Medicine

824 free practice questions at the clinical rotations stage shared by students. Answer them right here — no account needed.

Practise theseOne at a time, in a random order, with the explanation after each.

An 18-month-old boy is brought by his parents because he has no words. He walked at 13 months and runs and climbs well. He does not point to show things, does n…

Paediatrics · Clinical rotations · middle twist

A term boy born by normal vaginal delivery after an uncomplicated pregnancy is noted by the midwife to be visibly jaundiced at 16 hours of age. He is feeding we…

Paediatrics · Clinical rotations · common

A 32-year-old woman attends for the result of her first cervical screening test under the renewed National Cervical Screening Program. She is asymptomatic and h…

Obstetrics and Gynaecology · Clinical rotations · common

A 79-year-old man on apixaban for atrial fibrillation is brought in by his wife. Over three weeks he has become slower, sleeps much of the day, has twice lost t…

Neurology · Clinical rotations · common

A 24-year-old woman who wears soft contact lenses and often sleeps in them presents with 24 hours of an increasingly painful, red, watering right eye and marked…

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

A 66-year-old man with atrial fibrillation presents 40 minutes after the sight in his left eye "went out like a light" while reading; there was no pai…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 58-year-old man who smokes and drinks heavily presents with a painless lump below the angle of his left jaw that he first noticed six weeks ago and which has…

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

A 61-year-old woman reports two weeks of brief episodes of the room spinning, lasting less than 30 seconds, that happen when she rolls over in bed to the right,…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 24-year-old man fell onto his outstretched right hand playing football two days ago. He has pain at the base of the thumb that is worse gripping. On examinati…

Rheumatology and Musculoskeletal · Clinical rotations · common

A 63-year-old man who has smoked for 40 years and worked for 20 years in a tyre factory reports that on two occasions in the last month his urine has been brigh…

Renal, Urology and Electrolytes · Clinical rotations · common

A 68-year-old man who smokes 20 cigarettes a day has an ultrasound of the abdomen for vague right upper quadrant discomfort. The gallbladder is normal, but the…

Surgery and Perioperative Care · Clinical rotations · common

A 34-year-old man who injects heroin presents with two weeks of fevers, sweats, a cough and pleuritic chest pain on both sides. His temperature is 39.2 °C, puls…

Cardiovascular · Clinical rotations · middle twist

A 27-year-old man is brought in 20 minutes after his motorcycle struck a tree at speed. He is agitated, with a respiratory rate of 38/min, oxygen saturation 84%…

Emergency and Toxicology · Clinical rotations · common

A 22-year-old woman is brought from a music festival by paramedics. She is agitated and confused, her temperature is 39.8 °C, pulse 132/min, blood pressure 158/…

Emergency and Toxicology · Clinical rotations · middle twist

A 19-year-old woman presents six hours after taking 30 × 500 mg paracetamol tablets in a single impulsive act following an argument. She also took "a few&q…

Emergency and Toxicology · Clinical rotations · common

A 34-year-old man started lamotrigine 16 days ago for newly diagnosed epilepsy. For three days he has had fever, sore eyes and painful mouth ulcers that make sw…

Dermatology · Clinical rotations · middle twist

A 52-year-old fair-skinned man who worked outdoors for 30 years presents because his wife noticed that a mole on his upper back has changed. It is now 8 mm acro…

Dermatology · Clinical rotations · common

A 45-year-old man wakes to find the left side of his face drooping. When he tries to raise his eyebrows only the right side moves, and he cannot fully close his…

Neurology · Clinical rotations · common

A 41-year-old woman presents with a headache that began abruptly while she was lifting weights at the gym yesterday evening, reaching maximum intensity within s…

Neurology · Clinical rotations · common

A 27-year-old woman of Greek background attends for pre-pregnancy advice. She feels well. A full blood count taken by her previous doctor shows: haemoglobin 108…

Haematology and Oncology · Clinical rotations · middle twist