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Acute Care

62 free practice questions at the clinical rotations stage shared by students. Answer them right here — no account needed.

Practise theseOne at a time, in a random order, with the explanation after each.

A medical student is bag-mask ventilating a 62-year-old woman who is apnoeic after a benzodiazepine overdose. She has a palpable pulse and a correctly sized ora…

Clinical rotations · common

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

You are a medical student on placement in a rural general practice 90 minutes by road from the nearest hospital. A grandmother brings in her 2-year-old grandson…

Clinical rotations · common

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

A 71-year-old man at a restaurant suddenly stands and clutches at his throat during the main course. He cannot speak or make any sound. He is conscious and is s…

Clinical rotations · common

A 63-year-old man wakes at 5 am with swelling of his lower lip and the left side of his tongue. There is no rash and nothing itches. His voice is normal, his ch…

Clinical rotations · middle twist

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 46-year-old warehouse worker has had low back pain for three weeks since lifting a pallet. For the past two days the pain has run down both legs to the feet.…

Clinical rotations · common

A 71-year-old man presents with two hours of severe left loin pain radiating into the groin, with vomiting. He has never had pain like this before. He smokes 20…

Clinical rotations · middle twist

A 23-year-old university student is reviewed after being given a salbutamol inhaler by a locum six months ago. He uses it about three times most weeks for chest…

Clinical rotations · middle twist

A 62-year-old man with treated hypertension develops severe pain between his shoulder blades while carrying a bag of potting mix. It was as bad in the first few…

Clinical rotations · middle twist

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 31-year-old man is brought in after his utility vehicle struck a tree at speed. He is pale and cold and speaks in short phrases. Heart rate 132/min, blood pre…

Clinical rotations · common

A 19-year-old woman walks into a metropolitan emergency department with her sister ninety minutes after swallowing thirty modified-release paracetamol tablets.…

Clinical rotations · middle twist

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 34-year-old man is brought to the emergency department six hours after his general practitioner increased his sertraline and added tramadol for back pain. He…

Clinical rotations · middle twist

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