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 29-year-old woman requests emergency contraception 4 days after unprotected intercourse. Her BMI is 36 kg/m², she is not pregnant and has no contraindication…

Emergency and Toxicology · Pre-internship · middle twist

A 32-year-old woman wants highly effective contraception and would prefer predictable light bleeding. She does not want a method requiring daily action and has…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 66-year-old man with diffuse large B-cell lymphoma is receiving chemotherapy through a tunnelled central venous catheter. On day 8 he develops fever of 38.6°C…

Haematology and Oncology · Clinical rotations · middle twist

A 63-year-old woman with acute myeloid leukaemia has had febrile neutropenia for 96 hours despite piperacillin-tazobactam. She remains haemodynamically stable,…

Emergency and Toxicology · Pre-internship · middle twist

A 54-year-old woman has a symptomatic isolated posterior calf-vein thrombosis found on ultrasound. She has no cancer, previous venous thromboembolism, marked sw…

Cardiovascular · Clinical rotations · middle twist

A 59-year-old man has a painless left cervical mass that has enlarged over 6 weeks. He reports drenching night sweats and has no dental infection, pharyngitis o…

Haematology and Oncology · Clinical rotations · middle twist

A 77-year-old man with metastatic prostate cancer and an estimated glomerular filtration rate of 18 mL/min/1.73 m² has been receiving regular oral morphine. Ove…

Geriatrics and Palliative Care · Pre-internship · middle twist

A 76-year-old man with probable dementia with Lewy bodies has recurrent visual hallucinations that are frightening but not associated with aggression or immedia…

Geriatrics and Palliative Care · Clinical rotations · middle twist

A 24-year-old man has 9 months of low back pain that began gradually and improves after exercise but not with rest. He wakes in the second half of the night and…

Rheumatology and Musculoskeletal · Clinical rotations · middle twist

A 67-year-old man has recurrent sinusitis, otitis and a persistent cough with occasional blood-streaked sputum. Urinalysis shows dysmorphic red cells and red-ce…

Rheumatology and Musculoskeletal · Clinical rotations · middle twist

A 74-year-old woman has 3 weeks of a new unilateral temporal headache and pain in her jaw when chewing. She has no visual symptoms, limb weakness or constitutio…

Rheumatology and Musculoskeletal · Clinical rotations · middle twist

A 79-year-old man living in Western Australia has recently been diagnosed with a terminal lung disease. He lives alone, receives the age pension, and holds a va…

Year 1 · Foundations · middle twist

A 21-year-old woman presents to the GP with urinary urgency, suprapubic discomfort, and dysuria. This is her third similar episode in the past year. She does no…

Year 1 · Mechanisms of disease · middle twist

A 36-year-old man presents with 2 days of fever, nausea, abdominal cramps, and watery diarrhoea after returning from a trip to Bali. He ate street food and dran…

Year 1 · Foundations · middle twist

A 54-year-old man with no family history of prostate cancer attends his GP for a routine check-up. He is asymptomatic and has no significant past medical histor…

Year 4 · Clinical rotations · middle twist

A 58-year-old man with no symptoms attends your clinic for a general health check. He is concerned because his uncle and cousin both died of pancreatic cancer.…

Year 4 · Clinical rotations · middle twist

A 60-year-old man with a history of chronic diarrhea presents with muscle weakness and lethargy. Laboratory tests show: potassium 3.1 mmol/L (3.5-5.0 mmol/L), b…

Year 4 · Clinical rotations · middle twist

A 64-year-old man presents with a right-sided groin bulge that becomes more prominent on coughing. He reports no pain and has no difficulty with daily activitie…

Year 4 · Clinical rotations · middle twist

A 62-year-old man presents with a bulge in his right groin that becomes more prominent when he coughs and reduces spontaneously when lying down. On examination,…

Year 4 · Foundations · middle twist

A 54-year-old man presents with persistent heartburn and regurgitation despite six weeks of once-daily omeprazole. He has no dysphagia, weight loss, or anemia.…

Year 4 · Clinical rotations · middle twist