Every question
The whole community bank, newest first. 1,344 questions.
A 15-year-old girl has lost 7 kg over eight months by cutting out fats and running before school, and is frightened of gaining weight. She is 160 cm tall and we…
Psychiatry · Clinical rotations · common
A 26-year-old woman with a two-year eating disorder is admitted with cramps and profound weakness. She weighs 58 kg and has not lost weight. She denies vomiting…
Psychiatry · Pre-internship · niche
A 24-year-old primary school teacher is referred because of painless swelling at the angles of both jaws over four months. She is 165 cm tall and weighs 61 kg,…
Psychiatry · Clinical rotations · middle twist
A 22-year-old woman presents to the emergency department having cut her forearms after an argument with her flatmate. She describes two hours in which she felt…
Psychiatry · Pre-internship · middle twist
Six days ago a 27-year-old childcare worker was the front-seat passenger in a head-on collision in which the driver was killed. Since then she has had intrusive…
Psychiatry · Clinical rotations · common
A 26-year-old woman with a history of childhood sexual abuse collapses in the emergency department waiting room and develops generalised shaking. Twelve minutes…
Psychiatry · Pre-internship · niche
A 23-year-old law student describes episodes that begin during arguments with her partner. She suddenly feels as though she has floated up to the ceiling and is…
Psychiatry · Clinical rotations · common
A 29-year-old woman was admitted three weeks ago unable to walk. Magnetic resonance imaging of brain and whole spine, nerve conduction studies and cerebrospinal…
Psychiatry · Pre-internship · middle twist
A 38-year-old woman has attended your general practice eleven times in six months. Each visit follows a new bodily sensation - a headache, a skin blemish, a twi…
Psychiatry · Clinical rotations · common
A 26-year-old woman has been an inpatient for three weeks with recurrent bloodstream infections through her central venous catheter, growing a different mix of…
Psychiatry · Pre-internship · middle twist
A 52-year-old woman attends your practice 20 to 30 times a year with headaches, bloating, dizziness and aching limbs that she says rule her days. She has had tw…
Psychiatry · Clinical rotations · common
A 38-year-old labourer has been off work for nine months with back pain after a workplace lift, and his compensation claim is being contested. On examination he…
Psychiatry · Pre-internship · middle twist
A 34-year-old operating theatre nurse has had eight admissions in a year with episodes of sweating and confusion. Today her blood glucose is 1.6 mmol/L (3.0 to…
Psychiatry · Clinical rotations · middle twist
A 30-year-old woman is brought to the emergency department unable to walk after a heated argument with her mother. Her right leg lies flaccid and she cannot lif…
Psychiatry · Pre-internship · middle twist
A 46-year-old man has consulted five doctors in two years convinced he has bowel cancer. He has had three colonoscopies, all normal, and inspects his stool ever…
Psychiatry · Clinical rotations · middle twist
A 33-year-old woman has had five months of nightmares, flashbacks and hypervigilance since her partner strangled her. She still lives with him and was assaulted…
Psychiatry · Pre-internship · middle twist
Three days ago a bus carrying school staff rolled on a country highway and two people died. A 44-year-old teacher who was on the bus is physically uninjured but…
Psychiatry · Clinical rotations · common
A 24-year-old man avoids parties, will not eat in the staff cafeteria, cannot bring himself to ask a shop assistant for help, and has turned down a promotion be…
Psychiatry · Pre-internship · middle twist
A 58-year-old man is on the surgical ward on the second day after an elective inguinal hernia repair. He is anxious and sweating, his hands tremble, and he has…
Psychiatry · Pre-internship · middle twist
A 27-year-old man with obsessive compulsive disorder has checking rituals that make him two hours late for work most days. He completed 16 sessions of cognitive…
Psychiatry · Pre-internship · middle twist