rotations · common
A 38-year-old woman has recurrent episodes of visible haematuria, but her renal function is normal and urine protein excretion is minimal. The episodes begin wi…
Renal, Urology and Electrolytes · Clinical rotations · common
A 46-year-old woman presents with a generalised tonic-clonic seizure. Serum sodium is 112 mmol/L, serum osmolality is 240 mOsm/kg and glucose is 5.2 mmol/L. She…
Neurology · Clinical rotations · common
A 67-year-old woman develops oliguria and a creatinine rise from 84 to 310 micromol/L after several days of septic shock. Urinalysis shows 2+ blood but no signi…
Renal, Urology and Electrolytes · Clinical rotations · common
A 58-year-old man with chronic kidney disease presents with weakness. Serum potassium is 7.1 mmol/L, and the laboratory result has been confirmed on a repeat no…
Emergency and Toxicology · Pre-internship · common
A 35-year-old man reports drinking approximately 6 L of water daily because of anxiety about dehydration. He is alert, euvolaemic and not taking diuretics or an…
Renal, Urology and Electrolytes · Clinical rotations · common
A 29-year-old man presents with facial puffiness, dark urine and ankle swelling. He had an impetigo-like skin infection 18 days ago, and his blood pressure is 1…
Renal, Urology and Electrolytes · Clinical rotations · common
A 72-year-old man is found to have a serum creatinine of 286 micromol/L, compared with 98 micromol/L 3 months earlier. He reports six months of poor urinary str…
Gastroenterology and Hepatology · Clinical rotations · common
An 8-year-old child has written documentation of two valid diphtheria-tetanus-acellular pertussis doses given at 2 and 4 months of age, but no subsequent doses…
Paediatrics · Clinical rotations · common
A 10-week pregnant woman is found to be non-immune to rubella during antenatal screening. She has no symptoms and has never had an immediate hypersensitivity re…
Obstetrics and Gynaecology · Clinical rotations · common
A 10-month-old child presents for routine care after recently arriving in Australia, and the parents have no written immunisation records. The child appears wel…
Paediatrics · Clinical rotations · common
A 34-year-old woman with known autoimmune Addison disease presents with vomiting, abdominal pain and profound weakness. Her blood pressure is 82/48 mmHg, sodium…
Endocrine and Metabolic · Clinical rotations · common
A 63-year-old woman reports several months of bone pain and difficulty climbing stairs. She has no focal neurological deficit. Serum calcium is 2.19 mmol/L (2.1…
Endocrine and Metabolic · Clinical rotations · common
A 48-year-old woman has a slowly enlarging thyroid nodule, intermittent diarrhoea and facial flushing. Her TSH is 1.6 mIU/L (0.4–4.0), and serum calcitonin is 1…
Endocrine and Metabolic · Clinical rotations · common
A 61-year-old man has a 1.5-cm thyroid nodule with a solid markedly hypoechoic appearance, irregular margins and punctate echogenic foci on ultrasound. His TSH…
Endocrine and Metabolic · Clinical rotations · common