204 free practice questions shared by students. Answer them right here — no account needed.
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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…
A 36-year-old woman at 8 weeks of gestation has vaginal bleeding and intermittent lower abdominal cramping. Transvaginal ultrasonography shows an intrauterine g…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
A 64-year-old woman with cirrhosis presents with fresh haematemesis and melaena. After intravenous access, cautious crystalloid and cross-matched blood have bee…
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…
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…
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…
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…
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…