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Results for “respiratory

180 questions found

You are the intern on an evening shift at a public hospital in Perth. A 3-year-old boy was admitted this morning with a febrile illness. His mother has told the…

Acute Care · Pre-internship · middle twist

A 58-year-old man had a witnessed collapse at a shopping centre. Bystanders started compressions, ambulance officers delivered one shock, and spontaneous circul…

Acute Care · Pre-internship · middle twist

A 5-year-old girl weighing 20 kg is admitted with right lower lobe pneumonia. She is febrile at 38.9 degrees Celsius, saturating 93% on 2 litres per minute of o…

Acute Care · Pre-internship · middle twist

A 43-year-old man is brought in 18 hours after a meal that included home-bottled vegetables. Over the past six hours his eyelids have drooped, his vision has do…

Physiology · Foundations · middle twist

A 24-year-old man has passed up to twelve watery stools a day for five days after returning from a trek in Nepal. He is thirsty and weak. His pulse is 118/min a…

Physiology · Foundations · middle twist

A 58-year-old man has vomited large volumes each day for nine days, bringing up food eaten the day before. The vomitus contains no bile. He has lost 5 kg, his m…

Physiology · Foundations · middle twist

A 68-year-old man has had 4 days of fever, cough and left-sided pleuritic pain. There is dullness to percussion, bronchial breathing and increased vocal resonan…

Physiology · Foundations · middle twist

A 76-year-old man is admitted after falling down four steps at home. He weighs 75 kg. He has fractures of the left fifth to eighth ribs and it hurts him to brea…

Physiology · Foundations · middle twist

A 24-year-old man reports 12 months of increasing breathlessness on exertion. He climbs stairs slowly and pushes on his thighs to stand from a low chair. His co…

Physiology · Foundations · niche

A 34-year-old woman has had 8 months of heavy menstrual bleeding. She is breathless climbing one flight of stairs and tired all day. Her conjunctivae are pale.…

Physiology · Foundations · middle twist

A 62-year-old man describes tightness across the chest when he walks up the hill to his home; it settles within three minutes of rest. He first noticed it a mon…

Physiology · Foundations · common

A 24-year-old man is brought to the emergency department 40 minutes after he came off his motorcycle. He has a closed fracture of the right femur and a tense, s…

Physiology · Foundations · common

A 24-year-old man presents with two days of sore throat, fever and increasing difficulty swallowing. He has muffled speech, tender cervical nodes and a grey-whi…

Infectious Diseases · Pre-internship · middle twist

A 26-year-old woman with asthma is reviewed after three hours of emergency department treatment with inhaled salbutamol and ipratropium, systemic corticosteroid…

Respiratory · Pre-internship · middle twist

A 24-year-old woman with asthma remains breathless after repeated nebulised salbutamol and ipratropium, intravenous hydrocortisone and oxygen. She can speak onl…

Respiratory · Clinical rotations · common

A 29-year-old man is brought in shortly after his partner administered naloxone for suspected heroin overdose. He is yawning repeatedly, has abdominal cramps, d…

Emergency and Toxicology · Clinical rotations · common

A 46-year-old man is found vomiting beside an open container of an automotive fluid. He has tachypnoea, flank pain and oliguria; arterial blood gas analysis sho…

Emergency and Toxicology · Clinical rotations · common

A 54-year-old man presents with five days of fever, dry cough, headache and diarrhoea after returning from a Mediterranean cruise. He is confused, respiratory r…

Respiratory · Clinical rotations · middle twist

A 70-year-old woman vomits during a generalised seizure and becomes cyanosed. One hour later her temperature is 38.4°C, oxygen saturation is 88% on room air and…

Infectious Diseases · Clinical rotations · common

A 59-year-old man develops rapidly worsening breathlessness five days after an influenza-like illness. He has a temperature of 39.8°C, respiratory rate of 38/mi…

Respiratory · Clinical rotations · middle twist