Acute Care
151 free practice questions shared by students. Answer them right here — no account needed.
A 7-year-old boy is ready to leave a Perth emergency department six hours after a moderate asthma flare-up. He has had salbutamol by spacer and a first dose of…
Clinical rotations · middle twist
A 78-year-old woman is being discharged after an admission with melaena. She takes apixaban for atrial fibrillation. Gastroscopy showed a bleeding duodenal ulce…
Clinical rotations · middle twist
You are the intern on a Perth surgical ward. Overnight a 74-year-old woman received ten times the intended dose of insulin because of a prescribing error you ma…
Pre-internship · middle twist
An 81-year-old man had a large left middle cerebral artery infarct ten days ago. He cannot swallow safely and can neither understand nor communicate a decision.…
Pre-internship · middle twist
A 62-year-old Aboriginal woman from a remote Kimberley community is admitted to a Broome hospital with small bowel obstruction and listed for laparotomy on tomo…
Pre-internship · middle twist
You are the intern in a Perth emergency department at 0200. Paramedics have just handed over a 78-year-old woman brought in after a fall at home, using the stru…
Clinical rotations · common
You are the intern covering a paediatric ward at a Perth public hospital at 2100. The mother of a 6-year-old boy admitted this morning with fever and vomiting s…
Pre-internship · middle twist
An 82-year-old woman is admitted overnight with a fractured neck of femur after a fall at home. She has had no chest pain, breathlessness or palpitations. Preop…
Pre-internship · niche
A 34-year-old woman born in Vietnam is investigated for tiredness. Her periods are normal, she eats meat, takes no medicines, and was told she was slightly anae…
Clinical rotations · common
A 62-year-old woman attends the emergency department after tripping on a step. She has a grazed knee, is otherwise well, takes only atorvastatin and passes urin…
Pre-internship · middle twist
A 6-year-old girl falls from the monkey bars onto an outstretched right hand. She holds the elbow semi-flexed with diffuse swelling over the distal humerus, and…
Pre-internship · middle twist
A 68-year-old woman is admitted with three days of increasing breathlessness. She has smoked 30 cigarettes a day for 40 years and has lost 6 kg over three month…
Clinical rotations · middle twist
A 9-year-old boy is brought to a regional emergency department after a heavy tackle at football. He is alert and orientated with a Glasgow Coma Scale score of 1…
Clinical rotations · niche
A 24-year-old man comes off a trail bike at speed and arrives in a semi-rigid cervical collar and head blocks applied at the scene. He opens his eyes to voice,…
Pre-internship · niche
A 7-year-old girl falls from the monkey bars onto an outstretched right hand. She is tender about 2 cm proximal to the wrist with mild swelling, no deformity, f…
Clinical rotations · middle twist
A 17-year-old boy returns to the emergency department 18 hours after a below-knee plaster cast was applied for an undisplaced fracture of the distal tibia. He h…
Pre-internship · common
A 41-year-old woman is bitten by her cat three hours ago. She has two puncture wounds over the dorsum of the right hand, one of them directly over the second me…
Pre-internship · middle twist
A 26-year-old man who moved to Australia two years ago stands on a nail while clearing out a chicken run. He presents 30 hours later with a deep puncture throug…
Pre-internship · middle twist
An 81-year-old woman catches her shin on a tow bar. There is a 6 cm triangular flap of skin over the front of the lower leg, based distally, pink to its tip, wi…
Clinical rotations · middle twist
A 27-year-old man is brought in after his motorcycle struck a guardrail. A binder has been applied for an open-book pelvic fracture and he is haemodynamically s…
Pre-internship · middle twist