Acute Care
41 free practice questions at the clinical rotations stage 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
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 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
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
An 84-year-old man with prostate cancer and bone metastases is catheterised in the emergency department for painless retention that has built up over several we…
Clinical rotations · middle twist
A 68-year-old man on the stroke unit has a fine-bore nasogastric tube inserted for feeding after a large middle cerebral artery infarct. Insertion was straightf…
Clinical rotations · middle twist
A 19-year-old woman with type 1 diabetes is on the surgical ward the evening after an appendicectomy. Two hours after her usual insulin she becomes sweaty and t…
Clinical rotations · middle twist
A 58-year-old man is found collapsed at home and brought to the emergency department. He does not respond when his name is called loudly and does not open his e…
Clinical rotations · middle twist
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 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 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 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
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
An 84-year-old woman is on the ward on the evening of the first day after hemiarthroplasty for a fractured neck of femur. She has a morphine patient-controlled…
Clinical rotations · middle twist