Clinical rotations
Working out what is wrong and starting treatment — history, examination, diagnosis, investigations, first-line management. 785 questions.
You are a general practice registrar in a regional town of 6,000 people. Over six weeks the public health unit has confirmed seven cases of measles, four of the…
Paediatrics · Clinical rotations · common
A local health district in western Sydney surveys its primary schools and finds that one in three children aged 5 to 12 years is above the healthy weight range,…
Paediatrics · Clinical rotations · middle twist
You are a general practice registrar in a Western Australian coastal town of 6000 people. Over the past year the proportion of five-year-olds recorded as fully…
Paediatrics · Clinical rotations · middle twist
A Perth tertiary hospital's ear, nose and throat department plans a programme to reduce chronic suppurative otitis media in a remote Aboriginal community 1500 k…
Paediatrics · Clinical rotations · middle twist
A 6-year-old Aboriginal boy attends a Perth general practice with his mother for a certificate to return to school after chickenpox. He is well, fully immunised…
Paediatrics · Clinical rotations · middle twist
A 4-year-old Aboriginal boy from a remote Kimberley community has bilateral chronic suppurative otitis media with a 35 dB conductive hearing loss and delayed sp…
Paediatrics · Clinical rotations · middle twist
A 6-year-old girl attends a general practice with her aunt for a rash. While her aunt is out of the room collecting a prescription, the girl says, without any p…
Paediatrics · Clinical rotations · common
A 3-year-old girl attends a rural general practice for the fourth time in six months, twice with minor bruises and twice with abdominal pain. Dry at night for a…
Paediatrics · Clinical rotations · middle twist
A 4-year-old boy is brought to a Perth emergency department with a swollen, bruised left forearm. At triage his mother said he fell from a kitchen chair. When y…
Paediatrics · Clinical rotations · middle twist
A 2-year-old girl is brought to the emergency department by her father after falling from a play structure onto grass. She is walking, playing and interactive,…
Paediatrics · Clinical rotations · middle twist
You are working in a busy regional emergency department on a winter evening. Five children are waiting and the nurse in charge asks which one should be brought…
Paediatrics · Clinical rotations · common
At a six-week check, the mother of a healthy term baby says he brings up milk after most feeds and seems more settled when he is not flat on his back. Her own m…
Paediatrics · Clinical rotations · common
A previously well 2-year-old boy has passed two large, dark red stools today. He has had no abdominal pain, has not drawn up his legs, has not vomited and has h…
Paediatrics · Clinical rotations · middle twist
An 18-month-old boy is carried into the emergency department floppy and unrousable. He has vomited several times over the past day and has refused food since ye…
Paediatrics · Clinical rotations · common
A 15-year-old girl is brought to the emergency department by her mother two hours after swallowing a handful of tablets during an argument. She says she took on…
Paediatrics · Clinical rotations · common
A 2-year-old boy weighing 13 kg is brought to the emergency department 40 minutes after his mother found him beside her open bottle of iron tablets, with an ora…
Paediatrics · Clinical rotations · middle twist
A mother brings her 18-month-old son to the general practice for a routine check. Her own mother has just moved in and keeps her tablets in a weekly pill organi…
Paediatrics · Clinical rotations · middle twist
An 18-month-old boy is brought to a rural emergency department after being found in a farm shed beside a spilt container, with his clothing wet. He is drowsy bu…
Paediatrics · Clinical rotations · middle twist
A mother telephones her general practice mid-morning. Her two-year-old daughter has been found in the laundry sitting beside an open bottle of a garden product,…
Paediatrics · Clinical rotations · common
A two-year-old boy is brought to a regional emergency department 30 minutes after drinking from a soft drink bottle in the garage that his father had filled wit…
Paediatrics · Clinical rotations · middle twist