Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A 31-year-old primigravida at 33 weeks gestation reports one week of intense generalised itching that is worst at night and most severe over her palms and the s…
Obstetrics and Gynaecology · Clinical rotations · common
A 26-year-old primigravida presents at 11 weeks gestation by dates with two weeks of persistent vomiting and one day of light vaginal bleeding. Her blood pressu…
Obstetrics and Gynaecology · Clinical rotations · common
A 31-year-old woman presents with two days of right iliac fossa pain and light vaginal spotting. Her last menstrual period was six weeks ago and a home pregnanc…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 27-year-old nulliparous woman requests reliable long-term contraception. Several times a year she has severe unilateral throbbing headaches that are preceded…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 28-year-old primigravida gives birth vaginally at 38 weeks gestation. During labour she was commenced on oral labetalol for blood pressure readings of 160/108…
Obstetrics and Gynaecology · Clinical rotations · common
A 29-year-old woman, gravida 2 para 1, is in spontaneous labour at 39 weeks gestation. One hour after her cervix was 5 cm dilated, the membranes rupture spontan…
Obstetrics and Gynaecology · Clinical rotations · common
A 34-year-old woman, gravida 3 para 2, presents at 34 weeks gestation with two hours of constant severe abdominal pain and a small amount of dark red vaginal bl…
Obstetrics and Gynaecology · Clinical rotations · common
A 34-year-old woman attends her general practitioner eight weeks after the vaginal birth of her first child. Her pregnancy was complicated by gestational diabet…
Obstetrics and Gynaecology · Clinical rotations · common
A 7-month-old previously well boy is brought to the emergency department after six hours of episodes of sudden inconsolable screaming during which he draws his…
Paediatrics · Clinical rotations · common
A 4-week-old girl born at term is reviewed because she is still visibly jaundiced. The jaundice was first noticed on day three of life; she is fully breastfed,…
Paediatrics · Clinical rotations · common
A 6-day-old boy born at term is brought to the emergency department after vomiting three times over four hours; the most recent vomitus was dark green. He fed n…
Paediatrics · Clinical rotations · middle twist
A 22-month-old boy is brought to his general practitioner because he is not yet talking. He says 'mum' and 'dada' only, but points to things he wants, waves goo…
Paediatrics · Clinical rotations · common
A 3-year-old boy presents with six days of fever above 39°C that has persisted despite regular paracetamol; he is miserable and difficult to console. Both eyes…
Paediatrics · Clinical rotations · common
A 24-day-old girl is brought to the emergency department after her mother measured an axillary temperature of 38.3°C at home. She was born at term after an unco…
Paediatrics · Clinical rotations · common
A 15-month-old boy presents with two days of vomiting and frequent watery stools. He is alert but subdued, with dry lips, mildly sunken eyes, heart rate 148/min…
Paediatrics · Clinical rotations · middle twist
An 18-month-old boy wakes at 2 am with a harsh, barking cough and noisy breathing and is brought to the emergency department. He has had a runny nose for two da…
Paediatrics · Clinical rotations · common
A 9-month-old girl is brought to the emergency department with three days of runny nose and moist cough, and one day of fast, noisy breathing. She is taking abo…
Paediatrics · Clinical rotations · common
A 78-year-old woman presents with sudden painless loss of vision in her right eye on waking this morning. For the past three weeks she has had a right-sided hea…
Eyes, Ears, Nose and Throat · Clinical rotations · middle twist
A 66-year-old woman is brought to the emergency department at 9 pm with severe right-sided headache, nausea and repeated vomiting that began while she was watch…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 48-year-old man who migrated from southern China ten years ago presents with six weeks of a blocked sensation and reduced hearing in the right ear. On several…
Eyes, Ears, Nose and Throat · Clinical rotations · middle twist