Paediatrics
152 free practice questions at the pre-internship stage shared by students. Answer them right here — no account needed.
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 3-year-old boy is seen in general practice with a two-day blanching viral rash and is otherwise well. He is eating, playing and having his usual number of wet…
Pre-internship · niche
An 8-year-old girl with chronic kidney disease is brought in vomiting after missing two dialysis sessions. She is alert and her blood pressure is 128/78 mmHg. S…
Pre-internship · common
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 9-year-old girl is on day three of treatment for pneumococcal meningitis and has been receiving intravenous sodium chloride 0.9% with glucose 5% at full maint…
Pre-internship · niche
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 3-year-old inpatient was given 15 mg of oral morphine instead of the prescribed 1.5 mg one hour ago, because a decimal point on the drug chart was misread. He…
Pre-internship · common
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
An 8-year-old boy who had a right tympanostomy tube inserted last year has a two-week history of an itchy, discharging right ear after swimming lessons. He has…
Pre-internship · niche
A 5-year-old boy has had a clear runny nose and a dry night cough for four days. He is afebrile and eating normally, and his chest, throat and ears are normal.…
Pre-internship · common
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 15-year-old boy with Crohn disease attends a routine clinic review with his mother. He has lost 4 kg in three months and has missed a third of school days thi…
Pre-internship · common
An 8-month-old boy is brought to a general practice with six weeks of dry, pink, scaly patches on both cheeks and around the mouth. He rubs at them and wakes se…
Pre-internship · niche
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
The bone marrow result for a 4-year-old girl admitted with pallor and bruising has confirmed acute lymphoblastic leukaemia. You are to be present while the cons…
Pre-internship · common
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 6-year-old boy with cystic fibrosis is admitted for his third pulmonary exacerbation this year. His mother tells the team she resigned from her job to manage…
Pre-internship · common