Patient communication and counselling

You are a general practice registrar in Perth. A 3-year-old boy attends with his mother for a routine pre-kindergarten review recorded in his personal health re…

Pre-internship · middle twist

A two-year-old girl is brought to the emergency department 40 minutes after her mother saw her swallow an unknown number of the grandmother's paracetamol tablet…

Pre-internship · middle twist

A 14-month-old boy is being discharged with amoxicillin oral suspension to be given three times a day for five days. His mother arrived in Australia four months…

Pre-internship · middle twist

A 3-year-old girl has a red bulging left tympanic membrane. She is afebrile, has had no ear discharge, and is playing in the waiting room. She is not Aboriginal…

Clinical rotations · common

The bone marrow result for a 4-year-old girl admitted with pallor and bruising has confirmed acute lymphoblastic leukaemia. You are to be present while the cons…

Pre-internship · common

You are the intern on the paediatric ward. A 2-year-old girl admitted with gastroenteritis needs a nasogastric tube for rehydration. Her parents arrived in Aust…

Pre-internship · common

A 40-year-old man who came to Australia from Iraq as a refugee eight years ago attends a general practice with six months of broken sleep, nightmares and daily…

Clinical rotations · middle twist

A 71-year-old woman who migrated from Hong Kong 40 years ago is admitted to a psychiatric ward with a severe depressive episode. She speaks Cantonese and almost…

Pre-internship · middle twist

An 81-year-old woman attends a Perth general practice for a diabetes review, accompanied by her son, who moved in with her this year and has driven her today. T…

Clinical rotations · common

A 58-year-old woman who came to Australia from Afghanistan four years ago is brought to the emergency department by her adult son. For a week she has cried most…

Pre-internship · middle twist

A 52-year-old woman who arrived in Australia from Afghanistan eleven months ago attends a community mental health clinic for review of post-traumatic stress dis…

Pre-internship · common

A 29-year-old woman attends for the fourth time in six months with headache, abdominal pain and difficulty sleeping. Investigations at the previous visits were…

Pre-internship · middle twist

A medical student takes an alcohol history from a 55-year-old man in a general practice clinic. In a rapid run, without pausing, she asks: 'You don't drink much…

Clinical rotations · middle twist

A 38-year-old woman is describing the end of her marriage at an outpatient appointment. She says she is fine about it now, honestly, while her voice shakes and…

Clinical rotations · middle twist

A 71-year-old woman who speaks only Vietnamese is ready to leave the emergency department after chest pain with normal troponin results. She is to start a new m…

Pre-internship · common

A 58-year-old man dies in the resuscitation bay after an out-of-hospital cardiac arrest. His wife and adult daughter have been waiting in the relatives room wit…

Pre-internship · middle twist

A 61-year-old woman with metastatic pancreatic cancer is in the emergency department short-stay unit with vomiting. She already knows her disease is incurable.…

Clinical rotations · middle twist

A 76-year-old man with newly diagnosed type 2 diabetes is being discharged on a nightly basal insulin. The nurse has explained and demonstrated the injection te…

Clinical rotations · common