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