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 14-year-old boy is worried that he is the shortest in his class and has no signs of puberty. His height is on the 3rd centile and his weight on the 10th; his…

Clinical rotations · 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 2-year-old girl is brought in by her mother, who felt a lump in the child's abdomen while bathing her. The child is well, eating normally and has not los…

Clinical rotations · common

A 4-year-old boy develops widespread bruising on his shins and trunk and a crop of pinpoint red spots on his legs over three days, two weeks after a cold. He is…

Clinical rotations · 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

A 4-year-old girl is found to have a heart murmur at a routine health check. She is thriving on the 50th centile, runs around the playground without becoming sh…

Clinical rotations · common

A 12-month-old boy is due for his measles–mumps–rubella, meningococcal ACWY and pneumococcal vaccines. Three months ago he developed hives, facial swelling and…

Clinical rotations · common

A 16-week-old girl is brought for her first immunisations; the family have recently arrived from overseas and she has had only the birth dose of hepatitis B vac…

Clinical rotations · niche

An 18-month-old boy is brought by his parents because he has no words. He walked at 13 months and runs and climbs well. He does not point to show things, does n…

Clinical rotations · middle twist

A term boy born by normal vaginal delivery after an uncomplicated pregnancy is noted by the midwife to be visibly jaundiced at 16 hours of age. He is feeding we…

Clinical rotations · common

A 5-month-old girl is brought to the emergency department because her left thigh is swollen and she cries when it is moved. Her father says she rolled off a cou…

Pre-internship · common

You are the intern attached to a regional public health unit. Its annual child health profile for a town of 4,000 people reports: two-dose measles-mumps-rubella…

Pre-internship · niche

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 a general practice registrar in a regional town of 6,000 people. Over six weeks the public health unit has confirmed seven cases of measles, four of the…

Clinical rotations · common

A local health district in western Sydney surveys its primary schools and finds that one in three children aged 5 to 12 years is above the healthy weight range,…

Clinical rotations · 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 general practice registrar in a Western Australian coastal town of 6000 people. Over the past year the proportion of five-year-olds recorded as fully…

Clinical rotations · 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

A Perth tertiary hospital's ear, nose and throat department plans a programme to reduce chronic suppurative otitis media in a remote Aboriginal community 1500 k…

Clinical rotations · middle twist