Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 75 questions.
You are the intern on the paediatric ward. A 2-year-old girl admitted with gastroenteritis needs a nasogastric tube for rehydration. Her parents arrived in Aust…
Paediatrics · Pre-internship · common
An 8-year-old boy is referred to the paediatric clinic after a school nursing screen recorded a blood pressure of 132/84 mmHg, above the 95th centile for his ag…
Paediatrics · Pre-internship · common
A psychiatry registrar in Perth tells you, a fellow registrar, that since his father died four months ago he has had low mood, waking at 4 am and poor concentra…
Psychiatry · Pre-internship · common
A 52-year-old woman who arrived in Australia from Afghanistan eleven months ago attends a community mental health clinic for review of post-traumatic stress dis…
Psychiatry · Pre-internship · common
An 83-year-old woman in residential care has advanced Alzheimer disease. Over six weeks she has repeatedly struck staff during personal care and shouts that the…
Psychiatry · Pre-internship · common
A 78-year-old man is reviewed four weeks after starting sertraline for a depressive episode that began when his wife died. His mood is unchanged. He tells you h…
Psychiatry · Pre-internship · common
A first-year doctor on a community mental health placement has been seeing a 24-year-old woman with borderline personality disorder. Over six weeks he has given…
Psychiatry · Pre-internship · common
At 11 pm a 27-year-old woman with borderline personality disorder comes to the emergency department after her flatmate ended their friendship. She has three sup…
Psychiatry · Pre-internship · common
A 74-year-old woman is referred with six months of worry, restlessness and broken sleep. She has never been anxious before and can point to no trigger. She has…
Psychiatry · Pre-internship · common
A 47-year-old farmer is brought to a regional emergency department by his brother. Over three months he has withdrawn from the family, stopped eating with them…
Psychiatry · Pre-internship · common
A 26-year-old woman is reviewed at home on day 8 after the birth of her first child. Over three days she has slept about two hours a night, talks rapidly about…
Psychiatry · Pre-internship · common
A 47-year-old man was hammering a steel chisel without eye protection when he felt something strike his left eye an hour ago. Visual acuity is 6/60 on the left…
Ophthalmology · Pre-internship · common
A 17-year-old boy returns to the emergency department 18 hours after a below-knee plaster cast was applied for an undisplaced fracture of the distal tibia. He h…
Acute Care · Pre-internship · common
A 74-year-old woman is on day 4 after an open right hemicolectomy. Sodium chloride 0.9% 1 L eight-hourly, charted in the emergency department before her operati…
Acute Care · Pre-internship · common
You are the intern asked to collect a group and hold sample from a 68-year-old man before an elective hip replacement. When you arrive the ward clerk hands you…
Acute Care · Pre-internship · common
A 78-year-old woman is admitted overnight for observation after a mechanical fall. She is eating and drinking, takes only oral medications, and no intravenous t…
Acute Care · Pre-internship · common
A 24-year-old man is brought in by ambulance after his motorcycle struck a guardrail. His left leg is partly amputated below the knee and bright blood is wellin…
Acute Care · Pre-internship · common
A 71-year-old woman who speaks only Vietnamese is ready to leave the emergency department after chest pain with normal troponin results. She is to start a new m…
Acute Care · Pre-internship · common
A 76-year-old man taking ramipril and spironolactone attends with three days of vomiting and increasing lethargy. He is drowsy but rousable. Pulse is 42/min and…
Acute Care · Pre-internship · common
An 82-year-old woman has fallen twice since her medicines were changed. She is slower when walking and has recently complained of constipation, blurred vision a…
Geriatrics and Palliative Care · Pre-internship · common