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A 3-year-old child presents to the general practitioner accompanied by his mother. He has been suffering from a high fever in the past 24 hours, accompanied by a throat ache.
On examination, the child looks feverish but comfortable. You can notice a rash on both his arms which is more intense in the cubital fossa. The lesions are erythematous and rough in texture. The throat looks red and the tongue appears crimson red in colour too.
The child was previously healthy with no past medical history. Prescribe the appropriate medication for him on FP10.
Name: Elliot Smith
DOB: 24/05/2020
Address: 123, Green Street, Greenwich, NE3 8JN
GP Surgery Greenman
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Madeline Bruton, DOB: 6/7/1968, NHS Number: 9900552211
She presented to the AMU with persistent cough that has not responded to the cough syrup and claims to have not had such an episode before. She does not have any underlying lung pathology or cardiac pathology. She was admitted for dehydration as well and you have already prescribed her the necessary fluids.
She has underlying hypertension, diabetes and hypercholesterolemia.
Currently, he is regularly on Metformin 500mg OD and Simvastatin 20mg ON. She was recently started on Ramipril 2.5mg OD a week ago. NKDA. Your consultant is Dr. Yoon
Prescribe the regular medications on a Kardex & make necessary amendments if required.
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You are an FY1 working in your A&E rotation in Compassion Hospital. You have been asked to see this patient.
Adam Brown, a 68 year old man is referred to the emergency department by his GP with a 4 day history of abdominal distension and unable to pass stool or even flatus. He reports no nausea or vomiting but prior to this episode, he noticed altered bowel habits with occasional PR bleeding and tenesmus most of the days. He also lost 5 kg over the past 2 months. He had a previous appendicectomy 10 years ago.
On examination, his abdomen is grossly distended and tinkling bowel sounds were heard during auscultation. A digital rectal examination notes the presence of hard faeces. An abdominal xray was done at 10:00.
Please interpret this AXR, state your impression, possible underlying cause and your initial plan in the compassion note.
Details:
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You are a foundation year 1 doctor in your A&E rotation in Compassion Hospital.
Lucy Perkins presents to the A&E with intermittent abdominal pain in the right upper quadrant. The pain started 4 hours ago, and is described as a sharp pain and does not radiate anywhere, but it has progressively been worsened, rating it a 7/10.
On inspection, the patient looks in distress and in pain at rest. On examination of the abdomen, there is tenderness on inspiration during palpation of the right upper quadrant. There is no guarding or rebound tenderness felt.
His recent observation shows:
Please request 6 appropriate investigations to find out the underlying cause and as pre-operative assessment in the lab request form below.
Details:
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You are a FY1 doctor working in Queen Elizabeth Hospital ED under consultant emergency physician Dr Max. Your GMC number is 123456, bleep is 2242. Today is 24/09/2023 1000 hrs.
Mr James Bond (N375892), a 60 y/o male, presents with sudden onset productive cough and SOB for the past 2 days. A PA view chest x-ray is taken.
Interpret it using a structured format.
State your working diagnosis.
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The patient is systemically well and has not experienced unintended weight loss, night sweats or loss of appetite. She is a retired gardener, living by herself at home. Upon examination, there is no pain or discharge. You are a Foundation Year 1 doctor and have been asked to interpret it. It is 14/11/2022, 09:00 AM.
Details
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80 y/o lady with underlying type 2 diabetes mellitus, hypertension and atrial fibrillation, presents to the memory clinic with a 6 year history of progressive memory loss. Initially she used to misplace items, but now it has got to the extent of losing her way home and wandering in public. She does experience occasional bouts of incontinence. She has no history of visual hallucinations, abnormal movements during sleep, visual problems and no family history of memory problems. She lives with 2 of her children. In 2010, she got a pacemaker in place for her atrial fibrillation.
O/E – Wide-based gait, CN grossly intact, upper & lower limb neurological examination normal.
Details
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