Australia
739 free practice questions shared by students. Answer them right here — no account needed.
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…
Paediatrics · Clinical rotations · middle twist
A 24-year-old woman presents with abrupt pounding in her neck and mild breathlessness that began while she was sitting at work. She is alert, warm and normotens…
Cardiovascular · Clinical rotations · middle twist
A 44-year-old woman develops a severe headache while lifting her young child; she says it was already unbearable before she could put the child down. She has vo…
Neurology · Clinical rotations · middle twist
An otherwise well 29-year-old woman presents eight days after an uncomplicated vaginal delivery with a headache that has gradually intensified over four days. I…
Obstetrics and Gynaecology · Clinical rotations · middle twist
A 45-year-old man presents after four days of worsening right lower quadrant pain, fever and anorexia. Examination finds a tender, relatively fixed mass in the…
Surgery and Perioperative Care · Clinical rotations · middle twist
A 76-year-old man with persistent atrial fibrillation develops sudden severe abdominal pain and vomiting. He is pale and distressed, but his abdomen is initiall…
Emergency and Toxicology · Clinical rotations · middle twist
A 67-year-old man with a previous midline laparotomy presents with colicky abdominal pain, vomiting and progressive distension. Initially the pain came in waves…
Gastroenterology and Hepatology · Clinical rotations · middle twist
A 66-year-old man is admitted with melaena from a duodenal ulcer and undergoes successful endoscopic haemostasis. He has taken aspirin 100 mg daily since a myoc…
Cardiovascular · Clinical rotations · middle twist
A 67-year-old man presents with recurrent passage of bright-red blood and clots. After initial fluid replacement, his blood pressure is 126/74 mmHg and pulse is…
Cardiovascular · Clinical rotations · middle twist
A 64-year-old woman with cirrhosis presents with fresh haematemesis and melaena. After intravenous access, cautious crystalloid and cross-matched blood have bee…
Cardiovascular · Clinical rotations · middle twist
A 26-year-old woman is identified as a household contact of a patient with invasive meningococcal disease caused by Neisseria meningitidis serogroup B. She is 2…
Obstetrics and Gynaecology · Clinical rotations · middle twist
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…
Paediatrics · Clinical rotations · middle twist
A 9-year-old refugee presents with a sore throat and neck swelling after arriving in Australia from a region with limited vaccination coverage. He is febrile bu…
Infectious Diseases · Pre-internship · middle twist
A 34-year-old man with established primary sclerosing cholangitis develops worsening pruritus and jaundice over six weeks, with a 5 kg weight loss. His bilirubi…
Gastroenterology and Hepatology · Clinical rotations · middle twist
A 29-year-old woman is admitted with nausea, jaundice and right upper-quadrant discomfort. Her alanine aminotransferase is 9200 U/L (5–40), aspartate aminotrans…
Cardiovascular · Clinical rotations · middle twist
A 29-year-old Aboriginal man attends an annual health assessment. He injects methamphetamine intermittently and reports sharing a needle once four months ago; h…
Infectious Diseases · Pre-internship · middle twist
A 45-year-old man attends a health assessment. He has a sedentary occupation, a waist circumference of 108 cm and a first-degree relative with type 2 diabetes,…
Endocrine and Metabolic · Clinical rotations · middle twist
A 68-year-old man undergoes an abdominal ultrasound arranged during assessment of nonspecific back discomfort. He has no abdominal pain, vascular symptoms or kn…
Cardiovascular · Clinical rotations · middle twist
A 24-year-old man with type 1 diabetes presents with vomiting and abdominal pain. His blood glucose concentration is 28 mmol/L, blood ketones are 6.4 mmol/L and…
Endocrine and Metabolic · Clinical rotations · middle twist
A 29-year-old man with asthma is treated for an acute exacerbation with repeated nebulised salbutamol, ipratropium and corticosteroids. Initially he was agitate…
Respiratory · Clinical rotations · middle twist