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Sign Up Learn MoreA 27 year old man presents to the Emergency Department after being hit in the right eye by a squash ball. His visual acuity is greatly reduc
>A 64 year old man presents with a 3 day history of palpitations. His observations recorded at triage are: Heart rate: 105 beats/minute
>A 74 year old man presents to the Emergency Department with a 6 day history of productive cough and fever. He describes the cough as produci
>A 56 year old woman presents to the Emergency Department with a history of chest pain radiating to the left arm 4 hours earlier. She is now
>A 29 year old woman presents with a 2 day history of a painful eye. She describes blurred vision and watering of the eye. She has a past med
>A 67 year old man presents to the Emergency Department with a 2 day history of left calf pain and swelling. He has no significant past medic
>A 76 year old woman presents to the Emergency Department after falling at home. She has sustained a dorsally angulated fracture of her domin
>The parents of a 6 month old baby girl bring her to the Emergency Department. They describe her having a 30 second episode when she stopped
>You have been asked to give a teaching session to a group of Physician Associate students. The topic of the session is hyperkalaemia. Which
>A 65 year old woman presents to the Emergency Department complaining of abdominal pain, nausea and constipation. She is currently undergoing
>A 32 year old woman presents to the Emergency Department complaining of tingling and numbness around her mouth for the last week. She also d
>A 32 year old farm worker has presented to the ED with an infected laceration on a digit. You are concerned about the possible spread of inf
>A 74 year old woman presents to the Emergency Department with a 1 hour history of lip and tongue swelling. There is no urticarial rash. She
>A 76 year old man is brought to the Emergency Department after having a syncopal episode in a nearby shop. He describes multiple similar epi
>A 56 year old woman presents to the Emergency Department following a large haematemesis. The paramedics describe a combination of coffee gro
>A 48 year old engineer is brought to the Emergency Department (ED) after sustaining a high voltage electrical shock whilst working in a fact
>A 46 year old man presents to the Emergency Department with a 3 day history of epigastric pain and vomiting. He describes the pain as a "sha
>An outbreak of acute pneumonia occurs in military recruits living in a nearby barrack, particularly of recruits who sleep near the air condi
>A 57 year old man presents to the Emergency Department after missing 2 sessions of peritoneal dialysis. He explains he has been unwell with
>A 45 year old woman presents to the Emergency Department with atraumatic calf pain. She has no significant past medical history. On examinat
>A 42 year old man is brought to the Emergency Department by his family. They describe increasing agitation and confusion. Whilst talking to
>A 65 year old patient presents with suspected community acquired pneumonia. You are assessing her CURB65 score. Which of the following is NO
>A 43 year old man presents to the Emergency Department complaining of pain in the right wrist following a fall the same day. On examination
>A 64 year old man is brought to the Emergency Department after collapsing in a seafood restaurant. His wife tells you he has had a previous
>A 20 month old boy is brought to the Emergency Department by his mother. He has a past medical history of eczema which is normally well cont
>A 10 year old boy with sickle cell disease, is brought into the Emergency Department with a limp and complaining of pain in his left knee. A
>A 23 year old mechanic presents to the Emergency Department with an acutely swollen and very painful index finger. He sustained a minor punc
>You have been asked to give a teaching session on urological emergencies to a group of new Emergency Department doctors, this will be their
>A 21 year old male is brought to the Emergency Department by paramedics. They hand over that approximately 15 minutes ago he was involved in
>A 45 year old man, known to inject drugs, and currently living in homeless hostels, presents to the Emergency Department complaining of mala
>A 10 year old boy is brought to the Emergency Department by his mother. She has noticed an increasingly severe limp over the last 2 months.
>A 45 year old man presents to the Emergency Department with a 2 hour history of epistaxis. He has completed 20 minutes of firm pressure on t
>A 75 year old man presents to the Emergency Department complaining of diplopia. He tells you this is exacerbated by walking downstairs or re
>A 56 year old woman presents to the Emergency Department due to fatigue and worsening confusion. Her blood tests show an elevated TSH and yo
>A 63 year old woman presents to the Emergency Department complaining of pain in her right shoulder. She tells you that 2 hours earlier she w
>A 27 year old man presents to the Emergency Department after sustaining trauma to the right eye. His visual acuity is greatly reduced. You n
>A 67 year old man is being treated in the Resuscitation area of the Emergency Department. He presented complaining of left sided chest pain
>A 79 year old man presents to the Emergency Department with a 6 hour history of inability to void his bladder. He also complains that he has
>A 79 year old woman presents to the Emergency Department with a 2 hour history of epistaxis. She awoke and noticed bleeding from her left no
>A 67 year old man presents to the Emergency Department complaining of pain in his scrotum. He has no significant past medical history. On ex
>A 34 year old woman presents to the Emergency Department complaining of "dizziness whenever I move". She describes episodes of vertigo lasti
>A 49 year old man presents to the Emergency Department with a 2 week history of increasing confusion and ataxia. He has a past medical histo
>A 68 year old woman is brought to the Emergency Department by her concerned son. He describes several months of mild confusion and disinhibi
>A 45 year old man presents to the Emergency Department with a 2 day history of left lower leg and foot pain. He tells you the pain started s
>A 54 year old woman presents to the Emergency Department with a 6 hour history of a painful right leg. She has a past medical history of typ
>A 57 year old man presents to the Emergency Department with a history of chest pain radiating to the left arm 3 hours ago. He is now pain fr
>A 23 year old man presents to the Emergency Department complaining of penile irritation, dysuria and urethral discharge. On questioning he t
>You are assessing a 19 year old man who presents to the Emergency Department with wheeze and shortness of breath. He is known to suffer with
>A 47 year old man presents to the Emergency Department complaining of a central band-like chest pain. He is obese with a history of type 2 d
>A patient presents to ED with itching and swollen lips. He is known to be allergic to nuts. He receives adrenaline but there is no improveme
>A 82 year old woman presents to the Emergency Department complaining of abdominal pain. She gives a 2 day history of central abdominal pain
>A 23 year old man presents to the Emergency Department. He has sustained a deliberate self harm wound to the forehead. You examine the injur
>A 54 year old man presents to the Emergency Department with a 2 day history of productive cough and fever. He is a smoker with a 40 pack yea
>A 68 year old woman presents to the Emergency Department with a 2 day history of fever, dysphagia and mouth pain. On examination she has a t
>A 23 year old woman presents to the Emergency Department after being involved in an altercation in a nightclub. She recalls being punched tw
>A 32 year old man presents to the Emergency Department with a 2 day history of a painful mouth and swollen face. He has a history of intrave
>You are assessing a 19 year old man who presents to the Emergency Department with wheeze and shortness of breath. He is known to suffer with
>An 80 year old man is brought into the Emergency Department by his concerned family. They had been sat in the garden enjoying the nice weath
>A 27 year old man presents to the Emergency Department after waking with a sore right eye. What is the most likely diagnosis?
>A 70 year old woman is brought to the Emergency Department by paramedics after falling whilst shopping. She is normally independent with no
>A 42 year old woman presents to the Emergency Department with a 1 month history of increasing abdominal swelling. On examination you note a
>A 60 year old man attends the Emergency Department with a painful left knee. He denies any trauma. He tells you it is painful to walk on and
>You have been asked to give a teaching session to a group of medical students. The title of the talk is "Surgical Presentations to the Emerg
>A 21 year old woman presents to the Emergency Department with a 1 week history of pelvic pain and fever. She notes that she has been experie
>A 15 year old is brought to the Emergency Department by her mother. She had a tonsillectomy 7 days ago and was recovering well until today.
>A 76 year old man with a history of hypertension and atrial fibrillation presents to the Emergency Department with left sided abdominal pain
>A 76 year old man presents to the Emergency Department complaining of recurrent epistaxis. He is anticoagulated with warfarin for atrial fib
>A 73 year old man presents to the Emergency Department with a 5 hour history of chest pain. His serial troponin shows a marked rise. Which o
>A 23 year old man presents to the Emergency Department having injured his right shoulder playing lacrosse. From your history and examination
>A 19 year old man presents to the Emergency Department after collapsing whilst running. He tells you this is the second time he has "blacked
>An 85 year old woman is brought to the Emergency Department by paramedics. She fell in a nursing home and the paramedics suspect a neck of f
>A 55 year old woman is being treated in the Resuscitation area of the Emergency Department. A nurse calls you to urgently review the patient
>A 56 year old man is brought to the Emergency Department after collapsing at home. On arrival in the Emergency Department an ECG is performe
>A 41 year old man presents to the Emergency Department with a 3 day history of sudden onset upper abdominal pain and nausea and vomiting. He
>You have been asked to give a teaching session to a group of junior colleagues. The topic of the session is "Childhood exanthems and their c
>A 45 year old presents to the Emergency Department with a fever, dysphagia and sore throat. The triage nurse notes a stridor and moves the p
>A 78 year old woman is brought to the Emergency Department by ambulance. Her husband tells you she complained of severe indigestion 3 days a
>A 40 year old man presents with a 5 day history of a sharp, central chest pain. He describes the pain as "worst on breathing in". He has no
>A 37 year old man presents to the Emergency Department feeling lethargic after vomiting for 4 days. He has chronic kidney disease (CKD) seco
>Whilst in a restaurant you become aware of a commotion at a neighbouring table. You find a mum who tells you her 5 year old son is choking o
>You have been asked to give a teaching session to junior colleagues on the topic of diabetic complications. You are discussing diabetic keto
>A 64 year old man presents to the Emergency Department with a 2 hour history of central chest pain. His ECG shows ST elevation in leads II,
>A 49 year old woman who works as a receptionist presents to the Emergency Department with a 2 month history of pain in her right hand and th
>A 40 year old man attends the Emergency Department with a 1 week history of low back pain and shooting pains radiating down his left leg to
>A 65 year old man presents to the Emergency Department with worsening shortness of breath. He has a past medical history of ST-elevation myo
>A 25 year old woman presents to the Emergency Department with a 2 day history of pain near her anus. She describes feeling an increasing swe
>A 54 year old woman presents to the Emergency Department. She works in a nearby laboratory handling radiation sources and she thinks she may
>A 65 year old man is sent to the Emergency Department by his General Practitioner (GP) with profuse watery diarrhoea. A stool sample taken b
>A 67 year old woman presents to the Emergency Department complaining of intermittent colicky central abdominal pain associated with vomiting
>A 42 year old woman presents to the Emergency Department complaining of feeling tired and cold all the time, and putting on weight despite h
>You are observing a medical student assess a 23 year old man who presents to the Emergency Department with a 2 hour history of shortness of
>A 13 year old boy is brought to the Emergency Department by a voluntary ambulance service. He was playing rugby in a nearby tournament when
>A 39 year old man presents to the Emergency Department with a 3 hour history of central chest pain. He is a current smoker and has a strong
>A 59 year old man presents to the Emergency Department with a 2 day history of fever, dysuria and hesitancy. On examination you note a soft,
>A 32 year old metal worker presents to the Emergency Department after developing acute right eye pain whilst grinding metal. He was not wear
>A 59 year old woman presents with a sudden onset of severe left eye pain, headache and vomiting. She describes a reduction in visual acuity
>A 54 year old man is brought to the Emergency Department after getting hit in the face by the wing mirror of a passing lorry. On examination
>A 5 month old boy is brought to the Emergency Department by his parents. They explained that shortly after they gave an oral dose of amoxici
>A 17 year old boy presents to the Emergency Department with a 3 day history of fever and sore throat. On examination you note a whitewash ex
>A 32 year old man is being treated in your Emergency Department for multiple lacerations sustained during a fight. A junior colleague has in
>A 24 year old woman presents to the Emergency Department with a 2 day history of right iliac fossa pain. She describes a gradual onset of ge
>A 73 year old woman presents to the Emergency Department with a 6 hour history of a painful right eye and headache. You suspect acute angle
>A 27 year old woman presents to the Emergency Department complaining of a 3 day history of progressive muscle weakness and paraesthesia whic
>A 54 year old man is brought to the Emergency Department with an acute onset of respiratory distress. His family tell you he spent 3 months
>A 5 year old girl is brought to the Emergency Department by paramedics. She has been stung by a bee whilst playing in the garden. Initially
>A 33 year old mechanic presents to the Emergency Department after splashing a chemical cleaning solution into his right eye. You record an i
>A 66 year old woman is brought into the Emergency Department after complaining of chest pain. You are examining her when she becomes unrespo
>A 54 year old woman presents to the Emergency Department following a syncopal episode. Whilst in triage she has an episode of bright red hae
>A 39 year old woman presents to the Emergency Department with a 2 day history of right calf pain and swelling. She has a past medical histor
>A 54 year old man is asked to present to the Emergency Department after routine blood tests as part of an occupational medical showed he was
>A 68 year old man is brought into the Emergency Department after collapsing at home. The paramedics are performing CPR and report the patien
>A 25 year old man presents to the Emergency Department with a 1 day history of scrotal pain and dysuria. On examination you find his left he
>A 29 year old man presents to ED feeling unwell with a one week history of malaise, myalgia, headache and fever with a dry cough. Over the l
>A 74 year old man presents to the Emergency Department with a 6 day history of productive cough and fever. He describes the cough as produci
>A 73 year old woman is brought to the Emergency Department by her family. She complains of "dizziness" that started 2 hours ago. On examinat
>A 34 year old man presents with an acute onset of diplopia. On examination you note the right eye is looking downward and outward at rest. W
>A 34 year old man presents to the Emergency Department after developing palpitations during a 5km race. On examination his heart rate is 185
>A 3 year old boy is brought to the Emergency Department by his concerned mother. He has developed a rash after being exposed to another chil
>A 76 year old woman presents to the Emergency Department with a 2 hour history of a change to the vision in the right eye. Your fundoscopy f
>A 54 year old woman presents to the Emergency Department complaining of visual loss in her right eye. She describes seeing flashes of light
>Whilst in a restaurant you become aware of a commotion at a neighbouring table. You find a mum who tells you her 3 year old son is choking o
>A 32 year old man presents to the Emergency Department concerned that a recent sexual partner may be HIV positive. The patient recently had
>A 32 year old man is brought to the Emergency Department after being pulled from a lake. He was in the water for 10 minutes. The lake temper
>A 71 year old man presents to the Emergency Department with a 4 hour history of back pain. He reports "blacking out" after opening his bowel
>A 3 year old boy is brought to the Emergency Department by his father. He has developed an itchy rash over the last 24 hours. On examination
>A 27 year old woman presents to the Emergency Department with a severe headache and is found to be hypertensive. She has no past medical his
>A 56 year old man presents to the Emergency Department with a 2 day history of a painful rash on his torso. He has no significant past medic
>A 34 year old man is brought to the Emergency Department after becoming lost on a mountain. He spent 3 days without shelter prior to being r
>A 44 year old man presents to the Emergency Department with a 3 day history of vomiting and epigastric pain. He has a past medical history o
>An 88 year old woman is brought into the Emergency Department by her husband. He describes her becoming increasingly confused over the last
>A 45 year old woman presents to the Emergency Department complaining of palpitations and anxiety. She describes feeling hot and flushed. Wha
>A 49 year old man presents to the Emergency Department with a cough. He is HIV positive and not compliant with his anti-retroviral medicatio
>The parents of a 2 month old girl bring her to the Emergency Department as they are concerned about a fever. They describe her as being "irr
>A 10 year old boy is brought to the Emergency Department by his father after developing left ankle pain after falling from a trampoline. An
>An 8 year old boy is brought to the Emergency Department with a non-blanching skin rash that appeared first on both his feet and has spread
>A 59 year old man presents with a 2 hour history of shortness of breath. A chest x-ray is performed. What is the most likely diagnosis?
>A 65 year old woman presents to the Emergency Department following a routine blood test which has shown an elevated INR. She has a past medi
>A 35 year old known intravenous drug user (IVDU), presents to the Emergency Department complaining of feeling generally unwell with low back
>An 18 year old man presents to the Emergency Department after being involved in an altercation on a night out. He was struck in the face wit
>A 46 year old woman is brought to the Emergency Department after being found unresponsive at home. Her blood glucose level is 8.7 mmol/L. He
>An 89 year old man is brought to the Emergency Department by his carer. He has advanced dementia and they had noticed a change in his behavi
>A 76 year old woman presents to the Emergency Department after falling at home. She has sustained a dorsally angulated fracture of her domin
>A 30 year old man presents to the Emergency Department with a 1 hour history of chest pain radiating to the back. He describes a "tearing" p
>A 19 year old rugby player presents to the Emergency Department 3 days after injuring his nose during a game. He tells you he received a kne
>A 75 year old man presents to the Emergency Department complaining of a 1 hour history of a red painful eye and a headache. On examination y
>A 64 year old woman presents with a 3 day history of palpitations. She has experienced similar episodes for the last 2 months. Her observati
>A 67 year old man presents to the Emergency Department with a 1 day history of scrotal and perineal pain. On examination you note extensive
>A 40 year old man attends the Emergency Department with a 2 week history of low back pain and shooting pains radiating down his left leg to
>A basketball player presents to the Emergency Department having fallen heavily onto his right arm during a game. X-ray shows a fracture of t
>A 5 year old boy is brought into ED with a rash that has developed over the last 24 hours. The child did not receive childhood immunisations
>A 34 year old woman, with a known history of Addison's disease, is brought to the Emergency Department by paramedics after collapsing at hom
>A 54 year old man presents to the Emergency Department after developing back pain whilst on holiday in Turkey. He underwent a private MRI of
>A 45 year old patient presents to ED with a 24 hour history of a painful, red lower leg as shown. He suffered an insect bite the day before
>A 23 year old man presents to the Emergency Department complaining of 3 days of sore throat. On examination you note a "hot potato" voice an
>You are examining a 66 year old woman who presents to the Emergency Department complaining of chest pain and shortness of breath. She is tac
>A 56 year old woman presents to the Emergency Department complaining of feeling "cold all the time" and gaining weight despite a poor appeti
>A 32 year old woman presents to the Emergency Department with a 3 day history of left eye pain and excessive lacrimation. Your findings on f
>A 5 year old boy is brought to the Emergency Department by his father with fever and pain. He describes a persistent discharge from the left
>A 64 year old man presents with a 3 day history of palpitations. His observations recorded at triage are: Heart rate: 95 beats/minute
>A 16 year old presents to the Emergency Department with a 3 week history of left ear pain. On examination you note post-auricular swelling a
>You are assessing a 29 year old woman who presents to the Emergency Department with wheeze and shortness of breath. She is known to suffer w
>You are assessing a 19 year old man who presents to the Emergency Department with wheeze and shortness of breath. He is known to suffer with
>A 34 year old man presents to the Emergency Department with a 3 week history of left ear pain. He describes the pain as worse at night. His
>A 56 year old man presents to the Emergency Department with a tender, swollen right calf. He has a past medical history of deep vein thrombo
>A 32 year old man is brought to the Emergency Department after being assaulted with a baseball bat. He was hit in the face several times. Yo
>A 76 year old woman presents to the Emergency Department complaining of vertigo. Which of the following findings is most suggestive of benig
>A 59 year old woman presents to the Emergency Department with a 2 hour history of left eye pain, headache and vomiting. You suspect acute an
>You are in a supermarket when you hear shouts of "help" from the neighbouring aisle. You investigate and find a mother holding her unrespons
>A 67 year old woman is brought to the Emergency Department by paramedics after collapsing in a nearby shopping centre. The paramedics report
>You are assessing a 19 year old man who presents to the Emergency Department with wheeze and shortness of breath. He is known to suffer with
>A 64 year old man is brought to the Emergency Department after collapsing in a seafood restaurant. His wife tells you he has had a previous
>A 78 year old woman is brought into the Emergency Department after complaining of chest pain. You are examining her when she becomes unrespo
>A 19 year old University student presents to the Emergency Department complaining of a sore throat for the last 12 hours. She has no signifi
>A 67 year old woman presents to the Emergency Department complaining of right eye pain, headache and nausea. On examination you note a reduc
>A 23 year old man presents to the Emergency Department with a 3 day history of a painful right ear. On examination you note erythema and swe
>You are spending your day off in a local park. You hear a commotion from the nearby lake and go over to investigate. As you approach you can
>A 74 year old presents to the Emergency Department complaining of hearing loss. You perform otoscopy. What area of the tympanic membrane is
>A 27 year old woman presents to the Emergency Department with abdominal pain and vomiting. Her partner is concerned because she is drowsy an
>A 54 year old man is brought to the Emergency Department complaining of central chest pain. He is overweight (BMI 33) and smokes 20 cigarett
>