Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 309 questions.
You are the intern in a regional hospital's paediatric outpatient clinic. A 3-year-old Aboriginal boy has bilateral middle ear effusions and a 35 dB conductive…
Paediatrics · Pre-internship · middle twist
A coastal local government area has recorded four drownings of children under five years of age in five years, every one of them in a backyard swimming pool at…
Paediatrics · Pre-internship · middle twist
You are the intern on a Perth paediatric ward. Over three weeks you admit four toddlers from the same remote community with extensive impetigo, and a fifth chil…
Paediatrics · Pre-internship · middle twist
You are a junior doctor at a regional Western Australian hospital. Hospital data show that Aboriginal children in the district are admitted with skin infections…
Paediatrics · Pre-internship · middle twist
You are a general practice registrar in Perth. A 3-year-old boy attends with his mother for a routine pre-kindergarten review recorded in his personal health re…
Paediatrics · Pre-internship · middle twist
A 6-year-old girl with spastic diplegic cerebral palsy attends a Perth outpatient clinic. She needs continuing physiotherapy and speech pathology to preserve fu…
Paediatrics · Pre-internship · middle twist
You are the intern on a Perth paediatric ward. A 6-year-old girl admitted with pneumonia tells you that a family friend does rude things to her when he babysits…
Paediatrics · Pre-internship · middle twist
A 9-year-old girl is brought to a Perth emergency department by her mother at 9 pm. At triage she told the nurse that her mother's partner puts his hands inside…
Paediatrics · Pre-internship · middle twist
You are the intern caring for a 3-year-old boy admitted with bronchiolitis at a Perth hospital. On the second night his mother tells you that his father drinks…
Paediatrics · Pre-internship · middle twist
At 2 am you are the intern who admits a 2-year-old girl with a spiral fracture of the humeral shaft and bruising over the upper arm and back, for which her pare…
Paediatrics · Pre-internship · middle twist
You are discharging a 5-week-old boy after an admission with bronchiolitis. His mother smokes ten cigarettes a day outdoors. She tells you she is so exhausted t…
Paediatrics · Pre-internship · middle twist
A 3-year-old girl weighing 15 kg is brought in one hour after swallowing tablets from her mother's iron bottle. Each tablet contains 65 mg of elemental iron and…
Paediatrics · Pre-internship · middle twist
A father telephones the emergency department. Twenty minutes ago he found his 20-month-old daughter with the back of the television remote prised open and one o…
Paediatrics · Pre-internship · middle twist
A three-year-old girl is brought to a regional emergency department 30 minutes after drinking from an unlabelled bottle her father had decanted drain cleaner in…
Paediatrics · Pre-internship · middle twist
A two-year-old girl weighing 12 kg is brought to a regional emergency department 90 minutes after being found with her mother's iron tablets. The pack accounts…
Paediatrics · Pre-internship · middle twist
A 15-year-old boy weighing 60 kg presents to a metropolitan emergency department six hours after swallowing forty paracetamol 500 mg tablets in one go. He has v…
Paediatrics · Pre-internship · middle twist
A three-year-old girl weighing 14 kg is found with her grandmother's dose administration aid, which contains amitriptyline. Two hours later she is drowsy with 5…
Paediatrics · Pre-internship · middle twist
A two-year-old girl is brought to the emergency department 40 minutes after her mother saw her swallow an unknown number of the grandmother's paracetamol tablet…
Paediatrics · Pre-internship · middle twist
A five-month-old boy is brought to a regional emergency department at 2 am because he cannot be roused. His respiratory rate is 12 per minute and his pupils are…
Paediatrics · Pre-internship · middle twist
A 10-year-old boy weighing 32 kg is admitted to the ward for observation after an appendicectomy. He is comfortable, normotensive and well perfused, has not vom…
Paediatrics · Pre-internship · middle twist