AMSA Study Guide

A 42-year-old farmer attends because his wife insisted. She left him four months ago and he has been drinking a bottle of wine most nights. He has lost 6 kg, wa…

Psychiatry and Mental Health · Pre-internship · common

A 45-year-old woman with bipolar I disorder, stable on lithium carbonate 1,000 mg nightly for six years with levels consistently 0.7–0.8 mmol/L, presents with t…

Psychiatry and Mental Health · Pre-internship · middle twist

A couple attend for genetic counselling. Their 3-year-old son has cystic fibrosis, confirmed by newborn screening and genotyping; both parents are carriers of a…

Paediatrics · Foundations · common

A 10-day-old boy born at term is brought in with two days of poor feeding, vomiting and lethargy, and today is floppy and grey. He is afebrile, with a heart rat…

Paediatrics · Clinical rotations · niche

A 2-year-old boy weighing 12 kg has had two days of vomiting and profuse watery diarrhoea. He is now floppy and barely responsive, with cool mottled legs, a cap…

Paediatrics · Clinical rotations · common

A 9-month-old girl was eating grapes when she suddenly began to struggle. When you reach her she is conscious, silent, not crying and not coughing, with her mou…

Paediatrics · Clinical rotations · common

A 3-year-old girl has refused to walk or stand since waking this morning and screams when her right leg is moved. She had a cold last week. Her temperature is 3…

Paediatrics · Pre-internship · common

A 12-year-old boy who is on the 97th centile for weight has had three weeks of aching in his right knee and a limp that his parents noticed because his right fo…

Paediatrics · Clinical rotations · common

A 5-month-old girl has had a fever of 39.2 °C for 24 hours with vomiting and irritability, and no cough, runny nose or rash. Examination is otherwise unremarkab…

Paediatrics · Clinical rotations · middle twist

A 4-year-old boy has had two weeks of puffiness around his eyes that is worst on waking and improves during the day, and for the past few days his ankles have b…

Paediatrics · Clinical rotations · common

A 6-year-old girl has had a cold for a week and two days of increasing redness and swelling of her left eyelids. Today she is feverish (38.9 °C) and miserable.…

Paediatrics · Clinical rotations · common

A 3-year-old non-Aboriginal boy who attends childcare in Melbourne has had a runny nose for two days and woke last night crying and pulling at his right ear. Hi…

Paediatrics · Clinical rotations · common

A 5-week-old boy, first child, has had one week of vomiting that occurs within 30 minutes of every feed and is now forceful, landing well away from him. The vom…

Paediatrics · Pre-internship · middle twist

An 8-month-old previously well boy has had a 12-hour history of episodes in which he suddenly screams, draws his knees up to his chest and goes pale, lasting a…

Paediatrics · Clinical rotations · common

A 2-year-old boy, fully immunised, wakes at 2 am with a harsh, seal-like cough and noisy breathing. He has had a runny nose for a day. In the department he has…

Paediatrics · Clinical rotations · common

A 4-month-old girl, born at term, has had three days of a runny nose and cough and today is breathing fast and feeding poorly, taking about half her usual volum…

Paediatrics · Clinical rotations · common

A 4-month-old boy is brought in by his mother's partner with a swollen right thigh, which he says happened when the baby rolled off the couch this morning.…

Paediatrics · Pre-internship · common

A 7-year-old boy is brought by his mother with a letter from his teacher. For the past year at school he cannot stay in his seat, blurts out answers before ques…

Paediatrics · Clinical rotations · common

A 3-year-old girl is brought to a rural general practice, two hours by road from the nearest hospital, with 12 hours of fever, vomiting and increasing drowsines…

Paediatrics · Pre-internship · common

An 18-month-old boy is brought in after a generalised convulsion lasting about three minutes at home; he had a runny nose and was "hot" for a day befo…

Paediatrics · Clinical rotations · common