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321 free practice questions shared by students. Answer them right here — no account needed.

Practise theseOne at a time, in a random order, with the explanation after each.

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 Her daughter says she has become withdrawn at family gatherings and often answers questions inap…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

A 16-year-old girl has had major depression for five months. She has completed 10 sessions of cognitive behavioural therapy but still cannot attend school, has…

Psychiatry · Pre-internship · middle twist

A 12-year-old boy with autism spectrum disorder and moderate intellectual disability has been banging his head on walls and biting his forearms several times a…

Psychiatry · Clinical rotations · middle twist

A 16-year-old boy is brought by his father because he has gone from the top of his class to failing in six months. He has quit the swimming squad, sleeps until…

Psychiatry · Pre-internship · middle twist

A 13-year-old boy's marks have fallen steadily over 12 months and his teacher reports that he dozes in afternoon classes, is irritable and forgets instructions.…

Psychiatry · Clinical rotations · middle twist

A 12-year-old girl has moderate intellectual disability and speaks only in single words. Her family has just moved to Perth. A chromosomal microarray was sent t…

Psychiatry · Pre-internship · middle twist

A 13-year-old boy attends with his mother because his school has asked for a diagnosis. He has always been behind his peers and reads at a Year 3 level. He avoi…

Psychiatry · Clinical rotations · middle twist

A 16-year-old boy is brought to the emergency department by police after he held a kitchen knife towards his mother during an argument about his phone. He is no…

Psychiatry · Pre-internship · middle twist

A 13-year-old boy is brought by his father because of daily shouting matches at home over the past 18 months. He argues with every request, swears at his parent…

Psychiatry · Clinical rotations · middle twist

An 11-year-old girl has missed 14 days of school this term. On school mornings she has stomach ache and vomits, and settles completely once she is told she may…

Psychiatry · Clinical rotations · middle twist

A 15-year-old girl attends a Perth general practice alone and asks for the contraceptive pill. She explains accurately how it works and why it must be taken dai…

Psychiatry · Pre-internship · middle twist

A 13-year-old boy has been diagnosed with attention deficit hyperactivity disorder by a paediatrician, who recommends immediate-release dexamphetamine alongside…

Psychiatry · Pre-internship · middle twist

A 15-year-old boy is referred by the Children's Court after a series of thefts. His mother reports that from the age of eight he lit fires in the backyard and r…

Psychiatry · Clinical rotations · middle twist

During the part of a consultation conducted without his parents, a 16-year-old boy tells you he smokes cannabis with friends most weekends. He is attending scho…

Psychiatry · Pre-internship · middle twist

A 28-year-old woman is admitted after an overdose. The team cannot decide between a recurrent depressive illness and a personality disorder. She gives a vague,…

Psychiatry · Pre-internship · middle twist

A 19-year-old university student is seen the morning after taking twelve paracetamol tablets and scratching her forearm, three weeks after her parents separated…

Psychiatry · Clinical rotations · middle twist

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