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 14-month-old girl who is still breastfed and has had no supplements is referred because she is not yet walking and her legs look bowed. Her mother has dark sk…

Pre-internship · middle twist

A 30-year-old woman, three weeks after giving birth, has had 24 hours of pain in the left breast. There is a tender, red, wedge-shaped area in the upper outer q…

Pre-internship · middle twist

A 14-year-old girl has lost 9 kg over five months, restricts herself to about 800 kilojoules a day and exercises for two hours daily. Her heart rate is 58 beats…

Pre-internship · middle twist

A 15-year-old girl is seen alone at a general practice. During the psychosocial interview she says she has been cutting her left forearm most weeks for three mo…

Pre-internship · middle twist

A 4-year-old boy is brought to a general practice for the third time this year, now with six weeks of night waking and new bedwetting after a year of being dry.…

Pre-internship · common

A 14-year-old girl has had daily tiredness and central abdominal pain for eight months and has attended school on only nine days this term. Full blood count, in…

Pre-internship · middle twist

A 10-year-old boy is seen in a paediatric outpatient clinic. Over six months he has become irritable, has stopped playing soccer, which he loved, and takes over…

Pre-internship · common

A 14-year-old girl is brought by her mother because her marks have dropped over three months, she has quit netball, and she is irritable and withdrawn. Her pare…

Pre-internship · middle twist

A 9-year-old boy has primary nocturnal enuresis with no daytime urinary symptoms, normal growth, normal blood pressure and a normal urinalysis. An eight-week al…

Pre-internship · middle twist

A 2-year-old boy attends with his mother after his childcare educator commented that he "plays on his own". He walks and runs well, uses about sixty single word…

Pre-internship · middle twist

A 14-year-old boy attends the general practice with his mother because his school marks have collapsed over two terms and he has begun refusing to go on Monday…

Pre-internship · middle twist

An 18-month-old boy is brought back to the general practice by his father. At his 15-month check he was walking, waving goodbye, using eight words and handing h…

Pre-internship · middle twist

A boy born at 28 weeks gestation is brought to the general practice at 20 months of age because he is not yet walking. He was discharged home at term with no in…

Pre-internship · middle twist

A 30-month-old boy is reviewed after the practice nurse completed an Ages and Stages Questionnaire with his mother. He scores below the cut-off for communicatio…

Pre-internship · middle twist

A 7-month-old girl is brought to a rural general practice. Her weight has fallen from the 50th centile to below the 0.4th centile over three months; her length…

Pre-internship · middle twist

A 7-month-old boy is brought to the emergency department by his 19-year-old mother because of a cold. His weight has crossed from the 50th percentile at 4 month…

Pre-internship · middle twist

A 12-year-old boy attends with his mother. His body mass index for age is above the 99.7th percentile on his growth chart, having been on the 92nd percentile at…

Pre-internship · middle twist

A 14-year-old boy attends the general practice with his father because of headaches on most school days for three months. His neurological examination, includin…

Pre-internship · common

A woman who is 19 weeks pregnant with her second child asks what she can do to protect the new baby from whooping cough. Her 2-year-old daughter is fully immuni…

Pre-internship · common

A 13-year-old boy who received a deceased-donor kidney transplant eighteen months ago attends the general practice with his mother. He takes tacrolimus, mycophe…

Pre-internship · middle twist