318 free practice questions shared by students. Answer them right here — no account needed.
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A 34-year-old woman with known autoimmune Addison disease presents with vomiting, abdominal pain and profound weakness. Her blood pressure is 82/48 mmHg, sodium…
A 63-year-old woman reports several months of bone pain and difficulty climbing stairs. She has no focal neurological deficit. Serum calcium is 2.19 mmol/L (2.1…
A 48-year-old woman has a slowly enlarging thyroid nodule, intermittent diarrhoea and facial flushing. Her TSH is 1.6 mIU/L (0.4–4.0), and serum calcitonin is 1…
A 61-year-old man has a 1.5-cm thyroid nodule with a solid markedly hypoechoic appearance, irregular margins and punctate echogenic foci on ultrasound. His TSH…
A 58-year-old man is found to have a serum calcium concentration of 2.78 mmol/L (2.15–2.55) on two occasions. His phosphate is 0.72 mmol/L (0.80–1.50), creatini…
A 42-year-old woman has progressive fatigue, reduced appetite and dizziness when standing. Her serum sodium is 127 mmol/L (135–145), potassium is 5.8 mmol/L (3.…
A 46-year-old man notices sudden hearing loss in his left ear on waking 48 hours ago. He has no pain, discharge or recent upper respiratory infection, and otosc…
A 15-year-old boy has six months of recurrent, predominantly right-sided epistaxis and progressive right nasal obstruction. He has no fever or facial pain, and…
A 14-month-old child has fever and irritability after several days of coryza. The child is pulling at the right ear and wakes repeatedly overnight. Otoscopy sho…
A 64-year-old woman develops sudden, profound painless loss of vision in her left eye 90 minutes before assessment. The left pupil has a relative afferent pupil…
A 71-year-old man develops severe pain and blurred vision in his right eye over two hours. He reports coloured haloes around lights and nausea; examination show…
A 38-year-old woman experiences brief episodes of spinning when she rolls over in bed or looks upward. Each episode lasts less than a minute, and she is well be…
A 42-year-old woman presents with recurrent anterior epistaxis from the right nostril. She is haemodynamically stable, and firm compression for 15 minutes plus…
A 67-year-old man notices flashes of light and a sudden increase in dark spots in his right eye. Several hours later he describes a grey curtain progressing fro…
A 58-year-old woman presents with a unilateral red eye that began this morning. She reports marked discomfort and says bright light is unpleasant, but has no hi…
A 29-year-old woman presents with painful genital lesions that began as small blisters 3 days ago. She describes burning on urination and has bilateral tender i…
A 68-year-old man presents with fever, rigors, dysuria and perineal pain. He has been unable to pass urine for 10 hours, and examination shows a markedly tender…
A 61-year-old man has erectile dysfunction and stable angina treated with regular glyceryl trinitrate spray. He would like to resume sexual activity and has no…
A 27-year-old woman presents with 2 days of lower abdominal pain and deep dyspareunia. She has purulent cervical discharge, a temperature of 38.1 °C and marked…
A 74-year-old woman with metastatic breast cancer presents with sudden dyspnoea and pleuritic chest pain. CT pulmonary angiography confirms bilateral pulmonary…