Paediatrics

342 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 20-month-old boy attends for his 18-month health check in an outer suburb of Perth. He walks confidently, climbs onto the kitchen bench and opens cupboards. T…

Clinical rotations · middle twist

A 14-year-old boy attends the renal clinic. He received a deceased-donor kidney transplant at age 9 and takes tacrolimus, mycophenolate and low-dose prednisolon…

Pre-internship · niche

A 17-year-old girl attends a general practice for a pre-employment medical. The Australian Immunisation Register shows she received one dose of nine-valent huma…

Clinical rotations · middle twist

A 12-year-old boy had blood taken during a work-up for recurrent abdominal pain, which has since settled without treatment. He is well, is Tanner stage 3, and h…

Pre-internship · niche

A 9-week-old boy has a full blood count taken when an intravenous cannula is inserted before an inguinal hernia repair. He was born at 39 weeks weighing 3300 g,…

Clinical rotations · middle twist

A medical student writes a medication order on the chart of a 3-year-old girl weighing 14 kg who has been admitted with an asthma exacerbation. The order reads:…

Clinical rotations · common

You are asked to chart regular paracetamol for a 14-year-old boy on the first day after an open appendicectomy. He weighs 68 kg and is 174 cm tall. He has no li…

Pre-internship · middle twist

A 15-year-old girl attends the general practice with her mother because of four months of daily headaches. Her mother answers every question, describes the head…

Clinical rotations · common

You are the intern on the paediatric ward. A 2-year-old girl admitted with gastroenteritis needs a nasogastric tube for rehydration. Her parents arrived in Aust…

Pre-internship · common

A 4-month-old boy attends for his scheduled immunisations. He was born at term and is thriving. The right hemiscrotum is empty and underdeveloped. The right tes…

Pre-internship · middle twist

A 10-month-old girl is brought by her mother, who has noticed that in photographs taken with a flash the left pupil looks white while the right glows red. The g…

Clinical rotations · middle twist

A 10-day-old girl is reviewed before discharge from the special care nursery, where she was admitted for feeding support. She was born at 38 weeks in a frank br…

Pre-internship · middle twist

A term newborn girl is examined on the postnatal ward. She lay in a breech position from 34 weeks and was delivered by caesarean section. With the baby relaxed…

Clinical rotations · common

An 8-year-old boy is referred to the paediatric clinic after a school nursing screen recorded a blood pressure of 132/84 mmHg, above the 95th centile for his ag…

Pre-internship · common

A girl born at 28 weeks gestation is brought to the child health nurse for a routine review. She is now 5 months old by the calendar and has been home from the…

Clinical rotations · common

You are the intern on the postnatal ward. A healthy term boy was born two hours ago weighing 3400 g. After a full discussion of the risks, both parents decline…

Pre-internship · middle twist

A 5-week-old girl is brought to the emergency department after two episodes of vomiting and an hour of unusual drowsiness. She was born at home at term after an…

Clinical rotations · middle twist

A 3-year-old boy who previously used short sentences has stopped speaking over the past six weeks. His parents also report that he no longer understands familia…

Clinical rotations · middle twist

A 5-month-old boy is brought to hospital with 2 days of nasal congestion, cough and reduced breastfeeds. He is alert but has subcostal recession and widespread…

Clinical rotations · common

A 3-year-old boy is brought to the emergency department because he has stopped walking and cries when lifted. He has a temperature of 38.8°C, a heart rate of 13…

Clinical rotations · middle twist