AMC

234 free practice questions at the clinical rotations stage 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 5-month-old girl has had a fever of 39.2 °C for 24 hours with vomiting and irritability, and no cough, runny nose or rash. Examination is otherwise unremarkab…

Paediatrics · Clinical rotations · middle twist

A 7-month-old girl has had fever above 39 °C for seven days despite paracetamol. She is irritable and difficult to console. Her eyes are red without discharge,…

Paediatrics · Clinical rotations · middle twist

A 14-year-old boy is worried that he is the shortest in his class and has no signs of puberty. His height is on the 3rd centile and his weight on the 10th; his…

Paediatrics · Clinical rotations · middle twist

A 4-year-old boy develops widespread bruising on his shins and trunk and a crop of pinpoint red spots on his legs over three days, two weeks after a cold. He is…

Paediatrics · Clinical rotations · middle twist

An 18-month-old boy is brought by his parents because he has no words. He walked at 13 months and runs and climbs well. He does not point to show things, does n…

Paediatrics · Clinical rotations · middle twist

A 24-year-old woman who wears soft contact lenses and often sleeps in them presents with 24 hours of an increasingly painful, red, watering right eye and marked…

Eyes, Ears, Nose and Throat · Clinical rotations · middle twist

A 58-year-old man who smokes and drinks heavily presents with a painless lump below the angle of his left jaw that he first noticed six weeks ago and which has…

Eyes, Ears, Nose and Throat · Clinical rotations · middle twist

A 34-year-old man who injects heroin presents with two weeks of fevers, sweats, a cough and pleuritic chest pain on both sides. His temperature is 39.2 °C, puls…

Cardiovascular · Clinical rotations · middle twist

A 22-year-old woman is brought from a music festival by paramedics. She is agitated and confused, her temperature is 39.8 °C, pulse 132/min, blood pressure 158/…

Emergency and Toxicology · Clinical rotations · middle twist

A 34-year-old man started lamotrigine 16 days ago for newly diagnosed epilepsy. For three days he has had fever, sore eyes and painful mouth ulcers that make sw…

Dermatology · Clinical rotations · middle twist

A 27-year-old woman of Greek background attends for pre-pregnancy advice. She feels well. A full blood count taken by her previous doctor shows: haemoglobin 108…

Haematology and Oncology · Clinical rotations · middle twist

A 44-year-old man who works on the kill floor of an abattoir in central Queensland presents with six days of high fevers, drenching night sweats, severe headach…

Infectious Diseases · Clinical rotations · middle twist

A 38-year-old woman presents with three weeks of aching pain in the front of her neck that worsens when she turns her head or swallows and radiates up to both e…

Endocrine and Metabolic · Clinical rotations · middle twist

A 24-year-old man presents with dark brown urine that began the day after the onset of a sore throat. He recalls two similar episodes in the past two years, eac…

Renal, Urology and Electrolytes · Clinical rotations · middle twist

A 29-year-old woman asks whether she has coeliac disease. For three years she had bloating, loose stools and tiredness; four months ago she removed gluten from…

Gastroenterology and Hepatology · Clinical rotations · middle twist

A 68-year-old man is brought in by his wife after his third collapse in a month. Each time he has been sitting watching television, has suddenly gone grey and s…

Cardiovascular · Clinical rotations · middle twist

A local health district in western Sydney surveys its primary schools and finds that one in three children aged 5 to 12 years is above the healthy weight range,…

Paediatrics · Clinical rotations · middle twist

You are a general practice registrar in a Western Australian coastal town of 6000 people. Over the past year the proportion of five-year-olds recorded as fully…

Paediatrics · Clinical rotations · middle twist

A Perth tertiary hospital's ear, nose and throat department plans a programme to reduce chronic suppurative otitis media in a remote Aboriginal community 1500 k…

Paediatrics · Clinical rotations · middle twist

A 6-year-old Aboriginal boy attends a Perth general practice with his mother for a certificate to return to school after chickenpox. He is well, fully immunised…

Paediatrics · Clinical rotations · middle twist