Every question
The whole community bank, newest first. 1,344 questions.
A 71-year-old woman is receiving right unilateral electroconvulsive therapy three times a week for melancholic depression. After the fifth treatment she is eati…
Psychiatry · Pre-internship · middle twist
A 74-year-old woman has been in hospital for eleven days with a severe depressive episode. She is convinced her bowel has rotted away and that she is being puni…
Psychiatry · Clinical rotations · middle twist
A 24-year-old woman started sertraline 50 mg daily eleven days ago for a moderate depressive episode, with no previous psychiatric history. She telephones to sa…
Psychiatry · Clinical rotations · common
A 23-year-old woman with bipolar I disorder has had two manic episodes in 18 months and stopped lithium because of intolerable tremor and polyuria. The psychiat…
Psychiatry · Pre-internship · middle twist
A 27-year-old man with schizophrenia remains persistently deluded and hears voices for most of each day. He has completed eight weeks of risperidone 6 mg daily…
Psychiatry · Pre-internship · middle twist
A 33-year-old woman is reviewed six weeks after the birth of her first child. She has persistent low mood, early morning waking, poor concentration and guilt at…
Psychiatry · Clinical rotations · middle twist
A 58-year-old woman telephones the practice at 5 pm. She has read an online news article claiming that a medicine she has taken for three years has been linked…
Psychiatry · Pre-internship · middle twist
A general practice registrar is deciding which antidepressant to start for a 40-year-old man with a first episode of major depression of moderate severity. She…
Psychiatry · Clinical rotations · common
A 24-year-old man with schizophrenia has been taking clozapine for 17 days, titrated to 250 mg daily after two other antipsychotics failed. He reports three day…
Psychiatry · Clinical rotations · middle twist
A 46-year-old man taking venlafaxine 225 mg daily for depression is admitted after a fall at work. The orthopaedic team started slow-release tramadol two days a…
Psychiatry · Pre-internship · niche
A general practice registrar reads a news report that the Australian regulator has issued a new warning about a mood stabiliser she prescribes, concerning a pos…
Psychiatry · Clinical rotations · middle twist
A 31-year-old woman stopped paroxetine four days ago; she had taken 20 mg daily for eight months for panic disorder and ran out of tablets while interstate for…
Psychiatry · Clinical rotations · middle twist
A 29-year-old woman is admitted with a first manic episode. She has not slept for four nights, has telephoned strangers at 3 am and has spent her rent money on…
Psychiatry · Pre-internship · niche
A 32-year-old man with bipolar I disorder has been euthymic for three years on sodium valproate 1200 mg daily, after two manic admissions in his twenties. At a…
Psychiatry · Pre-internship · niche
A 23-year-old man with treatment-resistant schizophrenia started clozapine eighteen days ago and now takes 250 mg daily. He tells the nurse he feels as though h…
Psychiatry · Clinical rotations · middle twist
A 46-year-old man with schizophrenia has taken clozapine 400 mg daily for four years without a dose change. Over the past ten days he has become drowsy in the a…
Psychiatry · Pre-internship · niche
A 26-year-old woman consults her general practitioner five weeks after her relationship ended. She feels flat most days, cries easily and takes an hour to fall…
Psychiatry · Clinical rotations · common
A 22-year-old man with a first psychotic episode has taken olanzapine 10 mg daily for six weeks. His delusional beliefs have largely resolved and he has returne…
Psychiatry · Pre-internship · middle twist
A 15-year-old boy is brought to a general practice by his mother, who says he has become withdrawn over four months. He has stopped playing football, his marks…
Psychiatry · Clinical rotations · common
A 52-year-old woman who arrived in Australia from Afghanistan eleven months ago attends a community mental health clinic for review of post-traumatic stress dis…
Psychiatry · Pre-internship · common