Acute Care
26 free practice questions shared by students. Answer them right here — no account needed.
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 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
You are the intern covering a medical ward at 2 am. A 61-year-old woman with cirrhosis due to hepatitis C is admitted with hepatic encephalopathy; she is drowsy…
Pre-internship · niche
A 74-year-old man with type 2 diabetes is brought to the emergency department by his wife because he has become sweaty, tremulous and muddled at home. His capil…
Pre-internship · niche
A 24-year-old woman is admitted with an exacerbation of asthma. After an hour of nebulised salbutamol and ipratropium and oral prednisolone she is speaking in f…
Pre-internship · niche
A 70 kg man is brought to the emergency department three hours after his clothing caught fire at a campsite. He has deep burns covering 40% of his total body su…
Pre-internship · niche
A 71-year-old man is on day 2 after a Hartmann procedure for perforated diverticulitis. He remains nil by mouth and his nasogastric tube has drained 1400 mL in…
Pre-internship · niche
A 62-year-old man collapses in a hospital foyer and is found to be in ventricular fibrillation. Compressions have been continuous, adrenaline 1 mg has been give…
Pre-internship · niche
A 66-year-old man has had ninety minutes of central chest pain with sweating. His electrocardiogram shows 3 mm ST elevation in leads II, III and aVF with ST dep…
Pre-internship · niche
A 46-year-old man who came to Australia from South Sudan eight years ago is on the fourth day of treatment for community-acquired pneumonia. Asked by the nurse…
Pre-internship · niche
A 7-month-old infant on a children's ward is found unresponsive and making occasional gasps. You and the paediatric registrar, both trained in paediatric basic…
Pre-internship · niche
A 58-year-old man who works at a piggery near Griffith, New South Wales, is brought in one February with four days of fever and headache and one day of confusio…
Clinical rotations · niche
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…
Pre-internship · niche
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…
Pre-internship · niche
A 46-year-old man with osteoarthritis is brought in three hours after taking twenty-four modified-release paracetamol tablets, each 665 mg, at one sitting. He w…
Clinical rotations · niche
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…
Pre-internship · niche
A 19-year-old woman is brought to the emergency department by her flatmate two hours after swallowing a handful of paracetamol tablets following an argument. Sh…
Clinical rotations · niche
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…
Pre-internship · niche
A 46-year-old man who drinks a bottle of spirits most days has vomited for three days and eaten nothing; he stopped drinking two days ago. He is alert, with epi…
Clinical rotations · niche