Paediatrics

198 free practice questions 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 12-year-old Aboriginal girl from a remote community has been admitted to a tertiary hospital with newly diagnosed type 1 diabetes. English is the family's fir…

Pre-internship · middle twist

A 15-year-old girl with type 1 diabetes since the age of nine attends the clinic with her father. Her glycated haemoglobin has risen steadily over 12 months. He…

Pre-internship · middle twist

A 7-year-old boy has had atopic dermatitis since infancy. His skin is currently red, thickened and excoriated across both antecubital and popliteal fossae and h…

Pre-internship · middle twist

A 16-month-old girl who arrived in Australia from overseas six months ago is brought to a general practice because she is not gaining weight. Her weight has fal…

Clinical rotations · middle twist

A 5-week-old boy is admitted after a fortnight of vomiting that now shoots across the change table after every feed. The vomit has never been green. He feeds hu…

Pre-internship · middle twist

A 7-month-old girl has had six hours of episodes in which she suddenly screams, draws her knees up and stiffens for a minute or two, then lies pale and floppy u…

Clinical rotations · middle twist

A 2-year-old boy is brought to a regional emergency department at 3 am with two days of runny nose and a harsh barking cough. Forty minutes ago he was given dex…

Pre-internship · middle twist

A 10-week-old girl is brought to the emergency department by both parents with a bruise on the left cheek and a smaller one over the left ear. Her father says h…

Pre-internship · middle twist

A 5-month-old ex-term boy is on day four of bronchiolitis. Over the past 24 hours he has taken about 40 per cent of his usual milk and had two wet nappies. Resp…

Pre-internship · middle twist

A 14-month-old girl has been crying, pulling at both ears and febrile for a day. She has had paracetamol, is drinking normally and is not vomiting. Temperature…

Pre-internship · middle twist

A 2-year-old boy brought in at 2 am has a harsh barking cough and a hoarse cry. His general practitioner gave him prednisolone 1 mg/kg nine hours ago and he set…

Pre-internship · middle twist

A 3-year-old boy has had a fever above 39 degrees Celsius for six days despite regular paracetamol. Both eyes are red without any discharge or crusting. His lip…

Clinical rotations · middle twist

A 3-year-old girl who arrived from Ethiopia six months ago is screened after her grandmother, who shares the house, was diagnosed with smear-positive pulmonary…

Pre-internship · middle twist

A 2-year-old boy whose parents were born in Vietnam has a blood test before starting childcare. He drinks about 700 mL of cow milk a day and refuses meat. He is…

Clinical rotations · middle twist

A 6-day-old term girl, home since day two and feeding well until this morning, is brought in mottled and lethargic. Heart rate is 186 per minute, respiratory ra…

Pre-internship · middle twist

A 4-year-old girl has refused to walk since yesterday and cries whenever her right leg is moved. Temperature is 38.9 degrees Celsius and heart rate 148 per minu…

Pre-internship · middle twist

A 4-day-old term boy, discharged home yesterday and feeding well until this morning, has vomited four times in six hours. The vomit is dark green. He passed mec…

Clinical rotations · middle twist

You are drawing a three-generation pedigree for a 7-year-old girl referred with recurrent headaches. Her mother mentions that the child's father, from whom she…

Pre-internship · middle twist

A 9-year-old boy has two years of worsening exercise intolerance, drooping eyelids and newly fitted hearing aids. You take a family history to draw a pedigree.…

Clinical rotations · middle twist

A 3-week-old boy has just had a pyloromyotomy for infantile hypertrophic pyloric stenosis. He is his parents' first child and neither parent nor any grandparent…

Clinical rotations · middle twist