Medicine

770 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 35-year-old man with a known diagnosis of schizophrenia is brought to the emergency department by police after neighbours reported him shouting in the street…

Psychiatry and Mental Health · Pre-internship · middle twist

A 31-year-old woman presents six weeks after the birth of her first child. She tearfully describes vivid, unwanted images of smothering the baby with a pillow t…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 58-year-old woman presents after a single episode of light vaginal bleeding one week ago. Her last menstrual period was at age 51 and she has never used menop…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 31-year-old woman presents with two days of right iliac fossa pain and light vaginal spotting. Her last menstrual period was six weeks ago and a home pregnanc…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 27-year-old nulliparous woman requests reliable long-term contraception. Several times a year she has severe unilateral throbbing headaches that are preceded…

Obstetrics and Gynaecology · Clinical rotations · middle twist

An 8-week-old boy is brought to a general practice for his scheduled immunisations. While preparing the injections the practice nurse notices a 1.5 cm oval brui…

Paediatrics · Pre-internship · middle twist

A 6-day-old boy born at term is brought to the emergency department after vomiting three times over four hours; the most recent vomitus was dark green. He fed n…

Paediatrics · Clinical rotations · middle twist

A 15-month-old boy presents with two days of vomiting and frequent watery stools. He is alert but subdued, with dry lips, mildly sunken eyes, heart rate 148/min…

Paediatrics · Clinical rotations · middle twist

A 78-year-old woman presents with sudden painless loss of vision in her right eye on waking this morning. For the past three weeks she has had a right-sided hea…

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

A 48-year-old man who migrated from southern China ten years ago presents with six weeks of a blocked sensation and reduced hearing in the right ear. On several…

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

A 72-year-old woman presents with an ulcer above her left medial malleolus that has been present for eight weeks. She has type 2 diabetes and smoked a packet of…

Cardiovascular · Clinical rotations · middle twist

A 24-year-old man sustains a closed fracture of the midshaft of the left tibia playing football. A plaster backslab with encircling crepe bandage is applied and…

Emergency and Toxicology · Pre-internship · middle twist

A 58-year-old woman presents with two days of right loin pain radiating to the groin, associated with shaking chills. Her temperature is 38.9°C, pulse 118/min a…

Emergency and Toxicology · Pre-internship · middle twist

A 45-year-old woman presents because a mole on her calf has become darker and larger over three months. It is 8 mm across with an irregular edge and several sha…

Dermatology · Clinical rotations · middle twist

A 34-year-old man presents with five days of fever, drenching sweats, severe headache behind the eyes and aching muscles. He started work at a rural Queensland…

General Practice and Population Health · Clinical rotations · middle twist

A 76-year-old woman taking warfarin for atrial fibrillation attends for a routine INR check, which returns at 11.0 (target 2.0–3.0). She recently completed a co…

Cardiovascular · Clinical rotations · middle twist

A 41-year-old woman presents nine hours after the onset of a severe headache that struck like a blow to the back of the head while she was lifting weights and r…

Neurology · Clinical rotations · middle twist

A 29-year-old woman presents ten days after an uncomplicated vaginal delivery under epidural analgesia with four days of worsening headache, which she says is w…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 45-year-old woman is admitted with epigastric pain radiating to the back and a serum lipase of 2400 U/L (<60). Ultrasound shows multiple small stones in the g…

Gastroenterology and Hepatology · Clinical rotations · middle twist

A 22-year-old woman presents to the emergency department with 24 hours of lower abdominal pain that began around the umbilicus and is now most marked on the rig…

Surgery and Perioperative Care · Clinical rotations · middle twist