Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 75 questions.
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 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 19-year-old man is brought to a rural general practice, 45 minutes from the nearest hospital, with six hours of fever, vomiting and severe pain in his legs. H…
Emergency and Toxicology · Pre-internship · common
A 35-year-old man is admitted six hours after a house fire with burns to 25% of his body surface area, including a burn encircling the entire right forearm wher…
Emergency and Toxicology · Pre-internship · common
A 25-year-old motorcyclist is brought to the emergency department after a high-speed crash, complaining of left-sided chest pain and severe breathlessness; he c…
Emergency and Toxicology · Pre-internship · 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 45-year-old man becomes acutely unwell after receiving approximately 20 mL of an incompatible red-cell unit. He develops fever, severe flank pain, hypotension…
Emergency and Toxicology · Pre-internship · common
A 67-year-old woman develops a temperature of 38.3°C and rigors 30 minutes after a red-cell transfusion begins. She is haemodynamically stable and has no dyspno…
Haematology and Oncology · Pre-internship · common
A 74-year-old woman with advanced dementia is unable to make decisions and has no advance care directive. Her husband is the recognised substitute decision-make…
Ethics and Professional Practice · Pre-internship · common
A 90-year-old man is dying from advanced heart failure and is no longer able to swallow. His breathing is noisy because of pooled respiratory secretions, but he…
Ethics and Professional Practice · Pre-internship · common
A 72-year-old woman with metastatic breast cancer has decision-making capacity and asks that cardiopulmonary resuscitation not be attempted if she becomes unabl…
Ethics and Professional Practice · Pre-internship · common
A 79-year-old man has taken diazepam 5 mg nightly for 10 years and wants to stop because of morning unsteadiness. He has no seizures, severe anxiety disorder or…
Geriatrics and Palliative Care · Pre-internship · common
A 52-year-old male is currently an inpatient on a hospital ward. He developed rapid-onset swelling of the lips and face during his hospital stay. He reports no…
Year 4 · Pre-internship · common
A 75-year-old male presents to the clinic with generalized fatigue, weight loss, and chronic abdominal pain. He was diagnosed with pancreatic cancer a year ago…
Year 4 · Pre-internship · common
Which electrolyte imbalance is most commonly associated with acute pancreatitis?
Year 4 · Pre-internship · common