AMC
541 free practice questions at the clinical rotations stage shared by students. Answer them right here — no account needed.
A 32-year-old woman at 34 weeks gestation reports two weeks of intense itching that is worse at night and began on her hands and feet. She has no rash, abdomina…
Obstetrics and Gynaecology · Clinical rotations · common
A 34-year-old man with established primary sclerosing cholangitis develops worsening pruritus and jaundice over six weeks, with a 5 kg weight loss. His bilirubi…
Gastroenterology and Hepatology · Clinical rotations · middle twist
A 47-year-old woman has fatigue, pruritus and intermittent jaundice. Alanine aminotransferase is 680 U/L (5–40), IgG is 31 g/L (7–16), antinuclear and smooth-mu…
Gastroenterology and Hepatology · Clinical rotations · common
A 29-year-old woman is admitted with nausea, jaundice and right upper-quadrant discomfort. Her alanine aminotransferase is 9200 U/L (5–40), aspartate aminotrans…
Cardiovascular · Clinical rotations · middle twist
A 42-year-old man presents with several months of pruritus followed by yellowing of the eyes. He has ulcerative colitis, an alkaline phosphatase of 680 U/L (30–…
Gastroenterology and Hepatology · Clinical rotations · common
A 45-year-old man attends a health assessment. He has a sedentary occupation, a waist circumference of 108 cm and a first-degree relative with type 2 diabetes,…
Endocrine and Metabolic · Clinical rotations · middle twist
A 68-year-old man undergoes an abdominal ultrasound arranged during assessment of nonspecific back discomfort. He has no abdominal pain, vascular symptoms or kn…
Cardiovascular · Clinical rotations · middle twist
A 47-year-old woman with no personal or family history of breast cancer asks whether to continue mammographic screening. She has no breast lump or nipple change…
General Practice and Population Health · Clinical rotations · common
A 61-year-old man asks about bowel cancer screening. He has no change in bowel habit, rectal bleeding or iron deficiency, and his mother was diagnosed with bowe…
Gastroenterology and Hepatology · Clinical rotations · common
A 34-year-old woman attends her general practitioner for routine preventive care. She has no symptoms, has never had cervical intraepithelial neoplasia, and her…
Obstetrics and Gynaecology · Clinical rotations · common
A 63-year-old woman with type 2 diabetes accidentally injects 60 units of insulin glargine instead of her usual 20 units. She becomes confused with a capillary…
Emergency and Toxicology · Clinical rotations · common
A 28-year-old man with type 1 diabetes uses a continuous subcutaneous insulin infusion. He develops nausea after the pump gives an occlusion alarm; his blood gl…
Endocrine and Metabolic · Clinical rotations · common
A 31-year-old woman with type 1 diabetes is being treated for diabetic ketoacidosis with intravenous insulin and 0.9% sodium chloride. Four hours later, her blo…
Endocrine and Metabolic · Clinical rotations · common
A 67-year-old woman with type 1 diabetes is admitted with community-acquired pneumonia and is not eating. She normally injects insulin glargine 24 units at nigh…
Emergency and Toxicology · Clinical rotations · common
A 24-year-old man with type 1 diabetes presents with vomiting and abdominal pain. His blood glucose concentration is 28 mmol/L, blood ketones are 6.4 mmol/L and…
Endocrine and Metabolic · Clinical rotations · middle twist
A 74-year-old woman with severe chronic obstructive pulmonary disease presents with increasing dyspnoea and drowsiness during a respiratory infection. On room a…
Respiratory · Clinical rotations · common
A 29-year-old man with asthma is treated for an acute exacerbation with repeated nebulised salbutamol, ipratropium and corticosteroids. Initially he was agitate…
Respiratory · Clinical rotations · middle twist
A 68-year-old man with severe chronic obstructive pulmonary disease presents with increasing breathlessness and purulent sputum. He has received controlled oxyg…
Respiratory · Clinical rotations · common
A 34-year-old woman with asthma remains breathless in the emergency department after three nebulised doses of salbutamol and ipratropium and intravenous hydroco…
Respiratory · Clinical rotations · common
A 29-year-old man presents two days after running out of prescribed oxycodone, which he had been taking in increasing amounts for a year. He is yawning, restles…
Emergency and Toxicology · Clinical rotations · common