Placements
250 free practice questions at the pre-internship stage shared by students. Answer them right here — no account needed.
A 24-year-old man is brought to a regional emergency department after his motorcycle struck a guard rail. The ambulance officers report that he lost his output…
Acute Care · Pre-internship · middle twist
A 68-year-old woman is admitted with fever and dysuria. Blood cultures were taken and she received gentamicin and amoxicillin within 40 minutes of arrival. She…
Acute Care · Pre-internship · middle twist
A 34-year-old woman arrives 20 minutes after eating a satay skewer at a food van. She has widespread weals, a hoarse voice and expiratory wheeze. Blood pressure…
Acute Care · Pre-internship · middle twist
A 29-year-old woman, gravida 2 para 1, is 13 weeks and 2 days pregnant by a dating scan at 8 weeks. She has had six hours of moderate vaginal bleeding and cramp…
Acute Care · Pre-internship · middle twist
A 47-year-old man is reviewed in the cardiology clinic after a single episode of loss of consciousness while sitting at his desk. There was no warning and no pa…
Acute Care · Pre-internship · niche
A 44-year-old man presents three hours after a sudden severe occipital headache that reached its worst within a minute while he was straining at stool. He vomit…
Acute Care · Pre-internship · middle twist
A 74-year-old woman describes losing the sight of her right eye over a few seconds while watching television 90 minutes ago. It has not come back and she now se…
Acute Care · Pre-internship · niche
A 26-year-old man is brought to a Perth emergency department by his brother. For six weeks he has slept about two hours a night, has given away his car and most…
Acute Care · Pre-internship · middle twist
An 81-year-old man is three days from a hemiarthroplasty for a fractured neck of femur. Overnight he believes he is on a fishing boat and asks his wife about tw…
Acute Care · Pre-internship · middle twist
A 26-year-old woman weighing 60 kg presents five hours after swallowing an unknown number of immediate-release paracetamol tablets. She is alert with normal obs…
Acute Care · Pre-internship · niche
A 24-year-old motorcyclist is brought in thirty minutes after a high-speed collision. Blood is pulsing from a deep laceration on the medial aspect of his left t…
Acute Care · Pre-internship · middle twist
A 68-year-old man presents with two days of rigors and right flank pain and is confused on arrival. Temperature 38.8 °C, respiratory rate 26/min, heart rate 118…
Acute Care · Pre-internship · middle twist
You are the intern in a Western Australian emergency department. A 3-year-old girl was triaged two hours ago with fever and vomiting. The paediatric registrar r…
Acute Care · Pre-internship · middle twist
A 52-year-old man who lives alone is found drowsy on his kitchen floor and brought in by ambulance. He drinks heavily, is visibly thin, and his neighbour says h…
Acute Care · Pre-internship · middle twist
A 26-year-old woman is brought in three hours after taking about 40 alprazolam tablets with wine. She sleeps but rouses to a loud voice, gags on an oropharyngea…
Acute Care · Pre-internship · niche
An 18-year-old woman took 30 paracetamol tablets after her relationship ended. She has completed acetylcysteine; at 20 hours her alanine aminotransferase is nor…
Acute Care · Pre-internship · middle twist
A 74-year-old man on the orthopaedic ward is found drowsy six hours after his first dose of slow-release oxycodone for a fractured neck of femur. He rouses brie…
Acute Care · Pre-internship · middle twist
A 17-year-old girl weighing 55 kg says she swallowed 45 tablets of immediate-release paracetamol 500 mg about ten hours ago after an argument with her partner.…
Acute Care · Pre-internship · middle twist
A 70 kg man has a 12 cm laceration across the extensor surface of his right forearm from a falling pane of glass. Tendon function through the full range of move…
Acute Care · Pre-internship · middle twist
A 7-year-old girl fell from a scooter onto her outstretched hand yesterday. Her wrist is swollen and tender about 2 cm proximal to the wrist crease, she is usin…
Acute Care · Pre-internship · middle twist