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739 free practice questions shared by students. Answer them right here — no account needed.
A 59-year-old man develops rapidly worsening breathlessness five days after an influenza-like illness. He has a temperature of 39.8°C, respiratory rate of 38/mi…
Respiratory · Clinical rotations · middle twist
A 46-year-old man wakes with markedly reduced hearing in his right ear and a continuous high-pitched noise. He has no pain, discharge or recent infection, and t…
Emergency and Toxicology · Pre-internship · middle twist
A 56-year-old man develops sharp central chest pain 36 hours after an uncomplicated inferior myocardial infarction. The pain is worse when he lies flat or takes…
Cardiovascular · Clinical rotations · middle twist
A 64-year-old man is recovering in hospital four days after an inferior ST-elevation myocardial infarction treated with primary percutaneous coronary interventi…
Cardiovascular · Clinical rotations · middle twist
A 72-year-old man with Parkinson disease is brought by his wife because he has begun speaking to people who are not present and has become suspicious of her. He…
Psychiatry and Mental Health · Clinical rotations · middle twist
A 16-year-old female long-distance runner develops gradually worsening right groin pain over six weeks. She has recently increased her training volume and repor…
Rheumatology and Musculoskeletal · Clinical rotations · middle twist
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…
Paediatrics · Clinical rotations · middle twist
A 79-year-old woman falls at home and develops groin pain. Pelvic and hip radiographs show no fracture, but after analgesia she still cannot take four steps and…
Surgery and Perioperative Care · 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…
Paediatrics · Clinical rotations · middle twist
A 42-year-old woman has a second proximal deep vein thrombosis while taking rivaroxaban as prescribed. She has no interacting medicines, normal renal function a…
Cardiovascular · Clinical rotations · middle twist
A 68-year-old man with metastatic oesophageal cancer develops a symptomatic proximal deep vein thrombosis. He completed treatment for melaena from the tumour tw…
Cardiovascular · Clinical rotations · middle twist
A 29-year-old woman at 10 weeks of pregnancy presents with sudden pleuritic chest pain and breathlessness. Her heart rate is 108/min, oxygen saturation is 98% o…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 41-year-old woman is rescued from a vehicle fire with burns encircling the chest and upper abdomen. She is intubated and ventilated, but her peak airway press…
Emergency and Toxicology · Clinical rotations · middle twist
A 28-year-old electrician receives an electrical injury while working on industrial equipment. There is a small contact mark on the palm and a larger mark at th…
Emergency and Toxicology · Clinical rotations · middle twist
A 32-year-old man is rescued from a burning warehouse. He is confused, hypotensive and tachypnoeic, with soot on his face but no wheeze. His pulse oximeter read…
Emergency and Toxicology · Pre-internship · middle twist
A 67-year-old woman with long-standing rheumatoid arthritis reports increasing fatigue and reduced exercise tolerance. Her haemoglobin is 92 g/L (115–155), mean…
Haematology and Oncology · Clinical rotations · middle twist
A 36-year-old woman at 8 weeks of gestation has vaginal bleeding and intermittent lower abdominal cramping. Transvaginal ultrasonography shows an intrauterine g…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 30-hour-old boy develops jaundice and pallor. He is feeding reasonably well and has mild splenomegaly. His mother is blood group O positive and he is group B…
Paediatrics · Mechanisms of disease · middle twist
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…
Paediatrics · Clinical rotations · middle twist
A 7-year-old boy receiving chemotherapy for acute lymphoblastic leukaemia develops a temperature of 38.6°C at home. In hospital he is alert, has normal perfusio…
Haematology and Oncology · Clinical rotations · middle twist