Placements
465 free practice questions shared by students. Answer them right here — no account needed.
A 46-year-old accountant is brought in by his wife. Over five weeks he has become convinced that his neighbours are broadcasting his thoughts to the street, and…
Psychiatry · Pre-internship · middle twist
A 71-year-old man is flown in from a remote Aboriginal community in the far north of Western Australia with his daughter, who says that over two years he has be…
Psychiatry · Clinical rotations · middle twist
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 resident is completing the discharge summary for a woman treated for a first manic episode. The diagnosis was made at the bedside against the criteria in the…
Psychiatry · Pre-internship · niche
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 19-year-old man with moderate depression agrees to start sertraline after a discussion of the options. He has no psychotic features, no manic history, takes n…
Psychiatry · Clinical rotations · common
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 medical student presents a new admission at the morning meeting. She gives his age, occupation and living situation, the presenting complaint and its history,…
Psychiatry · Clinical rotations · common
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 22-year-old woman is admitted with three weeks of rapidly worsening persecutory beliefs and speech that is increasingly hard to follow. In the last week her f…
Psychiatry · Pre-internship · niche
A 24-year-old man with treatment-resistant schizophrenia is on day 18 of clozapine, now 250 mg at night. He is febrile at 38.4 degrees Celsius with a pulse of 1…
Psychiatry · Pre-internship · niche
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 27-year-old man with schizophrenia attends the clinic for review. Grinning broadly and giggling, he tells the registrar that his mother died last month and th…
Psychiatry · Clinical rotations · common