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.

A 19-year-old man is brought to hospital 90 minutes after swallowing approximately 60 g of paracetamol. He is drowsy, sweaty and vomiting. Arterial blood gas an…

Emergency and Toxicology · Clinical rotations · niche

A 27-year-old man is bitten while walking through long grass near Tamworth, New South Wales. He brings a photograph of a slender brown snake, but the species ca…

Emergency and Toxicology · Clinical rotations · middle twist

A 32-year-old man is found confused after ingesting an unknown number of amitriptyline tablets. He has a blood pressure of 86/54 mmHg, a pulse of 126/min and a…

Emergency and Toxicology · Clinical rotations · common

A 58-year-old man is brought to the emergency department after being found drowsy beside an empty bottle of methadone mixture. He has a respiratory rate of 7/mi…

Emergency and Toxicology · Clinical rotations · common

A 24-year-old woman presents 30 hours after taking repeated doses of paracetamol for a dental infection. She estimates taking 10–12 g daily for four days; her p…

Emergency and Toxicology · Clinical rotations · common

A 62-year-old woman is reviewed three months after a large anterior myocardial infarction. She has mild exertional breathlessness but no recurrent chest pain; t…

Cardiovascular · Clinical rotations · common

A 71-year-old man is monitored after an inferior ST-elevation myocardial infarction. He becomes dizzy but remains conscious; the ECG shows regular P waves at 84…

Cardiovascular · Clinical rotations · common

A 78-year-old man presents with an anterior ST-elevation myocardial infarction at a hospital where primary percutaneous coronary intervention cannot be delivere…

Cardiovascular · Clinical rotations · middle twist

A 64-year-old man becomes hypotensive shortly after reperfusion of an inferior ST-elevation myocardial infarction. He is distressed but has clear breath sounds,…

Cardiovascular · Clinical rotations · common

A 67-year-old man is recovering on the fourth day after an inferior myocardial infarction treated with primary percutaneous coronary intervention. He suddenly d…

Cardiovascular · Clinical rotations · common

A 41-year-old woman has been stable on clozapine for 18 months but presents with fever, painful swallowing and malaise. Her temperature is 38.5°C and her absolu…

Haematology and Oncology · Clinical rotations · common

A 48-year-old man presents with severe persecutory psychosis and requires medication after verbal de-escalation has failed. He has no history of cardiac disease…

Psychiatry and Mental Health · Clinical rotations · middle twist

A 26-year-old man with schizophrenia stopped taking lorazepam prescribed for recurrent episodes of immobility and mutism. Two days later he is mute, alternates…

Psychiatry and Mental Health · Clinical rotations · niche

A 72-year-old man with Parkinson disease has developed distressing visual experiences over the past month. His wife reports that he sets places at the table for…

Psychiatry and Mental Health · Clinical rotations · niche

A 58-year-old man is being treated with unfractionated heparin for a proximal deep vein thrombosis. On day 7, his platelet count has fallen from 224 to 86 × 10⁹…

Cardiovascular · Clinical rotations · common

A 31-year-old woman developed a proximal deep vein thrombosis at 32 weeks gestation and has received therapeutic low-molecular-weight heparin since diagnosis. S…

Obstetrics and Gynaecology · Clinical rotations · common

A 42-year-old woman has a second proximal deep vein thrombosis while taking rivaroxaban regularly for a previous unprovoked event. Her renal function is normal…

Cardiovascular · Clinical rotations · middle twist

A 66-year-old man with metastatic gastric adenocarcinoma develops a symptomatic proximal deep vein thrombosis. He has a friable gastric lesion with recent occul…

Cardiovascular · Clinical rotations · middle twist

A 29-year-old woman at 28 weeks gestation presents with sudden pleuritic chest pain and breathlessness. Her pulse is 108/min, oxygen saturation is 97% on room a…

Obstetrics and Gynaecology · Clinical rotations · middle twist

A 25-year-old woman had a levonorgestrel-releasing intrauterine device inserted six months ago. She now has a missed period, lower abdominal pain worse on the r…

Obstetrics and Gynaecology · Clinical rotations · common