305 free practice questions shared by students. Answer them right here — no account needed.
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A 24-year-old woman presents 30 hours after taking repeated doses of paracetamol for a dental infection. She estimates taking 10–12 g daily for four days; her p…
A 62-year-old woman is reviewed three months after a large anterior myocardial infarction. She has mild exertional breathlessness but no recurrent chest pain; t…
A 71-year-old man is monitored after an inferior ST-elevation myocardial infarction. He becomes dizzy but remains conscious; the ECG shows regular P waves at 84…
A 64-year-old man becomes hypotensive shortly after reperfusion of an inferior ST-elevation myocardial infarction. He is distressed but has clear breath sounds,…
A 67-year-old man is recovering on the fourth day after an inferior myocardial infarction treated with primary percutaneous coronary intervention. He suddenly d…
A 41-year-old woman has been stable on clozapine for 18 months but presents with fever, painful swallowing and malaise. Her temperature is 38.5°C and her absolu…
A 34-year-old woman with schizoaffective disorder becomes restless, sweaty and confused six hours after venlafaxine was increased and tramadol was prescribed fo…
A 58-year-old man is being treated with unfractionated heparin for a proximal deep vein thrombosis. On day 7, his platelet count has fallen from 224 to 86 × 10⁹…
A 31-year-old woman developed a proximal deep vein thrombosis at 32 weeks gestation and has received therapeutic low-molecular-weight heparin since diagnosis. S…
A 25-year-old woman had a levonorgestrel-releasing intrauterine device inserted six months ago. She now has a missed period, lower abdominal pain worse on the r…
A 34-year-old woman who is breastfeeding at four weeks after birth requests contraception. She has migraine with visual aura and reports that her periods were p…
A 38-year-old woman presents with two days of very heavy bleeding during an otherwise predictable menstrual cycle. Her blood pressure is 118/72 mmHg, she is not…
A 42-year-old man was treated with radioactive iodine for Graves disease three days ago. He now reports dry mouth and painful swelling in front of both ears, wo…
A 34-year-old woman taking carbimazole for Graves disease presents with fever, malaise and two painful oral ulcers. She has a temperature of 38.7°C and mild cer…
A 58-year-old man with primary adrenal insufficiency is scheduled for multiple dental extractions under general anaesthesia. He takes hydrocortisone 20 mg in th…
A 46-year-old woman presents with fatigue, jaundice and dark urine that began after a respiratory infection. She has mild splenomegaly but no renal or neurologi…
A 27-year-old woman has painless enlargement of the left side of her neck and drenching night sweats. She has no sore throat, dental symptoms or recent travel.…
A 74-year-old man reports several months of fatigue and burning of his feet. He has a smooth, sore tongue and impaired vibration sense at both ankles. His haemo…
A 20-year-old university student with bipolar disorder is admitted voluntarily during a manic episode. She has capacity and agrees that her sister may be told t…
A 56-year-old man with severe depression has decision-making capacity and agrees that electroconvulsive therapy may be appropriate. Before signing consent, he a…