Emergency and Toxicology
23 free practice questions at the pre-internship stage shared by students. Answer them right here — no account needed.
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 62-year-old man has a regular broad-complex tachycardia at 190 beats per minute three hours after treatment for an acute myocardial infarction. He is consciou…
Pre-internship · common
A 39-year-old man with bipolar disorder is brought to the emergency department one hour after becoming agitated and incoherent. His medicines are sertraline, tr…
Pre-internship · common
A 46-year-old man with schizophrenia becomes restless and confused two days after his haloperidol dose was increased. He is febrile at 39.8°C, has widespread mu…
Pre-internship · common
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 74-year-old man with type 2 diabetes presents with several days of lethargy and increasing confusion. His blood glucose concentration is 42 mmol/L, calculated…
Pre-internship · common
A 52-year-old man with alcohol dependence is brought to the emergency department after being found confused at home. He has had several days of vomiting and is…
Pre-internship · common
A 28-year-old woman is brought in by ambulance 90 minutes after being found drowsy next to an empty box of amitriptyline. Her Glasgow Coma Scale score is 12, he…
Pre-internship · common
A 21-year-old man collapses at the 14 km mark of a city fun run on a 34°C day. In the trackside medical tent he is confused and agitated with a Glasgow Coma Sca…
Pre-internship · common
A 32-year-old woman develops widespread urticaria, lip swelling and wheeze within 15 minutes of eating a satay dish at a restaurant. On arrival of paramedics he…
Pre-internship · common
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 19-year-old man is brought to a rural general practice, 45 minutes from the nearest hospital, with six hours of fever, vomiting and severe pain in his legs. H…
Pre-internship · common
A 35-year-old man is admitted six hours after a house fire with burns to 25% of his body surface area, including a burn encircling the entire right forearm wher…
Pre-internship · common
A 25-year-old motorcyclist is brought to the emergency department after a high-speed crash, complaining of left-sided chest pain and severe breathlessness; he c…
Pre-internship · common
A 58-year-old man with chronic kidney disease presents with weakness. Serum potassium is 7.1 mmol/L, and the laboratory result has been confirmed on a repeat no…
Pre-internship · common