AMC

379 free practice questions shared by students. Answer them right here — no account needed.

Practise theseOne at a time, in a random order, with the explanation after each.

A 2-year-old boy whose parents were born in Vietnam has a blood test before starting childcare. He drinks about 700 mL of cow milk a day and refuses meat. He is…

Paediatrics · Clinical rotations · middle twist

A 6-day-old term girl, home since day two and feeding well until this morning, is brought in mottled and lethargic. Heart rate is 186 per minute, respiratory ra…

Paediatrics · Pre-internship · middle twist

A 4-year-old girl has refused to walk since yesterday and cries whenever her right leg is moved. Temperature is 38.9 degrees Celsius and heart rate 148 per minu…

Paediatrics · Pre-internship · middle twist

A 4-day-old term boy, discharged home yesterday and feeding well until this morning, has vomited four times in six hours. The vomit is dark green. He passed mec…

Paediatrics · Clinical rotations · middle twist

You are drawing a three-generation pedigree for a 7-year-old girl referred with recurrent headaches. Her mother mentions that the child's father, from whom she…

Paediatrics · Pre-internship · middle twist

A 9-year-old boy has two years of worsening exercise intolerance, drooping eyelids and newly fitted hearing aids. You take a family history to draw a pedigree.…

Paediatrics · Clinical rotations · middle twist

A 3-week-old boy has just had a pyloromyotomy for infantile hypertrophic pyloric stenosis. He is his parents' first child and neither parent nor any grandparent…

Paediatrics · Clinical rotations · middle twist

A woman has an amniocentesis at 17 weeks after a cell-free DNA test reported a high chance of trisomy 21. She is booked to fly interstate in three days for a fa…

Paediatrics · Pre-internship · middle twist

A couple in their early thirties have had three consecutive first-trimester miscarriages and have no living children. Both are well and neither has a family his…

Paediatrics · Clinical rotations · middle twist

A 28-year-old woman who has had type 1 diabetes since she was twelve asks how to prepare for a pregnancy she hopes to start in about six months. Her most recent…

Paediatrics · Pre-internship · middle twist

You are the intern in a newborn follow-up clinic. A 9-day-old boy has been recalled because his newborn bloodspot screening result shows a markedly raised thyro…

Paediatrics · Pre-internship · middle twist

A boy born at 38 weeks is hypotonic and feeds slowly. Rapid chromosome testing has confirmed trisomy 21. He is pink in air with a normal respiratory rate, the p…

Paediatrics · Pre-internship · middle twist

A term girl weighing 2.6 kg is examined before discharge. The backs of both hands and both feet are puffy and doughy, and there is loose redundant skin over the…

Paediatrics · Clinical rotations · middle twist

The parents of a healthy 3-day-old boy ask you to arrange his circumcision before they go home. They give family and cultural reasons. His foreskin is normal fo…

Paediatrics · Pre-internship · middle twist

A boy was born at term to a woman with chronic hepatitis B infection. He was given hepatitis B immunoglobulin and monovalent hepatitis B vaccine within twelve h…

Paediatrics · Pre-internship · middle twist

A healthy boy is born at term after an uncomplicated pregnancy. His mother takes no regular medicines. She tells the midwife she does not want him to have any i…

Paediatrics · Pre-internship · middle twist

A 4-week-old exclusively breastfed boy is brought to the emergency department because he is still yellow. He feeds hungrily and has gained 900 g since birth. Hi…

Paediatrics · Pre-internship · middle twist

A girl born at 36 weeks weighing 2050 g is three hours old and has fed twice at the breast. She becomes jittery with a weak high-pitched cry, and then has an ep…

Paediatrics · Pre-internship · middle twist

A boy born at 38 weeks is 44 hours old on the postnatal ward. His mother attends a treatment program for a daily supervised dose of buprenorphine and reports no…

Paediatrics · Pre-internship · middle twist

A girl born at 38 weeks weighs 2.2 kg and her head circumference is well below the third centile. Scattered purple-red spots over the trunk do not blanch, and t…

Paediatrics · Clinical rotations · middle twist