Placements
321 free practice questions shared by students. Answer them right here — no account needed.
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
A 29-year-old woman is seen at home on day 10 after an uncomplicated birth. She describes repeated images of stabbing her baby that come into her mind while she…
Psychiatry · Pre-internship · middle twist
A 20-year-old warehouse worker has spent five hours a day washing since he handled a leaking drum of solvent three months ago. He is certain he will poison his…
Psychiatry · Clinical rotations · middle twist
A 29-year-old man with bipolar I disorder is reviewed in the community mental health clinic. He was admitted at 22 with a manic episode and stopped lithium thre…
Psychiatry · Pre-internship · middle twist
A 46-year-old woman has been fully well for eight months on sertraline 100 mg daily. This is her fourth depressive episode; the previous three, at 30, 34 and 39…
Psychiatry · Pre-internship · middle twist
A 79-year-old woman was started on sertraline three weeks ago for her first depressive episode. Her daughter brings her to the emergency department because over…
Psychiatry · Pre-internship · middle twist
A 64-year-old woman attends the general practice with six weeks of low mood, tearfulness, broken sleep and loss of interest in everything she used to enjoy. Fiv…
Psychiatry · Pre-internship · middle twist
A 27-year-old man is assessed in the emergency department short-stay unit with three weeks of low mood, waking at 4 am and hopelessness. He has had two similar…
Psychiatry · Pre-internship · middle twist
A 24-year-old woman is referred because of mood swings since her late teens. Twice in two years she has had six-day spells of sleeping three hours a night, talk…
Psychiatry · Clinical rotations · middle twist
A 71-year-old man is three months into rehabilitation after a left middle cerebral artery infarct. He eats little and has lost 4 kg. He wakes at 4 am and cannot…
Psychiatry · Clinical rotations · middle twist
A 22-year-old university student had her first episode of psychosis nine months ago and has been in full remission on aripiprazole for the past seven months. Sh…
Psychiatry · Pre-internship · middle twist
A 27-year-old man with schizophrenia took risperidone 6 mg daily for ten weeks and then olanzapine 20 mg daily for twelve weeks. His case manager supervises eac…
Psychiatry · Pre-internship · middle twist
A 24-year-old man has recovered from his first episode of schizophrenia and has been well on aripiprazole for four months. He has moved back in with his parents…
Psychiatry · Clinical rotations · middle twist
A 21-year-old man is brought to a regional emergency department at 2 am by police after he was found standing on a freeway overpass. He says a voice has been te…
Psychiatry · Pre-internship · middle twist
A 19-year-old man is brought to the emergency department by police after being found shouting at parked cars. He is guarded, gives his name and little else, and…
Psychiatry · Clinical rotations · middle twist
A 17-year-old is brought to the general practitioner by his father, whose own brother has schizophrenia. Over eight months the boy's grades have fallen, he has…
Psychiatry · Pre-internship · middle twist
A 25-year-old man has taken risperidone 4 mg at night for six months for schizophrenia, and his voices and persecutory beliefs have gone. His mother says he now…
Psychiatry · Clinical rotations · middle twist
An 81-year-old widow has told her general practitioner at three visits over four months that a neighbour lets himself into her flat at night and moves her furni…
Psychiatry · Pre-internship · middle twist