Paediatrics
198 free practice questions shared by students. Answer them right here — no account needed.
A five-month-old boy is brought to a regional emergency department at 2 am because he cannot be roused. His respiratory rate is 12 per minute and his pupils are…
Pre-internship · middle twist
A 6-year-old girl weighing 20 kg is admitted with severe gastroenteritis. She was shocked on arrival and was given sodium chloride 0.9% 400 mL intravenously ove…
Clinical rotations · middle twist
A 10-year-old boy weighing 32 kg is admitted to the ward for observation after an appendicectomy. He is comfortable, normotensive and well perfused, has not vom…
Pre-internship · middle twist
A 7-month-old boy has had 18 hours of loose stools and two vomits. His mother says the nappies are as wet as usual and he is still breastfeeding well. He is ale…
Pre-internship · middle twist
A 4-year-old girl is admitted with four days of diarrhoea. She is 10 per cent dehydrated but not shocked, and her serum sodium on arrival is 172 mmol/L (135-145…
Pre-internship · middle twist
A 5-week-old boy has vomited after feeds for three weeks. The milk now comes back forcefully enough to reach the floor, and he immediately wants to feed again.…
Clinical rotations · middle twist
A 3-year-old boy weighing 15 kg has had two days of profuse vomiting and diarrhoea. On arrival he was drowsy with cold mottled legs, capillary refill of five se…
Pre-internship · middle twist
A 5-year-old boy weighing 20 kg is admitted with bacterial meningitis. He is alert, his peripheries are warm with capillary refill under two seconds, and his mu…
Clinical rotations · middle twist
A 14-month-old boy is being discharged with amoxicillin oral suspension to be given three times a day for five days. His mother arrived in Australia four months…
Pre-internship · middle twist
A 3-year-old boy weighing 18 kg has a bulging left tympanic membrane with purulent discharge in the ear canal, and antibiotic treatment is indicated. He is at l…
Pre-internship · middle twist
A 9-year-old boy has a forearm fracture and needs regular oral paracetamol in the emergency department. He weighs 52 kg; the 50th centile weight for his age and…
Pre-internship · middle twist
A 4-year-old girl admitted with a severe exacerbation of a chronic illness has a nasogastric tube in situ and cannot swallow tablets. One of her regular medicin…
Pre-internship · middle twist
A 12-month audit of a paediatric ward identifies four prescriptions in which a weight-based dose was written ten times higher than intended; two of these reache…
Clinical rotations · middle twist
A 26-month-old girl with no known epilepsy is brought in convulsing. The seizure began 14 minutes ago; paramedics gave buccal midazolam at six minutes and a fur…
Pre-internship · middle twist
A woman telephones the practice about her 3-week-old, who was born at term and is thriving on exclusive breastfeeding. Yesterday another doctor started her on a…
Pre-internship · middle twist
A 31-year-old woman weighing 60 kg restarts sertraline 100 mg daily for recurrent depression. She is exclusively breastfeeding a healthy, thriving 4-month-old b…
Clinical rotations · middle twist
A 7-year-old boy has had atopic dermatitis since infancy. Over two years his height has fallen from the 50th to the 10th centile, with weight falling in paralle…
Clinical rotations · middle twist
A 6-year-old girl is referred because her teacher has noticed her stopping mid-sentence and staring for a few seconds, then carrying on as though nothing had ha…
Clinical rotations · middle twist
A 15-year-old girl attends a general practice for a repeat of her salbutamol inhaler. She has had asthma since childhood. She uses salbutamol two or three times…
Pre-internship · middle twist
A 5-year-old boy with spastic quadriplegic cerebral palsy is reviewed in a community clinic. His mother says every meal now takes 45 minutes, that he coughs and…
Clinical rotations · middle twist