524 free practice questions shared by students. Answer them right here — no account needed.
Topics in this subject
A 5-month-old boy is brought to hospital with 2 days of nasal congestion, cough and reduced breastfeeds. He is alert but has subcostal recession and widespread…
A 42-year-old man is brought to hospital 45 minutes after taking an unknown number of amitriptyline tablets. He is drowsy, has a blood pressure of 78/46 mmHg an…
A 29-year-old woman presents with three days of worsening unilateral throat pain, fever and difficulty swallowing. She cannot open her mouth fully, her voice is…
A 46-year-old man wakes with markedly reduced hearing in his right ear and a continuous high-pitched noise. He has no pain, discharge or recent infection, and t…
A 56-year-old man develops sharp central chest pain 36 hours after an uncomplicated inferior myocardial infarction. The pain is worse when he lies flat or takes…
A 62-year-old man has a regular broad-complex tachycardia at 190 beats per minute three hours after treatment for an acute myocardial infarction. He is consciou…
A 64-year-old man is recovering in hospital four days after an inferior ST-elevation myocardial infarction treated with primary percutaneous coronary interventi…
A 39-year-old man with bipolar disorder is brought to the emergency department one hour after becoming agitated and incoherent. His medicines are sertraline, tr…
A 46-year-old man with schizophrenia becomes restless and confused two days after his haloperidol dose was increased. He is febrile at 39.8°C, has widespread mu…
A 72-year-old man with Parkinson disease is brought by his wife because he has begun speaking to people who are not present and has become suspicious of her. He…
A 16-year-old female long-distance runner develops gradually worsening right groin pain over six weeks. She has recently increased her training volume and repor…
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 3-year-old boy is brought to the emergency department because he has stopped walking and cries when lifted. He has a temperature of 38.8°C, a heart rate of 13…
A 79-year-old woman falls at home and develops groin pain. Pelvic and hip radiographs show no fracture, but after analgesia she still cannot take four steps and…
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 7-year-old boy falls from playground equipment and sustains a displaced supracondylar fracture of the humerus. His hand is warm, capillary refill is 1.5 secon…
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 42-year-old woman has a second proximal deep vein thrombosis while taking rivaroxaban as prescribed. She has no interacting medicines, normal renal function a…
A 68-year-old man with metastatic oesophageal cancer develops a symptomatic proximal deep vein thrombosis. He completed treatment for melaena from the tumour tw…