Every question
The whole community bank, newest first. 1,344 questions.
A first-year doctor on a community mental health placement has been seeing a 24-year-old woman with borderline personality disorder. Over six weeks he has given…
Psychiatry · Pre-internship · common
At 11 pm a 27-year-old woman with borderline personality disorder comes to the emergency department after her flatmate ended their friendship. She has three sup…
Psychiatry · Pre-internship · common
A 38-year-old man on remand is referred to the prison health service for "anger management". He is charming and articulate. He was expelled from school at 13, h…
Psychiatry · Clinical rotations · common
A 17-year-old boy is seen in the emergency department under police guard after seriously assaulting a stranger. Since primary school he has bullied other childr…
Psychiatry · Pre-internship · middle twist
A 26-year-old woman is assessed by a community mental health team. She has a lifelong pattern of unstable relationships, impulsive self-harm and chronic emptine…
Psychiatry · Clinical rotations · niche
A 56-year-old man is referred by his employer after lodging a third complaint alleging that colleagues are conspiring to have him dismissed. He keeps a dated fo…
Psychiatry · Clinical rotations · middle twist
A 41-year-old man with a long-standing diagnosis of borderline personality disorder is reviewed by his community team. Over the past five weeks he has woken at…
Psychiatry · Pre-internship · middle twist
A 29-year-old woman has been treated for "depression" for six years and has now been referred for electroconvulsive therapy after adequate trials of three antid…
Psychiatry · Clinical rotations · middle twist
You are the intern covering an orthopaedic ward at 11 pm on the third night after a 78-year-old woman's hip hemiarthroplasty. The nurse says she has not slept,…
Psychiatry · Pre-internship · middle twist
A 63-year-old retired postal worker is referred with four months of "insomnia". He falls asleep within ten minutes but wakes at about 4 am and cannot get back t…
Psychiatry · Clinical rotations · common
A 58-year-old man has slept poorly for three weeks since his brother died, and is now making errors at work. Sleep hygiene advice and relaxation training have n…
Psychiatry · Pre-internship · middle twist
A 44-year-old accountant has had trouble getting to sleep for eight months. She goes to bed at 9.30 pm hoping to catch up, then lies awake for two or three hour…
Psychiatry · Clinical rotations · middle twist
A 17-year-old with attention deficit hyperactivity disorder has taken immediate-release methylphenidate 10 mg at 8 am and 10 mg at 1 pm for two years, sleeping…
Psychiatry · Pre-internship · middle twist
A 45-year-old man with major depressive disorder has been treated for seven weeks and his mood has clearly improved. He now reports intensely vivid, unpleasant…
Psychiatry · Clinical rotations · middle twist
A 68-year-old retired plumber is brought by his wife, who says that for eight months, mostly in the hours before dawn, he shouts, kicks and swings his arms whil…
Psychiatry · Pre-internship · middle twist
An 8-year-old boy is brought by his parents because two or three nights a week, usually about an hour after falling asleep, he sits bolt upright and screams. He…
Psychiatry · Clinical rotations · common
A 14-year-old girl attends a Western Australian general practice on her own for what she calls a check-up. During the consultation she tells you she has been ha…
Psychiatry · Pre-internship · middle twist
A 16-year-old girl attends your general practice with her mother, who announces at the desk that her daughter needs to go on the pill for her periods. In the ro…
Psychiatry · Clinical rotations · common
A 16-year-old boy with anorexia nervosa weighing 39 kg was admitted three days ago and nasogastric feeding was commenced and increased daily. He has received th…
Psychiatry · Pre-internship · niche
A 15-year-old girl is brought to a regional emergency department by her mother after fainting at school. Over five months she has cut all fats from her diet and…
Psychiatry · Pre-internship · middle twist