Australia
328 free practice questions at the pre-internship stage shared by students. Answer them right here — no account needed.
A 45-year-old woman with bipolar I disorder, stable on lithium carbonate 1,000 mg nightly for six years with levels consistently 0.7–0.8 mmol/L, presents with t…
Psychiatry and Mental Health · Pre-internship · middle twist
A 5-week-old boy, first child, has had one week of vomiting that occurs within 30 minutes of every feed and is now forceful, landing well away from him. The vom…
Paediatrics · Pre-internship · middle twist
A 9-year-old girl weighing 30 kg presents in diabetic ketoacidosis as the first presentation of type 1 diabetes: pH 7.02, glucose 34 mmol/L, bicarbonate 6 mmol/…
Paediatrics · Pre-internship · middle twist
A 3-day-old boy, born at term and discharged well at 24 hours, is brought back because he has become grey, floppy and uninterested in feeding over six hours. Hi…
Paediatrics · Pre-internship · middle twist
A 24-year-old woman with seven weeks of amenorrhoea and a positive home pregnancy test presents with two days of left-sided lower abdominal pain and light vagin…
Obstetrics and Gynaecology · Pre-internship · middle twist
A 34-year-old woman at 33 weeks in her third pregnancy, who smokes and has chronic hypertension, presents with two hours of constant severe abdominal pain that…
Obstetrics and Gynaecology · Pre-internship · middle twist
A 22-year-old man was struck on the right temple by a cricket ball three hours ago in a country town. He was briefly unconscious, then walked off the field and…
Emergency and Toxicology · Pre-internship · middle twist
A 19-year-old man had a closed mid-shaft tibial fracture reduced and placed in a below-knee cast eight hours ago after a football tackle. He now has severe pain…
Rheumatology and Musculoskeletal · Pre-internship · middle twist
A 72-year-old woman with atrial fibrillation who stopped her anticoagulant six months ago after a nosebleed wakes at 3 am with sudden severe pain in her left le…
Surgery and Perioperative Care · Pre-internship · middle twist
A 58-year-old interstate truck driver has had two unprovoked generalised tonic-clonic seizures in the past month and a diagnosis of epilepsy has been confirmed…
Ethics and Professional Practice · Pre-internship · middle twist
A 31-year-old man who has sex with men presents with a two-week history of a non-itchy pinkish rash on his trunk that now involves his palms and soles, together…
Infectious Diseases · Pre-internship · middle twist
A 61-year-old man presents with 24 hours of severe pain, redness and swelling of his right first metatarsophalangeal joint, left ankle and right knee. He has ha…
Rheumatology and Musculoskeletal · Pre-internship · middle twist
A 72-year-old woman presents with three weeks of a new, persistent right-sided headache. Brushing her hair on that side has become painful, and her jaw begins t…
Rheumatology and Musculoskeletal · Pre-internship · middle twist
A 68-year-old woman with recently diagnosed small cell lung cancer is brought in after a generalised tonic-clonic seizure at home. Over three days she has becom…
Renal, Urology and Electrolytes · Pre-internship · middle twist
A 46-year-old woman was admitted yesterday with epigastric pain and a serum lipase of 3,400 U/L (<60). Ultrasound showed multiple gallbladder stones and a commo…
Gastroenterology and Hepatology · Pre-internship · middle twist
A 26-year-old man born in Vietnam who migrated to Australia at age 10 attends for a pre-employment medical. He is well. Blood tests show: hepatitis B surface an…
Gastroenterology and Hepatology · Pre-internship · middle twist
A 71-year-old man with severe chronic obstructive pulmonary disease presents with three days of increasing breathlessness and green sputum. On arrival he is dro…
Respiratory · Pre-internship · middle twist
A 58-year-old man was started on oral amoxicillin five days ago for right lower lobe pneumonia. He returns because his fevers have continued and he is more brea…
Respiratory · Pre-internship · middle twist
A 52-year-old Aboriginal woman from a community in Cape York presents with a week of palpitations and breathlessness on walking to the store. She had several ep…
Cardiovascular · Pre-internship · middle twist
You are the intern in a regional hospital's paediatric outpatient clinic. A 3-year-old Aboriginal boy has bilateral middle ear effusions and a 35 dB conductive…
Paediatrics · Pre-internship · middle twist