Year 4
67 free practice questions shared by students. Answer them right here — no account needed.
A a 68-year-old man with a history of gastroesophageal reflux disease presents with worsening kidney function over the past two weeks. He started a proton pump…
Clinical rotations · common
A 54-year-old man with no family history of prostate cancer attends his GP for a routine check-up. He is asymptomatic and has no significant past medical histor…
Clinical rotations · middle twist
A 58-year-old man with no symptoms attends your clinic for a general health check. He is concerned because his uncle and cousin both died of pancreatic cancer.…
Clinical rotations · middle twist
A 60-year-old man with a history of chronic diarrhea presents with muscle weakness and lethargy. Laboratory tests show: potassium 3.1 mmol/L (3.5-5.0 mmol/L), b…
Clinical rotations · middle twist
A 50-year-old man presents to the emergency department with confusion, rapid breathing, and general weakness. He has a history of chronic kidney disease. On exa…
Clinical rotations · common
A 2-year-old girl is brought to the emergency department after falling off a bunk bed at home. She was playing unsupervised in her older sibling’s room. She hit…
Clinical rotations · common
A 3-year-old boy is brought to the emergency department after falling from a low-height chair at home. He has swelling and tenderness over his left forearm. X-r…
Clinical rotations · common
A 72-year-old woman with a BMI of 30 presents with a tender right groin lump that has become irreducible over the past 6 hours. She reports mild nausea but no v…
Clinical rotations · niche
A 64-year-old man presents with a right-sided groin bulge that becomes more prominent on coughing. He reports no pain and has no difficulty with daily activitie…
Clinical rotations · middle twist
A 62-year-old man presents with a bulge in his right groin that becomes more prominent when he coughs and reduces spontaneously when lying down. On examination,…
Foundations · middle twist
A 54-year-old man presents with persistent heartburn and regurgitation despite six weeks of once-daily omeprazole. He has no dysphagia, weight loss, or anemia.…
Clinical rotations · middle twist
A 40-year-old woman presents with a 6-month history of intermittent upper abdominal discomfort described as postprandial fullness and occasional epigastric pain…
Clinical rotations · common
A 72-year-old woman is undergoing evaluation for persistent postprandial fullness and intermittent epigastric discomfort. She has no history of reflux or dyspha…
Clinical rotations · middle twist
A 58-year-old man with a 3-year history of gastroesophageal reflux disease (GERD) undergoes an upper endoscopy for ongoing reflux symptoms. Endoscopy reveals a…
Clinical rotations · middle twist
A 58-year-old man is undergoing evaluation for chronic upper gastrointestinal symptoms. He reports longstanding retrosternal burning, especially at night and af…
Clinical rotations · common
A 52-year-old man presents to the emergency department with sudden onset of vomiting blood and lightheadedness. He reports passing black stools over the past fe…
Clinical rotations · common
A 72-year-old woman with well-compensated alcoholic cirrhosis (Child-Pugh A) is referred due to persistent iron deficiency anaemia. She denies haematemesis, mel…
Clinical rotations · niche
A 61-year-old man presents to the emergency department with a 6-hour history of hematemesis and melena. He reports a long-standing history of osteoarthritis, fo…
Clinical rotations · common
A 68-year-old man presents to his general practitioner for a routine review of his medications. He has a history of osteoarthritis, for which he takes naproxen…
Clinical rotations · middle twist
A 76-year-old man presents to the emergency department with a 6-hour history of passing large volumes of bright red blood per rectum. He feels lightheaded and f…
Clinical rotations · middle twist