Medicine
824 free practice questions at the clinical rotations stage shared by students. Answer them right here — no account needed.
A 54-year-old woman is treated for symptomatic hyponatraemia that has probably been present for several days. Her initial serum sodium concentration was 108 mmo…
Renal, Urology and Electrolytes · Clinical rotations · niche
A 68-year-old man with chronic kidney disease is admitted with pneumonia and has received intravenous fluids, calcium gluconate and insulin with glucose for a s…
Renal, Urology and Electrolytes · Clinical rotations · middle twist
An 82-year-old woman becomes confused and unsteady over three days while being treated for depression and hypertension. She is euvolaemic, her serum sodium is 1…
Geriatrics and Palliative Care · Clinical rotations · common
A 74-year-old man is referred for six months of recurrent falls. He reports that his feet sometimes seem stuck to the floor when he starts walking, and he takes…
Geriatrics and Palliative Care · Clinical rotations · common
An 81-year-old man is admitted with a fractured neck of femur and becomes inattentive and disorganised over 24 hours. His level of alertness fluctuates, but he…
Geriatrics and Palliative Care · Clinical rotations · common
An 82-year-old woman is assessed after falling in her kitchen. She remembers reaching for a shelf but denies spinning, loss of consciousness, palpitations or li…
Geriatrics and Palliative Care · Clinical rotations · common
A 30-year-old woman at 30+2 weeks has hypertension controlled with oral therapy and an ultrasound-estimated fetal weight below the third centile. Umbilical arte…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 35-year-old woman at 35+2 weeks has had two episodes of painless vaginal bleeding, each settling with bed rest. Ultrasound shows placental tissue covering the…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 31-year-old woman with chronic hypertension was taking labetalol before conception. At 30 weeks, her blood pressure has risen from 132/82 to 154/98 mmHg. A ur…
Obstetrics and Gynaecology · Clinical rotations · common
A 29-year-old woman at 29 weeks has gestational diabetes managed with dietary advice and exercise. For the past 2 weeks, her fasting capillary glucose concentra…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 37-year-old woman at 37 weeks has a small amount of vaginal bleeding shortly after her membranes rupture. She remains haemodynamically stable, with no abdomin…
Obstetrics and Gynaecology · Clinical rotations · common
A 33-year-old woman at 33+5 weeks has a blood pressure of 168/112 mmHg on two occasions despite oral treatment. She has persistent right upper quadrant pain; pl…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 41-year-old woman presents with sudden right arm weakness and difficulty speaking. Her partner saw rhythmic jerking of the right hand for 90 seconds followed…
Neurology · Clinical rotations · common
A 48-year-old man has a large right middle cerebral artery infarction despite reperfusion treatment. Twenty-four hours later he becomes increasingly drowsy, dev…
Neurology · Clinical rotations · middle twist
A 70-year-old woman is recovering from a small ischaemic stroke and is found to have persistent atrial fibrillation. She has normal renal function and no eviden…
Cardiovascular · Clinical rotations · common
A 66-year-old man develops abrupt spinning vertigo and vomiting while gardening. Six hours later he remains unable to stand without support; examination shows h…
Neurology · Clinical rotations · middle twist
A 72-year-old woman with hypertension reports three episodes in the past week in which the vision in her right eye became obscured from the top down, each lasti…
Eyes, Ears, Nose and Throat · Clinical rotations · common
A 79-year-old woman with a previous stroke develops fever, cough and a new right lower-zone infiltrate 36 hours after vomiting during a meal. She is alert, has…
Infectious Diseases · Clinical rotations · middle twist
A 72-year-old man is admitted with pneumonia after three days of fever, cough and increasing breathlessness. He is alert, but his respiratory rate is 34/min and…
Infectious Diseases · Clinical rotations · common
A 68-year-old man presents with a two-day history of fever, productive cough and pleuritic chest pain. He is alert, has a respiratory rate of 32/min, blood pres…
Respiratory · Clinical rotations · common