Acute Care
102 free practice questions shared by students. Answer them right here — no account needed.
A 63-year-old woman with type 2 diabetes presents with two days of vomiting and upper abdominal pain, during which she has eaten almost nothing. She takes metfo…
Clinical rotations · middle twist
A 68-year-old woman weighing 65 kg is in the emergency department with urinary sepsis. Intravenous antibiotics were given within 30 minutes of arrival and she h…
Pre-internship · middle twist
A 58-year-old man was admitted 36 hours ago with severe acute pancreatitis and has been given 7 litres of sodium chloride 0.9%. He is alert and normotensive, is…
Clinical rotations · middle twist
A 4-year-old girl has had three days of watery diarrhoea and vomiting. She is irritable with dry mucous membranes and reduced urine output; her hands are warm,…
Clinical rotations · middle twist
A well 24-year-old woman has routine blood tests before starting a combined oral contraceptive. She takes no medication and her blood pressure is 112/70 mmHg. B…
Clinical rotations · middle twist
A 58-year-old man is receiving intravenous vancomycin for a prosthetic joint infection through a 20 gauge cannula in the dorsum of the left hand. Six hours into…
Clinical rotations · middle twist
A 3-year-old boy is pulled unresponsive from a community swimming pool. He is not breathing normally and a lifeguard has started chest compressions while an amb…
Clinical rotations · middle twist
A 54-year-old man presents to a metropolitan hospital with a catheter laboratory after seventy minutes of central chest pain, which is continuing. His blood pre…
Pre-internship · middle twist
A 68-year-old woman is brought in from a residential aged care facility with fever and new confusion. Her temperature is 38.9 degrees Celsius, blood pressure 82…
Pre-internship · middle twist
A 28-year-old man is stung by a bee in a hospital car park. In the emergency department he has generalised urticaria, audible wheeze and a blood pressure of 84/…
Pre-internship · middle twist
A 71-year-old man collapses in the radiology department and is apnoeic with a palpable carotid pulse. You are first to arrive with a self-inflating bag, mask an…
Pre-internship · middle twist
You are the intern on night cover. At 02:00 the nurse asks you to see a 68-year-old man on the second night after a right hemicolectomy. His respiratory rate is…
Pre-internship · middle twist
A 7-year-old boy is brought to the emergency department because he has been breathing hard since the morning. He has vomited repeatedly for two days and says hi…
Clinical rotations · middle twist
In late July a 34-year-old man attends with both his housemates. All three have had headache, nausea and poor concentration that build up through each evening a…
Clinical rotations · middle twist
A 58-year-old man is admitted with three days of fever and a productive cough. He weighs 138 kg, uses continuous positive airway pressure at home for witnessed…
Pre-internship · middle twist
A 24-year-old man is brought to the emergency department after falling four metres from scaffolding onto concrete. He opens his eyes to voice, is confused and l…
Pre-internship · middle twist
A 47-year-old man chokes on a piece of bread roll while talking at a workplace lunch. He coughs hard for a few seconds, then the coughing becomes silent and his…
Clinical rotations · middle twist
You are the intern on a paediatric ward in Perth at 9 pm. A 3-year-old admitted that morning with bronchiolitis has observations that all sit inside the normal…
Pre-internship · middle twist
A 58-year-old man is seen in a pre-admission clinic before a hernia repair. He weighs 138 kg and his upper arm circumference is 42 cm. The nurse records 176/98…
Clinical rotations · middle twist
You are the first doctor to reach a 68-year-old man found slumped in a chair in the day therapy unit. He does not respond to voice or to a firm shake, he makes…
Pre-internship · middle twist