Postmenopausal Vaginal Bleeding Evaluation
EasyObstetrics and gynaecology · abnormal uterine bleeding
Acute abdominal pain in a patient with atrial fibrillation
HardGastrointestinal and hepatology · acute abdomen
Acute Cognitive Change in an Elderly Patient
ModerateNeurology · acute confusion and delirium
Crushing Chest Pain and Sweating in a Smoker with Diabetes
ModerateCardiovascular · acute coronary syndrome
Severe Hyperkalaemia Secondary to NSAID-Induced Acute Kidney Injury
ModerateRenal and urology · acute kidney injury
Sudden Right-Sided Weakness and Speech Difficulty, Onset 90 Minutes Ago
EasyNeurology · acute stroke and TIA
Collapse after Gastroenteritis on a Background of Months of Fatigue
ModerateEndocrine and metabolic · adrenal insufficiency
Acute Confusion and Agitation Following Alcohol Cessation
ModeratePsychiatry · alcohol withdrawal
Management of Community-Acquired Pneumonia and IV-to-Oral Antibiotic Switch
ModerateInfection · antibiotic stewardship
Recurrent Episodes of Sudden Palpitations and Shortness of Breath
EasyPsychiatry · anxiety disorders
New-Onset Palpitations in a 68-Year-Old Female
ModerateCardiovascular · atrial fibrillation
Lower Urinary Tract Symptoms in an Older Male
ModerateRenal and urology · benign prostatic hyperplasia
Acute Abdominal Pain and Haemodynamic Instability in Early Pregnancy
HardObstetrics and gynaecology · bleeding in early pregnancy
Breaking Bad News and Family Requests for Non-Disclosure
HardEthics, law and professionalism · breaking bad news
Assessment of Discharge Decision-Making Capacity
EasyPsychiatry · capacity assessment
Acute Periorbital Pain and Visual Disturbance
HardInfection · cellulitis
Paediatric Vasculitis and Febrile Exanthem
HardPaediatrics · childhood rashes
Routine Evaluation of Chronic Kidney Disease in Type 2 Diabetes
EasyRenal and urology · chronic kidney disease
Investigation and Management of Chronic Diarrhoea
EasyGastrointestinal and hepatology · coeliac disease
Assessment of Colorectal Cancer Referral Criteria
EasyGastrointestinal and hepatology · colorectal cancer referral criteria
Management and Risk Stratification of Severe Community-Acquired Pneumonia
ModerateRespiratory · community-acquired pneumonia
Consent and Decision-Making Capacity in Acute Illness
ModerateEthics, law and professionalism · consent and capacity
Contraceptive Selection in a Patient with Migraine with Aura
ModerateObstetrics and gynaecology · contraception counselling
Acute Dyspnoea and Increased Sputum in a Known COPD Patient
EasyRespiratory · COPD exacerbation
Severe Hypernatraemic Dehydration in an Infant
HardPaediatrics · dehydration assessment
Depression and Acute Suicide Risk Assessment
ModeratePsychiatry · depression and suicide risk assessment
Toddler with Speech and Language Delay
EasyPaediatrics · developmental delay
Severe Diabetic Ketoacidosis with Hypokalaemia
HardEndocrine and metabolic · diabetic ketoacidosis
Early Pregnancy Abdominal Pain and Bleeding
ModerateObstetrics and gynaecology · ectopic pregnancy
Severe Hyperkalaemia Secondary to Medication in Chronic Kidney Disease
EasyEndocrine and metabolic · electrolyte disturbance
Distal Radius Fracture Assessment
EasyMusculoskeletal and rheumatology · fracture assessment
Synpharyngitic Haematuria in a Young Adult
ModerateRenal and urology · haematuria
Severe Temporal Headache in an Older Adult
EasyNeurology · headache red flags
Progressive Dyspnoea and Lower Limb Swelling in a 68-Year-Old Male
ModerateCardiovascular · heart failure
Management of Resistant Hypertension
HardCardiovascular · hypertension management
Severe Bloody Diarrhoea and Systemic Symptoms in a Young Adult
HardGastrointestinal and hepatology · inflammatory bowel disease
Acute Meningococcal Meningitis
ModerateInfection · meningitis
Subacute Visual Loss and Neurological Deficits in a Young Female
HardNeurology · multiple sclerosis
Progressive Lower Limb Numbness and Gait Unsteadiness
ModerateNeurology · peripheral neuropathy
Intermittent Calf Claudication in a Heavy Smoker
ModerateCardiovascular · peripheral vascular disease
Management of Primary Postpartum Haemorrhage
ModerateObstetrics and gynaecology · postpartum haemorrhage
Severe Pre-Eclampsia in a Primigravida at 34 Weeks Gestation
EasyObstetrics and gynaecology · pre-eclampsia
Acute Flank Pain in a 42-Year-Old Male
ModerateRenal and urology · renal colic
Safeguarding Evaluation in a Non-Mobile Infant
EasyPaediatrics · safeguarding concerns
Acute Monarthritis in a Patient with Diabetes
ModerateMusculoskeletal and rheumatology · septic arthritis
Exertional Syncope in an Older Adult
ModerateCardiovascular · syncope
Febrile Illness in an 18-Month-Old Infant
HardPaediatrics · the febrile child
Painful Neck Swelling and Palpitations Post-Viral Infection
ModerateEndocrine and metabolic · thyroid dysfunction
Subacute Pulmonary Symptoms in an Immigrant
ModerateInfection · tuberculosis
Type 2 Diabetes Management in a Patient with Cardiovascular Disease and Impaired Renal Function
HardEndocrine and metabolic · type 2 diabetes management
Acute Upper Gastrointestinal Bleed in a Primary Care Referral
ModerateGastrointestinal and hepatology · upper GI bleeding
Management of Acute Pyelonephritis in Primary Care and Emergency Settings
ModerateInfection · urinary tract infection
Postmenopausal Bleeding in a Patient on Adjuvant Tamoxifen
HardObstetrics and gynaecology · abnormal uterine bleeding
Acute Chest Pain in a High-Risk Patient
ModerateCardiovascular · acute coronary syndrome
Sudden Left-Sided Weakness and Slurred Speech, Onset 1 Hour Ago
EasyNeurology · acute stroke and TIA
Three Months of Fatigue and Weight Loss with Postural Dizziness
ModerateEndocrine and metabolic · adrenal insufficiency
Management of Incidental Bacteriuria in an Older Adult
EasyInfection · antibiotic stewardship
Recurrent Unexpected Palpitations and Anxiety in a Young Female
EasyPsychiatry · anxiety disorders
Breaking Bad News and Collusion Request
HardEthics, law and professionalism · breaking bad news
Assessment of Decision-Making Capacity in Severe Depression
ModeratePsychiatry · capacity assessment
A 6-year-old boy with a lower limb rash and joint pain
ModeratePaediatrics · childhood rashes
Investigating Chronic Diarrhoea and Anaemia in a Young Adult
ModerateGastrointestinal and hepatology · coeliac disease
Emergency and Maintenance Contraception Counselling in Complex Medical Conditions
HardObstetrics and gynaecology · contraception counselling
Motor Delay in an 18-Month-Old Boy
EasyPaediatrics · developmental delay
Acute Abdominal Pain and Lethargy in Type 1 Diabetes
ModerateEndocrine and metabolic · diabetic ketoacidosis
Haemodynamically Unstable Ectopic Pregnancy
HardObstetrics and gynaecology · ectopic pregnancy
Profound Collapse with Hyponatraemia and Hyperkalaemia
HardEndocrine and metabolic · electrolyte disturbance
Painless Visible Haematuria in an Older Adult
ModerateRenal and urology · haematuria
Acute Decompensated Heart Failure with Cardiogenic Shock
HardCardiovascular · heart failure
Acute Lower Gastrointestinal Presentation in a Young Female
ModerateGastrointestinal and hepatology · inflammatory bowel disease
Acute Bacterial Meningitis in a Young Adult
ModerateInfection · meningitis
Subacute Lower Limb Sensory Loss in a Diabetic Patient
ModerateNeurology · peripheral neuropathy
Exertional Right Lower Extremity Pain in a Chronic Smoker
ModerateCardiovascular · peripheral vascular disease
Severe Right Loin-to-Groin Pain in a 38-Year-Old Male
EasyRenal and urology · renal colic
Infant Presenting with Lethargy and Suspected Non-Accidental Injury
HardPaediatrics · safeguarding concerns
Weight Loss Despite a Good Appetite, with Heat Intolerance and Tremor
EasyEndocrine and metabolic · thyroid dysfunction
Acute Upper Gastrointestinal Haemorrhage Secondary to NSAID Use
ModerateGastrointestinal and hepatology · upper GI bleeding
Severe Flank Pain and Sepsis in a Diabetic Patient
HardInfection · urinary tract infection
Acute Ischaemic Stroke Presentation
ModerateNeurology · acute stroke and TIA
Child with lower limb purpura and joint pain
ModeratePaediatrics · childhood rashes
Childhood Motor Delay and Muscle Weakness
ModeratePaediatrics · developmental delay
Painless Haematuria in an Older Male
ModerateRenal and urology · haematuria
Calf Pain on Walking, Now Burning Forefoot Pain at Night
ModerateCardiovascular · peripheral vascular disease
Post-viral anterior neck pain and thyrotoxicosis
ModerateEndocrine and metabolic · thyroid dysfunction
Acute Pyelonephritis in a Young Female
ModerateInfection · urinary tract infection
Sudden Severe Leg Pain in a Man with Claudication and Atrial Fibrillation
HardCardiovascular · peripheral vascular disease
Painful Neck Radiating to the Jaw with Palpitations after a Viral Illness
ModerateEndocrine and metabolic · thyroid dysfunction
Painful Anterior Neck Swelling and Palpitations
ModerateEndocrine and metabolic · thyroid dysfunction