The essential quiz for exam preparation!
A junior colleague on your team always takes his copy of the patient list home as there is no confidential waste bin on the ward. He says this also helps him prepare for the following day as he can memorize details in time for the consultant ward round.
You feel understaffed and unsupported when on call. Together with an FY2 doctor, you are responsible for all new medical admissions and the welfare of around 300 ward patients. Attempts to raise your concern with managers, your Education Supervisor, and the Clinical Director have been unsuccessful.
As the FY1 doctor on call, you are bleeped by the pathology laboratory about an abnormal blood result. They give you a value representing severe hypernatraemia. You do not recall very much about hypernatraemia and have never managed a patient with this problem before.
A 50-year-old is admitted to hospital with a severe sudden-onset headache, which you think is probably a migraine. Your registrar asks you to telephone the on-call radiologist at home to authorize an urgent CT scan. You become distracted completing other jobs for the registrar and only remember to telephone the radiologist an hour later.
You are asked to speak to a new patient who is a suspected intravenous drug user and has been admitted recently following an opiate overdose. He has repeatedly been asked to stay in bed but continues to wander and demands to be allowed to leave.
You are working as the only junior doctor for the orthogeriatric team, assessing a patient who has had a fall. You are bleeped by a nurse on another ward about one of your outliers who has become febrile. While you are taking this call, your crash bleep starts to sound.
You are seeing Derek, a 45-year-old man. He specifically mentions to you his relative who has recently been diagnosed with cancer. This news has concerned him, and Derek is worried about his own risk of developing cancer. Having done some reading on the Internet, he is requesting a full-body CT scan.
Your registrar has asked you to attend A&E to review a child with suspected meningitis. You examine the child and think that a lumbar puncture is required, but have no experience in performing this procedure in children.
You learn that your colleague is struggling to cannulate patients, despite being in his second FY1 placement.
After the afternoon surgical ward round, you have amassed a long list of tasks. These include seven venepunctures and an outpatient venesection which was scheduled for an hour ago, two cannulae, and three discharge summaries. You consider how you will complete these tasks.