Emergency and Toxicology

10 free practice questions at the pre-internship 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 22-year-old man was struck on the right temple by a cricket ball three hours ago in a country town. He was briefly unconscious, then walked off the field and…

Pre-internship · middle twist

A 74-year-old woman presents with sudden passage of a large volume of dark red blood per rectum. After two litres of intravenous crystalloid her blood pressure…

Pre-internship · middle twist

A 46-year-old man wakes with markedly reduced hearing in his right ear and a continuous high-pitched noise. He has no pain, discharge or recent infection, and t…

Pre-internship · middle twist

A 32-year-old man is rescued from a burning warehouse. He is confused, hypotensive and tachypnoeic, with soot on his face but no wheeze. His pulse oximeter read…

Pre-internship · middle twist

A 19-year-old man presents six hours after an acute ingestion of an unknown number of immediate-release paracetamol tablets in a suicide attempt. He is alert, w…

Pre-internship · middle twist

A 24-year-old woman presents to the emergency department two hours after impulsively swallowing 32 tablets of 500 mg immediate-release paracetamol (16 g) follow…

Pre-internship · middle twist

A 24-year-old man sustains a closed fracture of the midshaft of the left tibia playing football. A plaster backslab with encircling crepe bandage is applied and…

Pre-internship · middle twist

A 58-year-old woman presents with two days of right loin pain radiating to the groin, associated with shaking chills. Her temperature is 38.9°C, pulse 118/min a…

Pre-internship · middle twist

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…

Pre-internship · 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,…

Pre-internship · middle twist