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 15-year-old girl attends the general practice with her mother because of four months of daily headaches. Her mother answers every question, describes the head…

Clinical rotations · common

A 10-month-old girl is brought by her mother, who has noticed that in photographs taken with a flash the left pupil looks white while the right glows red. The g…

Clinical rotations · middle twist

A term newborn girl is examined on the postnatal ward. She lay in a breech position from 34 weeks and was delivered by caesarean section. With the baby relaxed…

Clinical rotations · common

A girl born at 28 weeks gestation is brought to the child health nurse for a routine review. She is now 5 months old by the calendar and has been home from the…

Clinical rotations · common

A 5-week-old girl is brought to the emergency department after two episodes of vomiting and an hour of unusual drowsiness. She was born at home at term after an…

Clinical rotations · middle twist

A 3-year-old boy who previously used short sentences has stopped speaking over the past six weeks. His parents also report that he no longer understands familia…

Clinical rotations · middle twist

A 5-month-old boy is brought to hospital with 2 days of nasal congestion, cough and reduced breastfeeds. He is alert but has subcostal recession and widespread…

Clinical rotations · common

A 3-year-old boy is brought to the emergency department because he has stopped walking and cries when lifted. He has a temperature of 38.8°C, a heart rate of 13…

Clinical rotations · middle twist

A 7-year-old boy falls from playground equipment and sustains a displaced supracondylar fracture of the humerus. His hand is warm, capillary refill is 1.5 secon…

Clinical rotations · middle twist

A 19-day-old girl is reviewed for jaundice that has persisted since discharge from hospital. Her mother reports that the urine has stained the nappy dark and th…

Clinical rotations · common

A 3-week-old boy is brought with persistent jaundice, poor weight gain and two episodes of jitteriness before feeds. He was born at term with a small penis and…

Clinical rotations · middle twist

An 8-month-old girl has a temperature of 39.4°C and has been unsettled for two days. She is drinking, has normal work of breathing and perfusion, and examinatio…

Clinical rotations · middle twist

A 4-year-old boy presents with fever, vomiting and severe pain in both legs. Over the preceding two hours, dark purple spots have appeared over his buttocks and…

Clinical rotations · common

A 4-year-old child in a childcare centre has had paroxysmal coughing with post-tussive vomiting for 12 days, and PCR has detected Bordetella pertussis. He is ot…

Clinical rotations · middle twist

A mother brings her 16-week-old son for his first vaccinations. The family recently arrived from overseas and he has received no vaccines apart from a hepatitis…

Clinical rotations · middle twist

A 7-month-old previously well boy is brought to the emergency department after six hours of episodes of sudden inconsolable screaming during which he draws his…

Clinical rotations · common

A 4-week-old girl born at term is reviewed because she is still visibly jaundiced. The jaundice was first noticed on day three of life; she is fully breastfed,…

Clinical rotations · common

A 6-day-old boy born at term is brought to the emergency department after vomiting three times over four hours; the most recent vomitus was dark green. He fed n…

Clinical rotations · middle twist

A 22-month-old boy is brought to his general practitioner because he is not yet talking. He says 'mum' and 'dada' only, but points to things he wants, waves goo…

Clinical rotations · common

A 3-year-old boy presents with six days of fever above 39°C that has persisted despite regular paracetamol; he is miserable and difficult to console. Both eyes…

Clinical rotations · common