Medicine
770 free practice questions shared by students. Answer them right here — no account needed.
A 71-year-old woman with chronic obstructive pulmonary disease presents with two days of worsening breathlessness and purulent sputum. She is treated with 28% o…
Respiratory · Clinical rotations · middle twist
A 24-year-old woman with asthma since childhood attends for review. Her only treatment is a salbutamol inhaler, which she now uses three to four times a week fo…
Respiratory · Clinical rotations · middle twist
A 59-year-old man presents 90 minutes after onset of severe central chest pain with sweating and nausea. The ECG shows 3 mm ST-segment elevation in leads II, II…
Cardiovascular · Clinical rotations · middle twist
A 64-year-old man with type 2 diabetes has an HbA1c of 62 mmol/mol (7.8%) despite maximal-dose metformin and attention to diet and activity. He had a myocardial…
Endocrine and Metabolic · Clinical rotations · middle twist
A 52-year-old man has a blood pressure of 162/98 mmHg despite adequate doses of perindopril, amlodipine and hydrochlorothiazide, with good adherence confirmed.…
Endocrine and Metabolic · Clinical rotations · middle twist
A 54-year-old man with cirrhosis secondary to chronic hepatitis C presents with two episodes of haematemesis over the past hour. On arrival his blood pressure i…
Gastroenterology and Hepatology · Clinical rotations · middle twist
A 45-year-old woman has a 7-mm calculus in the distal ureter on non-contrast CT. Her pain is controlled with oral analgesia, creatinine is normal, and she is af…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
A 47-year-old man with chronic kidney disease presents with palpitations and proximal muscle weakness. Serum potassium is 6.8 mmol/L, the sample is non-haemolys…
Cardiovascular · Clinical rotations · middle twist
A 70-year-old man with diabetic kidney disease takes ramipril and spironolactone. Routine testing shows potassium 6.4 mmol/L, confirmed on a non-haemolysed samp…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
A 42-year-old man presents with haemoptysis, fatigue and rapidly worsening renal function. Creatinine is 486 micromol/L, urine microscopy shows dysmorphic red c…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
A 59-year-old man has an eGFR of 52 mL/min/1.73 m² on repeated testing over 4 months. His urine albumin:creatinine ratio is 12 mg/mmol, and there is no haematur…
Haematology and Oncology · Clinical rotations · middle twist
A 31-year-old woman at 18 weeks' gestation presents with sudden left flank pain and microscopic haematuria. She is afebrile, her blood pressure is 126/74 mmHg a…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 64-year-old woman has had an estimated glomerular filtration rate of 26 mL/min/1.73 m² on two measurements 4 months apart. Her urine albumin:creatinine ratio…
Haematology and Oncology · Pre-internship · middle twist
A 26-year-old woman who is 9 weeks pregnant is planning a 3-week trip to rural areas of Papua New Guinea. She will stay in local villages and has no psychiatric…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 52-year-old woman has progressive headaches and difficulty seeing objects to either side. MRI shows a 2.6-cm sellar mass elevating and compressing the optic c…
Endocrine and Metabolic · Clinical rotations · middle twist
A 44-year-old man has an incidental 8-mm pituitary lesion discovered during MRI for headaches. He has normal visual fields, normal pituitary hormone testing, an…
Endocrine and Metabolic · Clinical rotations · middle twist
A 59-year-old man presents with eight hours of continuous vertigo, vomiting and difficulty walking. He has spontaneous right-beating nystagmus and no hearing lo…
Eyes, Ears, Nose and Throat · Clinical rotations · middle twist
A 34-year-old swimmer has had increasing right ear pain for three days. Moving the pinna and pressing the tragus markedly worsen the pain, and the external cana…
Eyes, Ears, Nose and Throat · Clinical rotations · middle twist
A healthy 55-year-old man with no family history of prostate cancer asks for a PSA test after seeing an online advertisement. He has no urinary symptoms, haemat…
General Practice and Population Health · Clinical rotations · middle twist
A 52-year-old man reports a 9-month history of gradually worsening erectile difficulty and reduced sexual desire. He has obesity, hypertension and type 2 diabet…
Cardiovascular · Clinical rotations · middle twist