Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
A 60-year-old man with a history of chronic diarrhea presents with muscle weakness and lethargy. Laboratory tests show: potassium 3.1 mmol/L (3.5-5.0 mmol/L), b…
Year 4 · Clinical rotations · middle twist
A 50-year-old man presents to the emergency department with confusion, rapid breathing, and general weakness. He has a history of chronic kidney disease. On exa…
Year 4 · Clinical rotations · common
A 2-year-old girl is brought to the emergency department after falling off a bunk bed at home. She was playing unsupervised in her older sibling’s room. She hit…
Year 4 · Clinical rotations · common
A 3-year-old boy is brought to the emergency department after falling from a low-height chair at home. He has swelling and tenderness over his left forearm. X-r…
Year 4 · Clinical rotations · common
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 64-year-old man presents with a right-sided groin bulge that becomes more prominent on coughing. He reports no pain and has no difficulty with daily activitie…
Year 4 · Clinical rotations · middle twist
A 54-year-old man presents with persistent heartburn and regurgitation despite six weeks of once-daily omeprazole. He has no dysphagia, weight loss, or anemia.…
Year 4 · Clinical rotations · middle twist
A 40-year-old woman presents with a 6-month history of intermittent upper abdominal discomfort described as postprandial fullness and occasional epigastric pain…
Year 4 · Clinical rotations · common
A 72-year-old woman is undergoing evaluation for persistent postprandial fullness and intermittent epigastric discomfort. She has no history of reflux or dyspha…
Year 4 · Clinical rotations · middle twist
A 58-year-old man with a 3-year history of gastroesophageal reflux disease (GERD) undergoes an upper endoscopy for ongoing reflux symptoms. Endoscopy reveals a…
Year 4 · Clinical rotations · middle twist
A 58-year-old man is undergoing evaluation for chronic upper gastrointestinal symptoms. He reports longstanding retrosternal burning, especially at night and af…
Year 4 · Clinical rotations · common
A 52-year-old man presents to the emergency department with sudden onset of vomiting blood and lightheadedness. He reports passing black stools over the past fe…
Year 4 · Clinical rotations · common
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
A 61-year-old man presents to the emergency department with a 6-hour history of hematemesis and melena. He reports a long-standing history of osteoarthritis, fo…
Year 4 · Clinical rotations · common
A 68-year-old man presents to his general practitioner for a routine review of his medications. He has a history of osteoarthritis, for which he takes naproxen…
Year 4 · Clinical rotations · middle twist
A 76-year-old man presents to the emergency department with a 6-hour history of passing large volumes of bright red blood per rectum. He feels lightheaded and f…
Year 4 · Clinical rotations · middle twist
A 68-year-old man presents to the emergency department with a 24-hour history of worsening abdominal pain, nausea, and vomiting. He has a history of open sigmoi…
Year 4 · Clinical rotations · middle twist
A 34-year-old woman presents to the clinic with sudden onset right eye pain and blurred vision that worsens with eye movement for the past 4 days. She denies fe…
Year 3 · Clinical rotations · common
A 72-year-old man with a history of hypertension and heart failure with reduced ejection fraction (HFrEF) presents the emergency department due to sudden onset…
Year 4 · Clinical rotations · middle twist
A 5-day-old newborn presents with purulent conjunctivitis, eyelid swelling, and significant eye discharge. What is the most appropriate initial treatment?
Year 4 · Clinical rotations · middle twist