Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 371 questions.
You are a general practice registrar in a regional town of 6,000 people. Over six weeks the public health unit has confirmed seven cases of measles, four of the…
Paediatrics · Clinical rotations · common
A 6-year-old girl attends a general practice with her aunt for a rash. While her aunt is out of the room collecting a prescription, the girl says, without any p…
Paediatrics · Clinical rotations · common
You are working in a busy regional emergency department on a winter evening. Five children are waiting and the nurse in charge asks which one should be brought…
Paediatrics · Clinical rotations · common
At a six-week check, the mother of a healthy term baby says he brings up milk after most feeds and seems more settled when he is not flat on his back. Her own m…
Paediatrics · Clinical rotations · common
An 18-month-old boy is carried into the emergency department floppy and unrousable. He has vomited several times over the past day and has refused food since ye…
Paediatrics · Clinical rotations · common
A 15-year-old girl is brought to the emergency department by her mother two hours after swallowing a handful of tablets during an argument. She says she took on…
Paediatrics · Clinical rotations · common
A mother telephones her general practice mid-morning. Her two-year-old daughter has been found in the laundry sitting beside an open bottle of a garden product,…
Paediatrics · Clinical rotations · common
A three-year-old boy weighing 15 kg is brought to the emergency department 90 minutes after his parents found him with an open bottle of perfume containing 60%…
Paediatrics · Clinical rotations · common
An Australian poisons information centre is reviewing the 4200 calls it took last year about children younger than 16 years, so that it can direct a prevention…
Paediatrics · Clinical rotations · common
A 14-year-old girl is brought to the emergency department by her mother three hours after being found crying in her bedroom beside an empty packet of ibuprofen…
Paediatrics · Clinical rotations · common
A 14-month-old girl is brought to a rural general practice with three days of watery diarrhoea and vomiting. She is alert and playing, her lips are dry, her cap…
Paediatrics · Clinical rotations · common
A 3-year-old girl weighing 14 kg is admitted with a fractured femur and placed in traction. She is comfortable on regular analgesia, well perfused, has moist mu…
Paediatrics · Clinical rotations · common
A 2-year-old girl has had 24 hours of vomiting and watery diarrhoea. She is alert and irritable, her mucous membranes are dry, her father thinks her eyes look s…
Paediatrics · Clinical rotations · common
An 11-month-old boy weighing 10 kg has had 36 hours of watery diarrhoea and vomiting. He lies quietly in his mother's arms and opens his eyes when spoken to. Hi…
Paediatrics · Clinical rotations · common
A 3-year-old girl has a red bulging left tympanic membrane. She is afebrile, has had no ear discharge, and is playing in the waiting room. She is not Aboriginal…
Paediatrics · Clinical rotations · common
A 4-year-old girl weighing 20 kg has acute otitis media and is lethargic and pale, so antibiotics are indicated. You have decided on amoxicillin 15 mg/kg, to a…
Paediatrics · Clinical rotations · common
A 12-year-old boy weighing 42 kg has multiple crusted impetigo lesions on both legs and needs oral antibiotic therapy. The recommended regimen is flucloxacillin…
Paediatrics · Clinical rotations · common
You are the evening intern on a paediatric ward. The consultant asks you to chart an oral medicine you have not prescribed before for a 3-year-old girl weighing…
Paediatrics · Clinical rotations · common
A 20-month-old boy has had two days of fever and disturbed sleep, waking crying and pulling at both ears. His temperature is 38.9 degrees Celsius. Both tympanic…
Paediatrics · Clinical rotations · common
A 5-month-old boy born at term has had a runny nose for three days and is now feeding poorly. His temperature is 37.8 degrees Celsius and respiratory rate 56, w…
Paediatrics · Clinical rotations · common