Problem 45 A 31-year-old woman with vertigo Timothy Kleinig A 31-year-old teacher presents to your general practice with a 2-day history of a sensation of the room spinning and unsteadiness…

Problem 11 Reflux in a 35-year-old man Chris Deans, Andrew C. DeBeaux A 35-year-old man presents with symptoms of epigastric bloating and heartburn. He also describes a retrosternal burning sensation,…

Problem 5 Swelling in the neck in a 58-year-old man Jonathan W. Serpell A 58-year-old man presents with a 6 month history of a swelling in the neck. This has…

Problem 9 A 63-year-old woman with a screen-detected abnormality James Kollias A 63-year-old woman underwent a screening mammogram which demonstrated an abnormal opacity in the left breast. There is no…

Problem 27 Management of acute coronary syndrome Matthew Pincus A 67-year-old man presents to the emergency department with chest pain. Q.1 What questions would you ask the patient about the…

Problem 39 A young man with depressed conscious state and seizures Michelle Kiley A young man is brought into the emergency department early one morning. He was found ‘unconscious’ in…

Problem 16 Lower abdominal pain in a 77-year-old woman Naseem Mirbagheri, Stewart Skinner A 77-year-old woman presents to the emergency department with acute abdominal pain. She had been feeling unwell…

Problem 37 A 47-year-old man with lethargy and hypertension Mark Gilchrist A 47-year-old car salesman attends the emergency department with a spontaneous epistaxis. His nose is packed before undergoing cautery…

Problem 19 Rectal bleeding in a 45-year-old woman James Sweeney A 45-year-old woman is referred with a 3-week history of rectal bleeding. She has noticed bright red blood on the…