Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
A medical student presents a new admission at the morning meeting. She gives his age, occupation and living situation, the presenting complaint and its history,…
Psychiatry · Clinical rotations · common
A 27-year-old man with schizophrenia attends the clinic for review. Grinning broadly and giggling, he tells the registrar that his mother died last month and th…
Psychiatry · Clinical rotations · common
A 58-year-old man attends his general practice for review of his mood. Asked how he has been sleeping, he begins with the layout of his bedroom, moves on to the…
Psychiatry · Clinical rotations · common
A 71-year-old man with long-standing poorly controlled hypertension wakes to find the vision in his left eye blurred. There is no pain, no flashing lights and n…
Ophthalmology · Clinical rotations · common
A 26-year-old primary school teacher has had a red, watering right eye for four days; the left eye became red two days ago. She had a sore throat the week befor…
Ophthalmology · Clinical rotations · common
You are the intern in a Perth emergency department at 0200. Paramedics have just handed over a 78-year-old woman brought in after a fall at home, using the stru…
Acute Care · Clinical rotations · common
A 34-year-old woman born in Vietnam is investigated for tiredness. Her periods are normal, she eats meat, takes no medicines, and was told she was slightly anae…
Acute Care · Clinical rotations · common
A 74-year-old man on a surgical ward reports palpitations on the second day after a right hemicolectomy. He is alert and comfortable, with a blood pressure of 1…
Acute Care · Clinical rotations · common
A 19-year-old man is thrown from his motorcycle at highway speed. On arrival he is alert and complains only of neck pain. His blood pressure is 78/44 mmHg and h…
Acute Care · Clinical rotations · common
A medical student is bag-mask ventilating a 62-year-old woman who is apnoeic after a benzodiazepine overdose. She has a palpable pulse and a correctly sized ora…
Acute Care · Clinical rotations · common
You are a medical student on placement in a rural general practice 90 minutes by road from the nearest hospital. A grandmother brings in her 2-year-old grandson…
Acute Care · Clinical rotations · common
A 71-year-old man at a restaurant suddenly stands and clutches at his throat during the main course. He cannot speak or make any sound. He is conscious and is s…
Acute Care · Clinical rotations · common
A 46-year-old warehouse worker has had low back pain for three weeks since lifting a pallet. For the past two days the pain has run down both legs to the feet.…
Acute Care · Clinical rotations · common
A 31-year-old man is brought in after his utility vehicle struck a tree at speed. He is pale and cold and speaks in short phrases. Heart rate 132/min, blood pre…
Acute Care · Clinical rotations · common
A 19-year-old man is brought in by friends four hours after a party. He is agitated, mumbles continuously and plucks at the bedclothes, and does not know where…
Acute Care · Clinical rotations · common
A 22-year-old man stood on a garden fork while digging; a tine passed through his boot into the sole of his right foot. The wound is a 3 cm deep puncture with s…
Acute Care · Clinical rotations · common
A 24-year-old woman rolled her right ankle landing awkwardly at netball two hours ago. She took four steps immediately afterwards and can take four steps now, l…
Acute Care · Clinical rotations · common
A 32-year-old woman is brought in after her car left the road and struck a tree at speed. She is alert and cold to touch. Blood pressure 84/52 mmHg, pulse 126/m…
Acute Care · Clinical rotations · common
A 58-year-old man walks up to the triage desk of a metropolitan emergency department. He says a heavy tightness spread across the front of his chest while he wa…
Acute Care · Clinical rotations · common
An 84-year-old woman is brought to the emergency department after tripping on a rug at home. Radiographs of her wrist and hip show no fracture. She has not been…
Acute Care · Clinical rotations · common