Every question
The whole community bank, newest first. 1,344 questions.
A 34-year-old man with schizophrenia, well for two years on aripiprazole 15 mg daily, has not collected a prescription for six weeks and is again hearing neighb…
Psychiatry · Clinical rotations · middle twist
A 27-year-old man with schizophrenia has taken amisulpride 1200 mg daily for ten weeks and, before that, olanzapine 20 mg daily for twelve weeks. Both were give…
Psychiatry · Pre-internship · middle twist
A 24-year-old man with schizophrenia has been prescribed risperidone 6 mg daily for eight weeks since his first admission. He still hears two voices commenting…
Psychiatry · Clinical rotations · middle twist
A 41-year-old man with bipolar I disorder is brought to a Perth community mental health clinic by his mother, who wants him put in hospital. He stopped lithium…
Psychiatry · Pre-internship · middle twist
You are the resident medical officer in a regional Western Australian emergency department at 2 am. Police have brought in a 34-year-old man found walking along…
Psychiatry · Pre-internship · middle twist
A 29-year-old woman is seen at home on day nine after the birth of her first child. Her husband says she has not slept for three nights, is talking rapidly abou…
Psychiatry · Pre-internship · middle twist
A 44-year-old woman is seen in the emergency department after telling her general practitioner that she felt like giving up. She has four weeks of low mood, poo…
Psychiatry · Clinical rotations · middle twist
A 17-year-old boy was assessed six weeks ago with four months of social withdrawal and fleeting suspiciousness, and was referred for psychological therapy. He r…
Psychiatry · Pre-internship · middle twist
A 17-year-old girl is brought to her general practitioner by her father. Over eight months she has stopped seeing friends, dropped from an A to a D average, sle…
Psychiatry · Clinical rotations · middle twist
A 19-year-old man is admitted with a four-week history of persecutory beliefs and voices commenting on his actions. He has used methamphetamine most days for a…
Psychiatry · Clinical rotations · middle twist
A 29-year-old woman attends for the fourth time in six months with headache, abdominal pain and difficulty sleeping. Investigations at the previous visits were…
Psychiatry · Pre-internship · middle twist
A 15-month-old girl is observed in a research playroom during brief separations from and reunions with her mother. On each reunion she runs towards her mother,…
Psychiatry · Clinical rotations · middle twist
A 24-year-old man with schizophrenia has had three admissions in eighteen months. He receives paliperidone palmitate by monthly injection at the clinic and ever…
Psychiatry · Pre-internship · middle twist
A 44-year-old man has adjustment disorder with anxious mood following a workplace investigation. Over eight weeks he has completed six sessions of cognitive beh…
Psychiatry · Pre-internship · middle twist
A 31-year-old woman is seen two months after her small business failed. She is tearful, sleeps poorly and has withdrawn from friends, but continues to care for…
Psychiatry · Clinical rotations · common
A 68-year-old man is reviewed by the intern on a general medical ward. His wife died sixteen months ago. He says he thinks about her for most of every day, stil…
Psychiatry · Pre-internship · niche
A 14-year-old boy is brought in by his mother because of his behaviour over the past two months. Since his parents separated he has sworn at teachers, walked ou…
Psychiatry · Clinical rotations · middle twist
A 34-year-old woman has been treated for adjustment disorder with depressed mood for ten months, since her only son sustained a spinal cord injury and she becam…
Psychiatry · Pre-internship · middle twist
A 47-year-old man is seen six weeks after being told his position will be made redundant at the end of the year. He is tearful in the consultation, sleeps poorl…
Psychiatry · Clinical rotations · common
A 79-year-old woman lives alone in the house she owns. She tells the general practice registrar that her grandson shouts at her when he visits and has twice sho…
Psychiatry · Pre-internship · middle twist