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A 34-year-old woman who is breastfeeding at four weeks after birth requests contraception. She has migraine with visual aura and reports that her periods were p…

Obstetrics and Gynaecology · Clinical rotations · common

A 38-year-old woman presents with two days of very heavy bleeding during an otherwise predictable menstrual cycle. Her blood pressure is 118/72 mmHg, she is not…

Obstetrics and Gynaecology · Clinical rotations · common

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 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 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 62-year-old man undergoes left ventricular pressure-volume loop analysis during cardiac catheterisation. Before an intervention, his end-diastolic volume is 1…

Biomedical Science · Mechanisms of disease · common

A 21-year-old man collapses at the 14 km mark of a city fun run on a 34°C day. In the trackside medical tent he is confused and agitated with a Glasgow Coma Sca…

Emergency and Toxicology · Pre-internship · common

A 74-year-old man is brought to his general practitioner by his daughter, who is worried about his memory over the past three months. He has stopped attending h…

Geriatrics and Palliative Care · Clinical rotations · common

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 presents ten days after an uncomplicated vaginal delivery under epidural analgesia with four days of worsening headache, which she says is w…

Obstetrics and Gynaecology · 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 64-year-old woman develops sudden, profound painless loss of vision in her left eye 90 minutes before assessment. The left pupil has a relative afferent pupil…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 32-year-old woman wants highly effective contraception and would prefer predictable light bleeding. She does not want a method requiring daily action and has…

Obstetrics and Gynaecology · Clinical rotations · middle twist

An 88-year-old woman has a dry, adherent black eschar covering the heel. The surrounding skin is warm but not erythematous, there is no drainage or fluctuance,…

Geriatrics and Palliative Care · Clinical rotations · common

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