Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A 32-year-old woman presents seven days after an uncomplicated delivery with five sudden, severe headaches over 48 hours. Each begins abruptly during bathing or…
AMC · Clinical rotations · middle twist
A 38-year-old man develops left-sided neck pain and a new unilateral headache after forceful neck stretching. He has a mild left ptosis and a smaller left pupil…
AMC · Clinical rotations · common
A 49-year-old man develops abrupt retro-orbital pain and vomiting while exercising. In the next hour he becomes drowsy and develops left ptosis with limitation…
AMC · Clinical rotations · middle twist
A 72-year-old woman has developed a new unilateral temporal headache over three weeks. She reports pain when chewing and two recent episodes in which vision in…
AMC · Clinical rotations · middle twist
A 29-year-old woman presents with 10 days of progressive daily headache and brief episodes of greying vision. She is six weeks postpartum and takes a combined o…
AMC · Clinical rotations · middle twist
A 46-year-old woman develops a sudden, severe headache while lifting a suitcase. It reaches maximal intensity within seconds and is followed by vomiting and nec…
AMC · Clinical rotations · common
A 35-year-old woman at 31 weeks’ gestation has six weeks of low mood, guilt and early-morning waking. During the past week she has stopped eating, believes her…
Psychiatry and Mental Health · Clinical rotations · common
A 27-year-old man with no previous psychiatric history is brought to hospital by his family after two weeks of little sleep, expansive business plans and increa…
Psychiatry and Mental Health · Clinical rotations · common
A 38-year-old woman with bipolar disorder started haloperidol 10 days ago for a manic episode. She now reports that she cannot sit still, repeatedly walks aroun…
Psychiatry and Mental Health · Clinical rotations · middle twist
A 32-year-old woman at 10 weeks’ gestation presents with four days of almost no sleep, excessive spending and increasingly intrusive plans to start several busi…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 24-year-old woman with type 1 diabetes on a basal-bolus insulin regimen is an inpatient awaiting elective surgery scheduled for the afternoon. Mid-morning she…
Nursing · Clinical rotations · common
An 84-year-old man admitted three days ago with a fractured neck of femur is found to have an area of skin change over the sacrum during hygiene cares. The skin…
Nursing · Clinical rotations · middle twist
A 58-year-old man is receiving his first dose of intravenous vancomycin for a surgical site infection, charted to run over 60 minutes. Twenty minutes into the i…
Nursing · Clinical rotations · common
A 76-year-old man with newly diagnosed type 2 diabetes is being discharged on a nightly basal insulin. The nurse has explained and demonstrated the injection te…
Nursing · Clinical rotations · common
A registered nurse on night shift realises she has written a progress note about one patient in a different patient's paper medical record. The entry is factual…
Nursing · Clinical rotations · common
A 71-year-old woman attends a community nursing service with a shallow ulcer above the left medial malleolus present for 8 weeks. The surrounding skin is brown-…
Nursing · Clinical rotations · middle twist
A 74-year-old woman develops profuse watery diarrhoea on day 5 of intravenous antibiotic therapy for pneumonia. Stool testing confirms Clostridioides difficile…
Nursing · Clinical rotations · common
A registered nurse is preparing to administer flucloxacillin 1 g in 100 mL of sodium chloride 0.9% intravenously over 30 minutes. No infusion pump is available,…
Nursing · Clinical rotations · common
A 17-year-old girl presents six hours after a deliberate ingestion of tablets taken from the family bathroom cabinet. She complains of nausea, repeated vomiting…
Emergency and Toxicology · Clinical rotations · common
A 26-year-old backpacker is snorkelling off Port Douglas in far north Queensland in December when she feels a mild sting on her forearm, leaving only faint redn…
Emergency and Toxicology · Clinical rotations · common