Acute Care
102 free practice questions shared by students. Answer them right here — no account needed.
An 82-year-old woman with advanced dementia is admitted to a Perth hospital with a fractured neck of femur. She cannot repeat back or weigh up any part of the d…
Pre-internship · middle twist
A 34-year-old man is brought to a Perth emergency department with a stab wound to the thigh. He is alert, gives a clear account of the assault, and knows the da…
Pre-internship · middle twist
A 26-year-old man is brought in after coming off a motorcycle at speed. He has an anterior dislocation of the left shoulder and fractures of the left pubic rami…
Clinical rotations · middle twist
A 63-year-old man with renal colic is receiving morphine 2.5 mg intravenously every 5 minutes on your instruction. He has now had 12.5 mg and says the pain has…
Pre-internship · middle twist
A 71-year-old woman attends the emergency department with 10 hours of vomiting that began after a family barbecue. She has Parkinson disease treated with levodo…
Clinical rotations · middle twist
A 5-year-old boy is pulled from a backyard swimming pool in Mandurah after an unknown time under the water. He is limp and blue and is not breathing normally. H…
Pre-internship · middle twist
A 34-year-old bushwalker is winched out of a gully in the Stirling Range after a night in cold rain. He is unresponsive and pulseless. Cardiopulmonary resuscita…
Pre-internship · middle twist
A 16-year-old boy collapses at the finish of a school cross-country race in Perth on a 39-degree day. He is confused, cannot say where he is, and is unsteady wh…
Clinical rotations · middle twist
A 19-year-old man walks into a small country hospital 40 minutes after being bitten on the right calf by a snake he disturbed while moving hay bales. A bystande…
Pre-internship · middle twist
A 24-year-old man is brought to the surf club first aid room at a Perth beach in February. Ten minutes ago, while swimming, he felt sudden severe burning pain i…
Clinical rotations · middle twist
A 22-year-old man is brought in 20 minutes after eating a satay skewer at a food van. On arrival he had widespread welts, audible wheeze and a blood pressure of…
Pre-internship · middle twist
A 62-year-old man wakes at 5 am with swelling of his lips and tongue that has worsened over three hours. He ate prawns and drank a glass of wine at a restaurant…
Clinical rotations · middle twist
An 81-year-old woman was brought from a residential aged care facility two hours ago with fever and dysuria; her observations were normal at triage and she was…
Pre-internship · middle twist
You are the intern on an evening shift at a public hospital in Perth. A 3-year-old boy was admitted this morning with a febrile illness. His mother has told the…
Pre-internship · middle twist
A 79-year-old woman is brought in drowsy and clammy after two episodes of collapse at home. The monitor shows complete heart block with a ventricular rate of 34…
Pre-internship · middle twist
A 58-year-old man had a witnessed collapse at a shopping centre. Bystanders started compressions, ambulance officers delivered one shock, and spontaneous circul…
Pre-internship · middle twist
A 4-year-old boy weighing 16 kg has had profuse watery diarrhoea and vomiting for three days and has not passed urine since yesterday. In the emergency departme…
Pre-internship · middle twist
A 63-year-old man with two hours of chest pain has 3 mm of ST elevation in leads II, III and aVF. He is alert but cold and clammy. Pulse is 52 beats per minute…
Pre-internship · middle twist
A 5-year-old girl weighing 20 kg is admitted with right lower lobe pneumonia. She is febrile at 38.9 degrees Celsius, saturating 93% on 2 litres per minute of o…
Pre-internship · middle twist
A 24-year-old man is brought in after his motorcycle struck a fence post. He opens his eyes to pain, makes incomprehensible sounds and localises with his right…
Clinical rotations · middle twist