Problem 46 A 31-year-old man with sudden onset headache and vomiting Andrew Zacest You are working in the emergency department and a 31-year-old man is brought in after collapsing and…

Problem 42 Fall during a fishing weekend Andrew Zacest A 43-year-old man has been brought by ambulance to the emergency department at the weekend. He had been on a fishing…

Problem 24 Acute leg pain in a 73-year-old man Robert Fitridge You are relaxing in a comfortable chair in the doctors’ mess, looking at the clock ticking towards the end…

Problem 22 Acute back pain in a 75-year-old man Robert Fitridge You are asked to see a 75-year-old retired electrician who has been brought into the emergency department with an…

Problem 36 A young woman with jaundice Usama Warshow A 25-year-old woman presents with a 2-week history of general malaise. She had developed a sore throat and fever followed by…

Problem 18 A lady with diarrhoea and abdominal pain Jonathan Mitchell, Philip Clelland A 23-year-old lady attends your surgery. She gives a 2-month history of worsening diarrhoea. She is opening…

Problem 35 A 35-year-old woman vomiting blood Jonathan Mitchell It is 7 p.m. on a busy Saturday night. You are called urgently to the emergency department. A 35-year-old woman has…

Problem 50 A collapsed, breathless woman Andrew W. Perry You are working in an emergency department overnight and you receive an urgent call from the ambulance service. A paramedic crew…

Problem 20 Haematuria in a 60-year-old man Darren Foreman A 60-year-old man presents with a 3-day history of passing blood in his urine. It is painless and he has no…

Problem 33 Cough, dyspnoea and fever in a 55-year-old man Narin Bak A 55-year-old man presents with 3 days of anorexia, headache, general weakness, aches and pains all over his…