Paediatrics

104 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 5-week-old boy, first child, has had one week of vomiting that occurs within 30 minutes of every feed and is now forceful, landing well away from him. The vom…

Pre-internship · middle twist

A 9-year-old girl weighing 30 kg presents in diabetic ketoacidosis as the first presentation of type 1 diabetes: pH 7.02, glucose 34 mmol/L, bicarbonate 6 mmol/…

Pre-internship · middle twist

A 3-day-old boy, born at term and discharged well at 24 hours, is brought back because he has become grey, floppy and uninterested in feeding over six hours. Hi…

Pre-internship · middle twist

You are the intern in a regional hospital's paediatric outpatient clinic. A 3-year-old Aboriginal boy has bilateral middle ear effusions and a 35 dB conductive…

Pre-internship · middle twist

A coastal local government area has recorded four drownings of children under five years of age in five years, every one of them in a backyard swimming pool at…

Pre-internship · middle twist

You are the intern on a Perth paediatric ward. Over three weeks you admit four toddlers from the same remote community with extensive impetigo, and a fifth chil…

Pre-internship · middle twist

You are a junior doctor at a regional Western Australian hospital. Hospital data show that Aboriginal children in the district are admitted with skin infections…

Pre-internship · middle twist

You are a general practice registrar in Perth. A 3-year-old boy attends with his mother for a routine pre-kindergarten review recorded in his personal health re…

Pre-internship · middle twist

A 6-year-old girl with spastic diplegic cerebral palsy attends a Perth outpatient clinic. She needs continuing physiotherapy and speech pathology to preserve fu…

Pre-internship · middle twist

You are the intern on a Perth paediatric ward. A 6-year-old girl admitted with pneumonia tells you that a family friend does rude things to her when he babysits…

Pre-internship · middle twist

A 9-year-old girl is brought to a Perth emergency department by her mother at 9 pm. At triage she told the nurse that her mother's partner puts his hands inside…

Pre-internship · middle twist

You are the intern caring for a 3-year-old boy admitted with bronchiolitis at a Perth hospital. On the second night his mother tells you that his father drinks…

Pre-internship · middle twist

At 2 am you are the intern who admits a 2-year-old girl with a spiral fracture of the humeral shaft and bruising over the upper arm and back, for which her pare…

Pre-internship · middle twist

You are discharging a 5-week-old boy after an admission with bronchiolitis. His mother smokes ten cigarettes a day outdoors. She tells you she is so exhausted t…

Pre-internship · middle twist

A 3-year-old girl weighing 15 kg is brought in one hour after swallowing tablets from her mother's iron bottle. Each tablet contains 65 mg of elemental iron and…

Pre-internship · middle twist

A father telephones the emergency department. Twenty minutes ago he found his 20-month-old daughter with the back of the television remote prised open and one o…

Pre-internship · middle twist

A three-year-old girl is brought to a regional emergency department 30 minutes after drinking from an unlabelled bottle her father had decanted drain cleaner in…

Pre-internship · middle twist

A two-year-old girl weighing 12 kg is brought to a regional emergency department 90 minutes after being found with her mother's iron tablets. The pack accounts…

Pre-internship · middle twist

A 15-year-old boy weighing 60 kg presents to a metropolitan emergency department six hours after swallowing forty paracetamol 500 mg tablets in one go. He has v…

Pre-internship · middle twist

A three-year-old girl weighing 14 kg is found with her grandmother's dose administration aid, which contains amitriptyline. Two hours later she is drowsy with 5…

Pre-internship · middle twist