Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 72 questions.
A 46-year-old man who came to Australia from South Sudan eight years ago is on the fourth day of treatment for community-acquired pneumonia. Asked by the nurse…
Acute Care · Pre-internship · niche
A 7-month-old infant on a children's ward is found unresponsive and making occasional gasps. You and the paediatric registrar, both trained in paediatric basic…
Acute Care · Pre-internship · niche
A 47-year-old man is reviewed in the cardiology clinic after a single episode of loss of consciousness while sitting at his desk. There was no warning and no pa…
Acute Care · Pre-internship · niche
A 74-year-old woman describes losing the sight of her right eye over a few seconds while watching television 90 minutes ago. It has not come back and she now se…
Acute Care · Pre-internship · niche
A 26-year-old woman weighing 60 kg presents five hours after swallowing an unknown number of immediate-release paracetamol tablets. She is alert with normal obs…
Acute Care · Pre-internship · niche
A 26-year-old woman is brought in three hours after taking about 40 alprazolam tablets with wine. She sleeps but rouses to a loud voice, gags on an oropharyngea…
Acute Care · Pre-internship · niche
A 28-year-old man jumped from a first-floor window to escape a house fire and has blistered burns over about 30% of his body surface. Forty-five minutes after t…
Acute Care · Pre-internship · niche
A 63-year-old man presents 30 hours after a garden fork went through his boot into the sole of his foot while he was turning manure. The puncture is 2 cm deep a…
Acute Care · Pre-internship · niche
An 89-year-old man with advanced dementia is in the emergency department with aspiration pneumonia. He cannot retain or weigh information about treatment. He ma…
Acute Care · Pre-internship · niche
A 68-year-old woman is brought to a Perth emergency department unconscious after her neighbour found her with empty amitriptyline packets and a note. Her airway…
Acute Care · Pre-internship · niche
A 68-year-old woman having a computed tomography scan develops flushing, wheeze and hypotension eight minutes after the intravenous contrast injection. She take…
Acute Care · Pre-internship · niche
A 71-year-old man noticed slurred speech 90 minutes ago while watching television and his wife drove him straight in. He speaks with a mild slur that is fully i…
Acute Care · Pre-internship · niche