AMC
379 free practice questions shared by students. Answer them right here — no account needed.
A 63-year-old man with metastatic squamous cell carcinoma has persistent thirst, vomiting and confusion. After intravenous saline, his serum calcium concentrati…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
A 72-year-old man with diabetic kidney disease takes perindopril and spironolactone. He has a serum potassium concentration of 6.2 mmol/L (3.5–5.2), chloride 11…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
A 68-year-old man with chronic kidney disease is admitted with pneumonia and has received intravenous fluids, calcium gluconate and insulin with glucose for a s…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
A 30-year-old woman at 30+2 weeks has hypertension controlled with oral therapy and an ultrasound-estimated fetal weight below the third centile. Umbilical arte…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 35-year-old woman at 35+2 weeks has had two episodes of painless vaginal bleeding, each settling with bed rest. Ultrasound shows placental tissue covering the…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 29-year-old woman at 29 weeks has gestational diabetes managed with dietary advice and exercise. For the past 2 weeks, her fasting capillary glucose concentra…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 33-year-old woman at 33+5 weeks has a blood pressure of 168/112 mmHg on two occasions despite oral treatment. She has persistent right upper quadrant pain; pl…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 48-year-old man has a large right middle cerebral artery infarction despite reperfusion treatment. Twenty-four hours later he becomes increasingly drowsy, dev…
Neurology · Clinical rotations · middle twist
A 66-year-old man develops abrupt spinning vertigo and vomiting while gardening. Six hours later he remains unable to stand without support; examination shows h…
Neurology · Clinical rotations · middle twist
A 79-year-old woman with a previous stroke develops fever, cough and a new right lower-zone infiltrate 36 hours after vomiting during a meal. She is alert, has…
Infectious Diseases · Clinical rotations · middle twist
A 27-year-old man is bitten while walking through long grass near Tamworth, New South Wales. He brings a photograph of a slender brown snake, but the species ca…
Emergency and Toxicology · Clinical rotations · middle twist
A 78-year-old man presents with an anterior ST-elevation myocardial infarction at a hospital where primary percutaneous coronary intervention cannot be delivere…
Cardiovascular · Clinical rotations · middle twist
A 59-year-old woman develops sharp central chest pain two days after an uncomplicated ST-elevation myocardial infarction. She says it is worse when she takes a…
Cardiovascular · Mechanisms of disease · middle twist
A 48-year-old man presents with severe persecutory psychosis and requires medication after verbal de-escalation has failed. He has no history of cardiac disease…
Psychiatry and Mental Health · Clinical rotations · middle twist
A 42-year-old woman has a second proximal deep vein thrombosis while taking rivaroxaban regularly for a previous unprovoked event. Her renal function is normal…
Cardiovascular · Clinical rotations · middle twist
A 66-year-old man with metastatic gastric adenocarcinoma develops a symptomatic proximal deep vein thrombosis. He has a friable gastric lesion with recent occul…
Cardiovascular · Clinical rotations · middle twist
A 29-year-old woman at 28 weeks gestation presents with sudden pleuritic chest pain and breathlessness. Her pulse is 108/min, oxygen saturation is 97% on room a…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 39-year-old woman wants reliable contraception and has heavy, painful periods. She is taking rifampicin for tuberculosis and has no uterine abnormality on exa…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 47-year-old woman has developed bleeding between otherwise irregular periods over the past four months. She has a body mass index of 36 kg/m² and polycystic o…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 29-year-old woman requests emergency contraception four days after unprotected intercourse. She has a body mass index of 34 kg/m² and takes carbamazepine for…
Obstetrics and Gynaecology · Mechanisms of disease · middle twist