Paediatrics

188 free practice questions at the clinical rotations 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 couple in their early thirties have had three consecutive first-trimester miscarriages and have no living children. Both are well and neither has a family his…

Clinical rotations · middle twist

A couple attend at nine weeks of a planned pregnancy. Their first child has cystic fibrosis, and both parents are known carriers of the same CFTR variant. They…

Clinical rotations · common

A boy is born at 39 weeks weighing 2.5 kg to a woman with epilepsy who took a single antiepileptic drug throughout the pregnancy. He has a broad flat nasal brid…

Clinical rotations · niche

A 7-day-old breastfed girl is admitted with a two-day history of poor feeding and vomiting. She is deeply jaundiced, lethargic and hypothermic, with a liver edg…

Clinical rotations · niche

A term girl weighing 2.6 kg is examined before discharge. The backs of both hands and both feet are puffy and doughy, and there is loose redundant skin over the…

Clinical rotations · middle twist

At the six-week check, the mother of a healthy breastfed girl says she is so tired that for the second half of most nights she brings the baby into her own bed.…

Clinical rotations · common

You examine a 2-day-old girl before discharge from the postnatal ward. She was born by caesarean section at 38 weeks for persistent breech presentation and is h…

Clinical rotations · common

A woman in preterm labour at 29 weeks is given betamethasone and transferred to a tertiary centre. Antenatal ultrasound and screening have all been normal and t…

Clinical rotations · common

A boy is born at 39 weeks weighing 4450 g to a woman whose gestational diabetes required insulin from 28 weeks. The birth was complicated by shoulder dystocia r…

Clinical rotations · common

A girl born at 38 weeks weighs 2.2 kg and her head circumference is well below the third centile. Scattered purple-red spots over the trunk do not blanch, and t…

Clinical rotations · middle twist

A five-week-old exclusively breastfed boy is brought to the general practitioner because he is still yellow. He was born at term weighing 3.4 kg and now weighs…

Clinical rotations · middle twist

A 29-year-old woman brings her six-week-old first baby to the general practice for his immunisations. Asked how she is, she says she has felt flat since about t…

Clinical rotations · common

A woman who has had no antenatal care presents in advanced labour and gives birth to a boy weighing 2350 g. She is unsure of her dates and there has been no ult…

Clinical rotations · middle twist

A boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when he is undressed, sneezes repeatedly and takes the b…

Clinical rotations · middle twist

A boy is born at 39 weeks by normal vaginal birth and cries immediately. He is dried, weighed and then bathed by a student midwife before being wrapped and plac…

Clinical rotations · common

A 16-year-old girl attends her general practice for a routine health check required before a school leadership camp. She is well, her growth is on the 50th cent…

Clinical rotations · middle twist

A 16-year-old netballer attends for a pre-participation examination. She is asymptomatic. The femoral pulses are strong and synchronous with the radial pulses.…

Clinical rotations · middle twist

A 16-year-old girl attends a suburban general practice with her mother because of headaches over three months. Examination, including fundoscopy and blood press…

Clinical rotations · common

A 15-year-old boy is brought to a general practice by his exasperated mother. Over the past year he has argued about every household rule, dyed his hair, spends…

Clinical rotations · common

A 14-year-old girl who has had type 1 diabetes since she was eight is reviewed in the paediatric diabetes clinic. Her glycated haemoglobin has risen over twelve…

Clinical rotations · common