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36 questions found

A 29-year-old man presents with palpitations and light-headedness. His pulse is irregular at 190 beats per minute and the blood pressure is 126/74 mmHg. The ECG…

Cardiovascular · Clinical rotations · niche

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 28-year-old woman is brought in by ambulance 90 minutes after being found drowsy next to an empty box of amitriptyline. Her Glasgow Coma Scale score is 12, he…

Emergency and Toxicology · Pre-internship · 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

A 30-year-old Aboriginal man attends a regional clinic for an annual health assessment. He feels well, smokes ten cigarettes daily, drinks alcohol most weekends…

Cardiovascular · Clinical rotations · middle twist

A 72-year-old man presents three days after an episode of weakness of his left arm and leg with slurred speech, which resolved completely within 20 minutes. He…

Neurology · Clinical rotations · common

A 66-year-old man is five days after an ultra-low anterior resection for rectal cancer and had initially been recovering well. Overnight he developed an irregul…

Surgery and Perioperative Care · Clinical rotations · common

A 59-year-old man presents 90 minutes after onset of severe central chest pain with sweating and nausea. The ECG shows 3 mm ST-segment elevation in leads II, II…

Cardiovascular · Clinical rotations · middle twist

A 68-year-old man presents with 30 minutes of rapid palpitations and light-headedness. Three years ago he had a heart attack treated with a coronary artery sten…

Cardiovascular · Clinical rotations · common

A 76-year-old woman taking perindopril for hypertension and regular ibuprofen for knee osteoarthritis presents after three days of vomiting and watery diarrhoea…

Renal, Urology and Electrolytes · Clinical rotations · common

A 47-year-old man with chronic kidney disease presents with palpitations and proximal muscle weakness. Serum potassium is 6.8 mmol/L, the sample is non-haemolys…

Cardiovascular · Clinical rotations · middle twist

A 70-year-old man with diabetic kidney disease takes ramipril and spironolactone. Routine testing shows potassium 6.4 mmol/L, confirmed on a non-haemolysed samp…

Renal, Urology and Electrolytes · Clinical rotations · middle twist

A 58-year-old man with chronic kidney disease presents with weakness. Serum potassium is 7.1 mmol/L, and the laboratory result has been confirmed on a repeat no…

Emergency and Toxicology · Pre-internship · common

A 78-year-old woman is assessed after three falls over 2 months. She has not sustained a major injury and denies a clear loss of consciousness. Her medicines in…

Geriatrics and Palliative Care · 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 39-year-old male presents to the emergency department with sudden onset of pleuritic chest pain that worsens with a supine position and relieves with leaning…

Year 2 · Mechanisms of disease · common