Placements
321 free practice questions shared by students. Answer them right here — no account needed.
A 40-year-old man who came to Australia from Iraq as a refugee eight years ago attends a general practice with six months of broken sleep, nightmares and daily…
Psychiatry · Clinical rotations · middle twist
A 71-year-old woman who migrated from Hong Kong 40 years ago is admitted to a psychiatric ward with a severe depressive episode. She speaks Cantonese and almost…
Psychiatry · Pre-internship · middle twist
A metropolitan mental health service is examining why Aboriginal and Torres Strait Islander inpatients leave the ward against medical advice far more often than…
Psychiatry · Clinical rotations · middle twist
A 22-year-old Aboriginal man is brought to a regional hospital by his aunt six weeks after his grandfather's funeral. At night he hears his grandfather calling…
Psychiatry · Clinical rotations · middle twist
A 38-year-old Aboriginal woman is on the caseload of a metropolitan community mental health team after her third admission this year for a depressive episode wi…
Psychiatry · Pre-internship · middle twist
The Australian Institute of Health and Welfare reports causes of death for Aboriginal and Torres Strait Islander children and young people. Among Aboriginal and…
Psychiatry · Clinical rotations · middle twist
A 74-year-old man is reviewed in a memory clinic. Over the past year he has twice been brought home by police after becoming lost while driving to familiar plac…
Psychiatry · Pre-internship · middle twist
A 16-year-old girl is seen alone at a youth health service, where she has been attending for low mood. Today she tells you that for the past fortnight she has b…
Psychiatry · Pre-internship · middle twist
A 15-year-old girl is brought to a general practice by her mother, who is worried about three months of falling grades, weight loss and irritability. After the…
Psychiatry · Clinical rotations · middle twist
A 9-year-old boy attends a child and adolescent mental health clinic for severe attention deficit hyperactivity disorder. The psychiatrist explains the risks, b…
Psychiatry · Clinical rotations · middle twist
You are an intern on a Perth psychiatry ward. At handover for the evening shift the other intern smells strongly of alcohol, is unsteady and slurring slightly,…
Psychiatry · Pre-internship · middle twist
You are a final-year medical student on a Perth psychiatry ward. During the ward round the registrar tells a nursing student, in front of the patient and the wh…
Psychiatry · Pre-internship · middle twist
A 19-year-old man is an inpatient with a first episode of psychosis. He has capacity and told the team yesterday, without being asked, that his family are not t…
Psychiatry · Pre-internship · middle twist
You are the resident on a Perth adult psychiatric inpatient unit. A 41-year-old man with bipolar disorder is a voluntary inpatient and has capacity. Over one we…
Psychiatry · Clinical rotations · middle twist
You are a psychiatry registrar in a country town in Western Australia. A close friend from your football club telephones you at home. He has slept badly for thr…
Psychiatry · Pre-internship · middle twist
A psychiatry registrar treated a 29-year-old woman for a depressive episode in a Perth outpatient clinic, seeing her weekly for eight months. She was discharged…
Psychiatry · Pre-internship · middle twist
A 38-year-old man with bipolar I disorder has been well on lithium for two years. At review he says he has decided to stop it because of tremor and a 9 kg weigh…
Psychiatry · Pre-internship · middle twist
A 79-year-old woman with mild Alzheimer disease is an inpatient with a severe depressive episode. Electroconvulsive therapy is proposed. An hour after the discu…
Psychiatry · Clinical rotations · middle twist
A 46-year-old woman was admitted as a voluntary patient to an authorised psychiatric hospital in Perth three days ago with a severe depressive episode. This mor…
Psychiatry · Pre-internship · middle twist
A 24-year-old man with schizophrenia has been made an involuntary inpatient at an authorised hospital in Perth under the Mental Health Act 2014 (WA) after refus…
Psychiatry · Clinical rotations · middle twist