Every question
The whole community bank, newest first. 1,344 questions.
An 82-year-old widow attends her general practitioner with her son, who lives in her house and answers most questions for her. Seen alone, she says he shouts at…
Psychiatry · Clinical rotations · common
An 81-year-old woman has a severe depressive episode with nihilistic delusions. She has refused all food and fluid for four days and is dehydrated, saying that…
Psychiatry · Pre-internship · niche
An 83-year-old man with moderate Alzheimer disease has a large symptomatic inguinal hernia and the surgeon has recommended repair. He lives in a hostel, cannot…
Psychiatry · Clinical rotations · middle twist
An 80-year-old woman is admitted for assessment of cognitive decline. Her daughter says her memory 'fell off a cliff' in the five months since her husband died.…
Psychiatry · Pre-internship · niche
A 78-year-old retired farmer is brought in by his wife with four months of tiredness, vague upper abdominal discomfort and aching legs. He has lost 5 kg. He sto…
Psychiatry · Clinical rotations · middle twist
A 79-year-old woman is an inpatient on a psychiatric ward being treated for a depressive episode. She is oriented, gives a coherent account of her illness and i…
Psychiatry · Pre-internship · middle twist
A 78-year-old man with moderate Alzheimer disease is brought in by his wife, who is his only carer and is exhausted. For six weeks he has been getting up at 2 a…
Psychiatry · Clinical rotations · common
A 79-year-old man was prescribed temazepam 10 mg at night when his wife died four months ago, to help him sleep for a few nights. He has taken it every night si…
Psychiatry · Pre-internship · middle twist
A 71-year-old woman is seen seven weeks after the death of her husband of 48 years. She cries most days and sleeps poorly, and has lost 3 kg. She is still cooki…
Psychiatry · Clinical rotations · common
An 83-year-old woman in residential care has advanced Alzheimer disease. Over six weeks she has repeatedly struck staff during personal care and shouts that the…
Psychiatry · Pre-internship · common
A 77-year-old woman is brought to the emergency department by her daughter because she has become confused and unsteady over three days. Five weeks ago her gene…
Psychiatry · Clinical rotations · middle twist
A 78-year-old man is reviewed four weeks after starting sertraline for a depressive episode that began when his wife died. His mood is unchanged. He tells you h…
Psychiatry · Pre-internship · common
A general practice in a regional Western Australian town is auditing its patients aged 65 years and over as part of a suicide prevention programme. None of the…
Psychiatry · Clinical rotations · middle twist
An 80-year-old woman with moderate Alzheimer disease in residential care has been agitated and wandering at night for five days, and is drowsy during the day. S…
Psychiatry · Pre-internship · middle twist
A 73-year-old woman presents with four months of worry, restlessness and difficulty sleeping. She has never been an anxious person and nothing in her circumstan…
Psychiatry · Clinical rotations · middle twist
An 82-year-old woman with mild dementia is admitted from home with three days of confusion that fluctuates and is worse at night. She is drowsy but rousable and…
Psychiatry · Pre-internship · middle twist
An 84-year-old woman is referred for assessment of memory loss. Her daughter says she has become withdrawn at family gatherings and often answers questions inap…
Psychiatry · Clinical rotations · middle twist
An 84-year-old man with mild Alzheimer disease is brought to the emergency department by his daughter. For two days he has been drowsy after lunch and then agit…
Psychiatry · Pre-internship · middle twist
An 81-year-old woman who came to Australia from Viet Nam at the age of 55 is brought by her son because of two years of gradually worsening memory. She left sch…
Psychiatry · Clinical rotations · middle twist
A 15-year-old girl has lost 12 kg over five months and eats about 600 kcal a day. She is alert, has attended school all week, and her parents can start family-b…
Psychiatry · Pre-internship · middle twist