Placements
321 free practice questions shared by students. Answer them right here — no account needed.
Eighteen months after her husband died, a 58-year-old woman is brought to the general practice by her daughter. She thinks about him for most of each day and ac…
Psychiatry · Clinical rotations · middle twist
A student writes up a new patient using a format taken from an older textbook: schizophrenia on Axis I, no personality disorder on Axis II, type 2 diabetes on A…
Psychiatry · Clinical rotations · middle twist
An intern reviews a 47-year-old man in the emergency department twelve hours after he swallowed twenty paracetamol tablets on the night his wife left him. He is…
Psychiatry · Pre-internship · middle twist
A 39-year-old man is brought to a regional Western Australian emergency department by police after climbing onto a shop roof shouting that transmitters have bee…
Psychiatry · Pre-internship · middle twist
A 15-year-old girl attends the adolescent mental health clinic alone. She has moderate depression and, after discussion, wants to start an antidepressant. She d…
Psychiatry · Pre-internship · middle twist
A 61-year-old man was admitted with severe depression and pervasive hopelessness after a near-fatal overdose. Twelve days after starting an antidepressant the n…
Psychiatry · Pre-internship · middle twist
A 27-year-old man is interviewed on the ward. Asked why he came into hospital, he begins with the bus timetable, moves to his neighbour's dog and then to the pr…
Psychiatry · Clinical rotations · middle twist
A 29-year-old woman is referred with 'panic attacks': five months of episodes of pounding heartbeat, shaking hands and feeling unbearably hot, several of which…
Psychiatry · Clinical rotations · middle twist
A 78-year-old woman is three days after a hemiarthroplasty for a fractured neck of femur. The night nurse reports that she was pulling at her drip at 2 am and c…
Psychiatry · Pre-internship · middle twist
A 46-year-old teacher completes a brief consumption-based alcohol screen at a routine health check. She reports two 100 mL glasses of wine on each of Monday to…
Psychiatry · Clinical rotations · middle twist
A 74-year-old man who came to Australia from Vietnam at the age of 40 is brought to the general practice by his daughter. Over two years he has become repetitiv…
Psychiatry · Clinical rotations · middle twist
A 62-year-old woman brought to the emergency department after a fall at home tells the registrar that her recent illness was sent by an ancestor spirit, and tha…
Psychiatry · Pre-internship · middle twist
A medical student takes an alcohol history from a 55-year-old man in a general practice clinic. In a rapid run, without pausing, she asks: 'You don't drink much…
Psychiatry · Clinical rotations · middle twist
A 38-year-old woman is describing the end of her marriage at an outpatient appointment. She says she is fine about it now, honestly, while her voice shakes and…
Psychiatry · Clinical rotations · middle twist
A 28-year-old man brought in by police is pacing the ward corridor, clenching his fists and shouting that he will not be locked up again. He has not struck anyo…
Psychiatry · Pre-internship · middle twist
A 45-year-old man admitted involuntarily believes that a government agency has been recording him. He sits with his back to the wall, keeps the door in view, an…
Psychiatry · Clinical rotations · middle twist
A 47-year-old man is admitted for elective inguinal hernia repair. Taking the substance use history, the intern records 12 standard drinks a day for the past 20…
Psychiatry · Pre-internship · middle twist
A 54-year-old restaurateur is brought by her husband with three weeks of elevated mood, sleeping two hours a night and plans to buy a second premises. She has n…
Psychiatry · Clinical rotations · middle twist
A 15-year-old girl attends a general practice with her mother, who says her daughter has become withdrawn and is failing subjects at school. The doctor has aske…
Psychiatry · Pre-internship · middle twist
A 67-year-old Yolŋu man from a remote community in north-east Arnhem Land is admitted to a Darwin hospital for assessment of low mood and weight loss. His first…
Psychiatry · Clinical rotations · middle twist