Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 32 questions.
A 3-year-old child is admitted with invasive Haemophilus influenzae type b infection. The child lives with both parents and a 20-month-old sibling who has recei…
Infectious Diseases · Clinical rotations · niche
A 54-year-old woman is treated for symptomatic hyponatraemia that has probably been present for several days. Her initial serum sodium concentration was 108 mmo…
Renal, Urology and Electrolytes · Clinical rotations · niche
A 19-year-old man is brought to hospital 90 minutes after swallowing approximately 60 g of paracetamol. He is drowsy, sweaty and vomiting. Arterial blood gas an…
Emergency and Toxicology · Clinical rotations · niche
A 26-year-old man with schizophrenia stopped taking lorazepam prescribed for recurrent episodes of immobility and mutism. Two days later he is mute, alternates…
Psychiatry and Mental Health · Clinical rotations · niche
A 72-year-old man with Parkinson disease has developed distressing visual experiences over the past month. His wife reports that he sets places at the table for…
Psychiatry and Mental Health · Clinical rotations · niche
A 49-year-old woman with a recently diagnosed adrenal pheochromocytoma requires drainage of a painful dental abscess before definitive tumour surgery. Her blood…
Emergency and Toxicology · Clinical rotations · niche
A 29-year-old man presents with palpitations and light-headedness. His pulse is irregular at 190 beats per minute and the blood pressure is 126/74 mmHg. The ECG…
Cardiovascular · Clinical rotations · niche
A 58-year-old farmer near Dubbo, New South Wales, felt a sharp scratch on his ankle while moving hay bales and briefly lost consciousness about ten minutes late…
Emergency and Toxicology · Clinical rotations · niche
A 29-year-old man has progressive bone pain, proximal weakness and two atraumatic metatarsal fractures. Serum phosphate is 0.44 mmol/L (0.80–1.50), calcium is 2…
Endocrine and Metabolic · Clinical rotations · niche
A 31-year-old woman attends for routine care and has never had cervical screening. She has no abnormal bleeding, pelvic pain or visible cervical lesion. A self-…
Obstetrics and Gynaecology · Clinical rotations · niche
A 72-year-old woman with a BMI of 30 presents with a tender right groin lump that has become irreducible over the past 6 hours. She reports mild nausea but no v…
Year 4 · Clinical rotations · niche
A 72-year-old woman with well-compensated alcoholic cirrhosis (Child-Pugh A) is referred due to persistent iron deficiency anaemia. She denies haematemesis, mel…
Year 4 · Clinical rotations · niche