Pre-internship
The harder call — the unwell patient, escalation, prioritisation, prescribing detail, ethics and law. 72 questions.
You are the intern attached to a regional public health unit. Its annual child health profile for a town of 4,000 people reports: two-dose measles-mumps-rubella…
Paediatrics · Pre-internship · niche
You are a resident in a Perth children's hospital and have had concerns about five children this week. Each concern is soundly based, you believe each on reason…
Paediatrics · Pre-internship · niche
A 22-month-old boy is brought to the emergency department with scalds to both feet and lower legs. His mother says he climbed into the bath alone while she answ…
Paediatrics · Pre-internship · niche
A 9-day-old term baby is brought to a rural emergency department pale, mottled and grunting after a day of poor feeding. He is afebrile. His heart rate is 190 a…
Paediatrics · Pre-internship · niche
A 4-year-old girl with Dravet syndrome is brought in by ambulance with a generalised convulsion that started 20 minutes ago. Her parents gave buccal midazolam a…
Paediatrics · Pre-internship · niche
Several people are brought to a metropolitan emergency department after a chemical was deliberately released in a shopping centre. A six-year-old girl weighing…
Paediatrics · Pre-internship · niche
A 20-month-old girl is brought to a metropolitan emergency department 45 minutes after her brother saw her swallow a 20 mm lithium button battery from a remote…
Paediatrics · Pre-internship · niche
An 18-month-old girl weighing 10.0 kg has had four days of diarrhoea and has been given water and diluted cordial at home. She is lethargic with a doughy feel t…
Paediatrics · Pre-internship · niche
A 3-year-old boy is seen in general practice with a two-day blanching viral rash and is otherwise well. He is eating, playing and having his usual number of wet…
Paediatrics · Pre-internship · niche
A 9-year-old girl is on day three of treatment for pneumococcal meningitis and has been receiving intravenous sodium chloride 0.9% with glucose 5% at full maint…
Paediatrics · Pre-internship · niche
An 8-year-old boy who had a right tympanostomy tube inserted last year has a two-week history of an itchy, discharging right ear after swimming lessons. He has…
Paediatrics · Pre-internship · niche
An 8-month-old boy is brought to a general practice with six weeks of dry, pink, scaly patches on both cheeks and around the mouth. He rubs at them and wakes se…
Paediatrics · Pre-internship · niche
A 9-year-old girl with newly diagnosed type 1 diabetes has been on the paediatric ward for eight hours receiving intravenous fluid and an insulin infusion for k…
Paediatrics · Pre-internship · niche
A 7-year-old boy is brought in by his mother, who has biopsy-proven coeliac disease, as does his older sister. He is well, on the 50th centile for height and we…
Paediatrics · Pre-internship · niche
A term boy is 32 hours old and was recorded as normal at the newborn check. He now feeds slowly and tires, is mottled and cool to the knees, and his capillary r…
Paediatrics · Pre-internship · niche
A 17-year-old boy attends a sexual health clinic alone. Five days ago he had receptive anal intercourse without a condom with a man he met online, whose HIV sta…
Paediatrics · Pre-internship · niche
A 16-year-old girl with anorexia nervosa is reviewed in an outpatient eating disorder clinic. Over the past six weeks her weight has fallen 3 kg to 42 kg; she i…
Paediatrics · Pre-internship · niche
A 15-year-old girl has never had a period. Her breasts and pubic hair have been fully developed and unchanged for about a year, and she has grown 1 cm in the pa…
Paediatrics · Pre-internship · niche
A 13-year-old boy who received a kidney transplant two years ago attends the renal clinic. He takes tacrolimus and mycophenolate and his graft function is stabl…
Paediatrics · Pre-internship · niche
A 16-week-old girl is brought to a general practice by her family, who arrived in Australia three weeks ago. She has no immunisation records and her parents are…
Paediatrics · Pre-internship · niche