306 free practice questions shared by students. Answer them right here — no account needed.
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A 7-year-old boy has complained of pain in both thighs and an intermittent limp for one month. He is pale but afebrile, and there is no joint swelling; both hip…
A 13-year-old boy with obesity has had aching pain in his left knee for three weeks. He suddenly develops severe groin pain while rising from a chair and cannot…
A 24-year-old university student presents with three days of migratory joint pain involving both knees and one wrist. He has a temperature of 38.1°C and a small…
A 71-year-old man presents with three days of dyspnoea. CT pulmonary angiography shows bilateral pulmonary emboli and right ventricular enlargement; his blood p…
A 34-year-old woman wants reliable contraception while receiving rifampicin for pulmonary tuberculosis. She has previously used a combined oral contraceptive pi…
A 46-year-old man is brought from a house fire with burns to his face and upper chest. He is awake, has soot around his mouth and is coughing; initially his voi…
A 76-year-old woman taking denosumab for osteoporosis develops pain around a mandibular molar and undergoes extraction. Twelve weeks later, a segment of hard ti…
A 26-year-old woman has painless enlargement of several cervical lymph nodes, night sweats and generalised itch. She has no recent dental infection, cat exposur…
A 46-year-old man develops jaundice, dark urine and exertional dyspnoea over several weeks. He has splenomegaly, a haemoglobin concentration of 78 g/L (130–170)…
A 58-year-old woman presents with tiredness, a sore tongue and difficulty judging the position of her feet in the dark. She has a macrocytic anaemia, a low seru…
A 55-year-old man with severe depression is admitted after refusing food and fluids for several days. He understands that electroconvulsive therapy has been rec…
A 36-year-old man with schizophrenia attends with his sister after stopping risperidone. He hears a voice commenting on his actions but is calm, has no thoughts…
A 72-year-old man with atrial fibrillation notices sudden, profound loss of vision in his right eye while eating breakfast. There is no pain, headache or preced…
A 34-year-old woman at 13 weeks of gestation presents with vaginal bleeding and increasing abdominal distension. The uterus is approximately 18 weeks in size, h…
A 29-year-old woman presents at 7 weeks of pregnancy with increasing right lower abdominal pain and light vaginal bleeding. She conceived after in-vitro fertili…
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…
A 31-year-old woman presents 12 days after a vaginal birth with increasing bleeding, fever and lower abdominal discomfort. Her temperature is 39.1°C, the uterus…
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…
A 59-year-old woman is admitted after vomiting for two days and taking sotalol for recurrent atrial fibrillation. She has several brief episodes of faintness as…
A 41-year-old woman develops a daily headache after several weeks of intense exercise. At first it occurred only after she stood for long periods, but it now be…