Year 4
37 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 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 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 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 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 33-year-old woman presents to the clinic with complaints of burning and numbness over the outer aspect of her left thigh for the past 2 months. The pain worse…
Clinical rotations · common
A 29-year-old woman presents to dermatology clinic complaining from a red, itchy, scaly lesion on her forearm. The lesion has been slowly enlarging over the pas…
Clinical rotations · common
A 52-year-old male is currently an inpatient on a hospital ward. He developed rapid-onset swelling of the lips and face during his hospital stay. He reports no…
Pre-internship · common
A 75-year-old male presents to the clinic with generalized fatigue, weight loss, and chronic abdominal pain. He was diagnosed with pancreatic cancer a year ago…
Pre-internship · common
Which of the following is the most evidence-based therapy for treating borderline personality disorder?
Clinical rotations · common
Which of the following congenital abnormalities is most commonly associated with lithium use during pregnancy?
Mechanisms of disease · common
Which of the following is NOT a diagnostic criterion for metabolic syndrome?
Clinical rotations · common
Which of the following is the most common type of familial dyslipidemia associated with markedly elevated LDL cholesterol and a high risk of early cardiovascula…
Mechanisms of disease · common
A 65-year-old man with a history of severe myopia presents to the emergency room with a sudden onset of flashes of light and floaters in his left eye. He descri…
Clinical rotations · common
Which mechanism explains how antidepressants (e.g., amitriptyline, duloxetine) provide pain relief?
Clinical rotations · common
What is the primary mechanism of action of ketamine in pain management?
Clinical rotations · common
Which of the following mediators plays a key role in pain sensitization by enhancing nociceptor activity?
Mechanisms of disease · common