Placements
183 free practice questions at the pre-internship stage shared by students. Answer them right here — no account needed.
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 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
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
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 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 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 34-year-old woman attends a Perth general practice for insomnia. On direct questioning she says her partner pushed her into a wall last week, checks her phone…
Psychiatry · Pre-internship · middle twist
A 7-year-old boy is brought to a Perth emergency department by his mother with a spiral fracture of the left humerus. He also has a healing circular burn on the…
Psychiatry · Pre-internship · middle twist
You are the intern on an adult inpatient psychiatric unit. At the morning meeting the occupational therapist reports that a woman due for discharge tomorrow cou…
Psychiatry · Pre-internship · middle twist
A 44-year-old man with treatment-resistant schizophrenia has taken clozapine 400 mg at night for six years and smokes 30 cigarettes a day. He is admitted to a s…
Psychiatry · Pre-internship · middle twist
A 31-year-old man with schizophrenia has had four admissions in 18 months. He lives alone in a boarding house, keeps about one clinic appointment in five, and e…
Psychiatry · Pre-internship · middle twist
You are the intern on a surgical ward. A 68-year-old woman, four days after mastectomy, tells the night nurse she may as well not wake up in the morning. She ha…
Psychiatry · Pre-internship · middle twist
A 16-year-old girl has been treated for a first episode of psychosis and is well on aripiprazole. She missed most of Year 11 and wants to return part time. Her…
Psychiatry · Pre-internship · middle twist
A 19-year-old university student with anorexia nervosa is admitted to a medical ward weighing 38 kg (body mass index 14.2 kg/m2). Her heart rate is 40 beats per…
Psychiatry · Pre-internship · middle twist
A 41-year-old woman has had panic attacks with avoidance of buses and shopping centres for two years. Another doctor started diazepam 5 mg twice daily eight mon…
Psychiatry · Pre-internship · middle twist