Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 75 questions.
A 5-month-old girl is brought to the emergency department because her left thigh is swollen and she cries when it is moved. Her father says she rolled off a cou…
Paediatrics · Pre-internship · common
A 3-year-old boy is brought to a regional emergency department 30 minutes after being carried out of a house fire. There is soot around his nostrils and on his…
Paediatrics · Pre-internship · common
A 15-year-old girl swallowed twelve of her mother's ibuprofen tablets after a break-up and is now six hours post-ingestion. She is asymptomatic, her observation…
Paediatrics · Pre-internship · common
You are the resident covering an after-hours paediatric telephone line. The mother of a two-year-old boy rings about his second day of gastroenteritis. He was r…
Paediatrics · Pre-internship · common
An 8-year-old girl with chronic kidney disease is brought in vomiting after missing two dialysis sessions. She is alert and her blood pressure is 128/78 mmHg. S…
Paediatrics · Pre-internship · common
A 3-year-old inpatient was given 15 mg of oral morphine instead of the prescribed 1.5 mg one hour ago, because a decimal point on the drug chart was misread. He…
Paediatrics · Pre-internship · common
A 5-year-old boy has had a clear runny nose and a dry night cough for four days. He is afebrile and eating normally, and his chest, throat and ears are normal.…
Paediatrics · Pre-internship · common
A 15-year-old boy with Crohn disease attends a routine clinic review with his mother. He has lost 4 kg in three months and has missed a third of school days thi…
Paediatrics · Pre-internship · common
The bone marrow result for a 4-year-old girl admitted with pallor and bruising has confirmed acute lymphoblastic leukaemia. You are to be present while the cons…
Paediatrics · Pre-internship · common
A 6-year-old boy with cystic fibrosis is admitted for his third pulmonary exacerbation this year. His mother tells the team she resigned from her job to manage…
Paediatrics · Pre-internship · common
A 39-year-old woman at 12 weeks of her fourth pregnancy is told that her cell-free DNA screening test reports a high chance of trisomy 21. Her nuchal translucen…
Paediatrics · Pre-internship · common
A woman arrives at a remote clinic in labour, having had no antenatal care and no dating ultrasound. She gives birth to a girl weighing 1980 g who cries at birt…
Paediatrics · Pre-internship · common
A 6-year-old boy with laboratory-confirmed SARS-CoV-2 infection is admitted to a paediatric ward. Over an hour his oxygen saturation falls to 88 per cent on 6 L…
Paediatrics · Pre-internship · common
A 16-year-old girl asks you to sign a clearance form for state-level netball. Twice this year she has collapsed without warning, once in the third quarter of a…
Paediatrics · Pre-internship · common
A 4-year-old boy is brought to a general practice for the third time this year, now with six weeks of night waking and new bedwetting after a year of being dry.…
Paediatrics · Pre-internship · common
A 10-year-old boy is seen in a paediatric outpatient clinic. Over six months he has become irritable, has stopped playing soccer, which he loved, and takes over…
Paediatrics · Pre-internship · common
A 14-year-old boy attends the general practice with his father because of headaches on most school days for three months. His neurological examination, includin…
Paediatrics · Pre-internship · common
A woman who is 19 weeks pregnant with her second child asks what she can do to protect the new baby from whooping cough. Her 2-year-old daughter is fully immuni…
Paediatrics · Pre-internship · common
You are the intern on the postnatal ward. The newborn screening laboratory telephones about a 5-day-old girl: the immunoreactive trypsinogen was raised on the b…
Paediatrics · Pre-internship · common
A 3-year-old boy is brought to the general practice because he uses only about twenty single words and no two-word phrases. He passed his newborn hearing screen…
Paediatrics · Pre-internship · common