Medicine
486 free practice questions at the pre-internship stage shared by students. Answer them right here — no account needed.
A 78-year-old woman is three days after a hemiarthroplasty for a fractured neck of femur. The night nurse reports that she was pulling at her drip at 2 am and c…
Psychiatry · Pre-internship · middle twist
A 62-year-old woman brought to the emergency department after a fall at home tells the registrar that her recent illness was sent by an ancestor spirit, and tha…
Psychiatry · Pre-internship · middle twist
A 28-year-old man brought in by police is pacing the ward corridor, clenching his fists and shouting that he will not be locked up again. He has not struck anyo…
Psychiatry · Pre-internship · middle twist
A 47-year-old man is admitted for elective inguinal hernia repair. Taking the substance use history, the intern records 12 standard drinks a day for the past 20…
Psychiatry · Pre-internship · middle twist
A 15-year-old girl attends a general practice with her mother, who says her daughter has become withdrawn and is failing subjects at school. The doctor has aske…
Psychiatry · Pre-internship · middle twist
A 19-year-old man received his first ever dose of an antipsychotic 14 hours ago, having been admitted with psychosis. He calls the nurse because his neck has pu…
Psychiatry · Pre-internship · middle twist
A 79-year-old woman is brought to the emergency department at 2 am by police, having been found walking along a main road in her nightdress. She is pleasant and…
Psychiatry · Pre-internship · middle twist
A 24-year-old man was admitted yesterday to the psychiatric unit as a voluntary patient with a first episode of psychosis. He has told the team he does not want…
Psychiatry · Pre-internship · middle twist
A 68-year-old woman comes to the emergency department at 10 pm with four hours of severe right-sided headache and vomiting that began while she was watching a f…
Ophthalmology · Pre-internship · middle twist
A 74-year-old man attends for a repeat prescription. He drives himself and his wife to the shops and to church each week. He has had dry age-related macular deg…
Ophthalmology · Pre-internship · middle twist
A 43-year-old woman has had two days of boring pain behind the right eye and, since this morning, double vision. Her right upper lid now covers the pupil and sh…
Ophthalmology · Pre-internship · middle twist
A 79-year-old woman lives alone and has stopped driving after dark because oncoming headlights spread into a glare she cannot see through. She has given up the…
Ophthalmology · Pre-internship · middle twist
A 71-year-old man says the vision in his right eye switched off ninety minutes ago, without pain. He can count fingers only on that side. The right pupil dilate…
Ophthalmology · Pre-internship · middle twist
A 74-year-old woman has had a new right-sided headache for three weeks and says her scalp is sore when she brushes her hair. She has begun stopping halfway thro…
Ophthalmology · Pre-internship · middle twist
A 47-year-old man was hammering a steel chisel without eye protection when he felt something strike his left eye an hour ago. Visual acuity is 6/60 on the left…
Ophthalmology · Pre-internship · common
A 68-year-old woman arrives at 10 pm vomiting, with a painful red right eye and rings around the streetlights. The right cornea is cloudy, the pupil is mid-dila…
Ophthalmology · Pre-internship · niche
A 22-year-old student attends a rural emergency department at 9 pm with a painful red left eye. She wears monthly soft contact lenses and slept in them last nig…
Ophthalmology · Pre-internship · middle twist
You are the intern on a Perth surgical ward. Overnight a 74-year-old woman received ten times the intended dose of insulin because of a prescribing error you ma…
Acute Care · Pre-internship · middle twist
An 81-year-old man had a large left middle cerebral artery infarct ten days ago. He cannot swallow safely and can neither understand nor communicate a decision.…
Acute Care · Pre-internship · middle twist
A 62-year-old Aboriginal woman from a remote Kimberley community is admitted to a Broome hospital with small bowel obstruction and listed for laparotomy on tomo…
Acute Care · Pre-internship · middle twist