Paediatrics

152 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 16-year-old boy is brought to a regional emergency department by his mother, who found messages in which he described wanting to die. Seen alone, he says he h…

Pre-internship · middle twist

A 17-year-old girl asks for help to stop vaping. She has used a disposable device every day for two years, now wakes at night to use it, and has failed three at…

Pre-internship · middle twist

A 16-year-old girl attends with three months of worsening acne. There are deep tender lumps on both cheeks and along the jaw, two of them discharging, and four…

Pre-internship · middle twist

A 15-year-old girl has never had a period. Her breasts and pubic hair have been fully developed and unchanged for about a year, and she has grown 1 cm in the pa…

Pre-internship · niche

A 14-year-old girl attends a Perth general practice alone and asks for emergency contraception after a condom broke last night. She tells you she has been seein…

Pre-internship · middle twist

A 15-year-old boy who lives on a wheat farm 300 km from Perth is brought in by his mother after she found a note in his room. He tells you that for the past mon…

Pre-internship · middle twist

A 6-year-old boy with laboratory-confirmed SARS-CoV-2 infection is admitted to a paediatric ward. Over an hour his oxygen saturation falls to 88 per cent on 6 L…

Pre-internship · common

A 16-year-old girl asks you to sign a clearance form for state-level netball. Twice this year she has collapsed without warning, once in the third quarter of a…

Pre-internship · common

A 3-year-old boy is in the emergency department of a Perth hospital with a forearm fracture after falling from a trampoline. While you are applying the backslab…

Pre-internship · middle twist

A 5-year-old boy with steroid-sensitive nephrotic syndrome finished a six-week course of oral prednisolone 2 mg/kg daily yesterday. He is in remission, is well…

Pre-internship · middle twist

A 13-year-old boy who received a kidney transplant two years ago attends the renal clinic. He takes tacrolimus and mycophenolate and his graft function is stabl…

Pre-internship · niche

A 16-week-old girl is brought to a general practice by her family, who arrived in Australia three weeks ago. She has no immunisation records and her parents are…

Pre-internship · niche

A 5-month-old boy is brought to the emergency department by his parents because he has been unsettled overnight. He is well grown, afebrile and feeding normally…

Pre-internship · middle twist

A 13-month-old girl attends for a routine check. She is well and walking, and her weight and length are on the 75th centile. Her parents want to stop buying inf…

Pre-internship · middle twist

A 3-week-old girl is brought to a general practice by her mother, who is exhausted and believes her milk supply is failing. The baby was born at term weighing 3…

Pre-internship · middle twist

A 15-year-old girl attends a general practice with her mother, who is worried that she has stopped eating properly and has lost weight. Her mother says she has…

Pre-internship · middle twist

A 13-year-old boy weighing 92 kg attends the emergency department with six weeks of left knee ache and a limp. Radiographs of the pelvis show a mild slip of the…

Pre-internship · middle twist

A 44-year-old man is admitted under your team after a myocardial infarction. Genetic testing has confirmed familial hypercholesterolaemia and the lipid clinic h…

Pre-internship · middle twist

A 7-month-old girl is referred to a paediatric clinic with slow weight gain. Her weight has fallen from the 50th to the 9th centile over three months while her…

Pre-internship · middle twist

A 4-month-old girl with a large ventricular septal defect is reviewed before surgical repair. She breastfeeds every two hours but takes 40 minutes each time, sw…

Pre-internship · middle twist