204 free practice questions shared by students. Answer them right here — no account needed.
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A 45-year-old woman has a 7-mm calculus in the distal ureter on non-contrast CT. Her pain is controlled with oral analgesia, creatinine is normal, and she is af…
A 47-year-old man with chronic kidney disease presents with palpitations and proximal muscle weakness. Serum potassium is 6.8 mmol/L, the sample is non-haemolys…
A 70-year-old man with diabetic kidney disease takes ramipril and spironolactone. Routine testing shows potassium 6.4 mmol/L, confirmed on a non-haemolysed samp…
A 42-year-old man presents with haemoptysis, fatigue and rapidly worsening renal function. Creatinine is 486 micromol/L, urine microscopy shows dysmorphic red c…
A 59-year-old man has an eGFR of 52 mL/min/1.73 m² on repeated testing over 4 months. His urine albumin:creatinine ratio is 12 mg/mmol, and there is no haematur…
A 31-year-old woman at 18 weeks' gestation presents with sudden left flank pain and microscopic haematuria. She is afebrile, her blood pressure is 126/74 mmHg a…
A 64-year-old woman has had an estimated glomerular filtration rate of 26 mL/min/1.73 m² on two measurements 4 months apart. Her urine albumin:creatinine ratio…
A 26-year-old woman who is 9 weeks pregnant is planning a 3-week trip to rural areas of Papua New Guinea. She will stay in local villages and has no psychiatric…
A 52-year-old woman has progressive headaches and difficulty seeing objects to either side. MRI shows a 2.6-cm sellar mass elevating and compressing the optic c…
A 44-year-old man has an incidental 8-mm pituitary lesion discovered during MRI for headaches. He has normal visual fields, normal pituitary hormone testing, an…
A 59-year-old man presents with eight hours of continuous vertigo, vomiting and difficulty walking. He has spontaneous right-beating nystagmus and no hearing lo…
A 34-year-old swimmer has had increasing right ear pain for three days. Moving the pinna and pressing the tragus markedly worsen the pain, and the external cana…
A healthy 55-year-old man with no family history of prostate cancer asks for a PSA test after seeing an online advertisement. He has no urinary symptoms, haemat…
A 52-year-old man reports a 9-month history of gradually worsening erectile difficulty and reduced sexual desire. He has obesity, hypertension and type 2 diabet…
A 29-year-old woman requests emergency contraception 4 days after unprotected intercourse. Her BMI is 36 kg/m², she is not pregnant and has no contraindication…
A 32-year-old woman wants highly effective contraception and would prefer predictable light bleeding. She does not want a method requiring daily action and has…
A 66-year-old man with diffuse large B-cell lymphoma is receiving chemotherapy through a tunnelled central venous catheter. On day 8 he develops fever of 38.6°C…
A 63-year-old woman with acute myeloid leukaemia has had febrile neutropenia for 96 hours despite piperacillin-tazobactam. She remains haemodynamically stable,…
A 54-year-old woman has a symptomatic isolated posterior calf-vein thrombosis found on ultrasound. She has no cancer, previous venous thromboembolism, marked sw…
A 59-year-old man has a painless left cervical mass that has enlarged over 6 weeks. He reports drenching night sweats and has no dental infection, pharyngitis o…