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465 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.

A medical student takes an alcohol history from a 55-year-old man in a general practice clinic. In a rapid run, without pausing, she asks: 'You don't drink much…

Psychiatry · Clinical rotations · middle twist

A 38-year-old woman is describing the end of her marriage at an outpatient appointment. She says she is fine about it now, honestly, while her voice shakes and…

Psychiatry · Clinical rotations · middle twist

A 28-year-old man brought in by police is pacing the ward corridor, clenching his fists and shouting that he will not be locked up again. He has not struck anyo…

Psychiatry · Pre-internship · middle twist

A 45-year-old man admitted involuntarily believes that a government agency has been recording him. He sits with his back to the wall, keeps the door in view, an…

Psychiatry · Clinical rotations · middle twist

A 47-year-old man is admitted for elective inguinal hernia repair. Taking the substance use history, the intern records 12 standard drinks a day for the past 20…

Psychiatry · Pre-internship · middle twist

A 54-year-old restaurateur is brought by her husband with three weeks of elevated mood, sleeping two hours a night and plans to buy a second premises. She has n…

Psychiatry · Clinical rotations · middle twist

A 15-year-old girl attends a general practice with her mother, who says her daughter has become withdrawn and is failing subjects at school. The doctor has aske…

Psychiatry · Pre-internship · middle twist

An 81-year-old woman who came to Australia from Vietnam at the age of 45 is referred because her family say she forgets appointments and repeats herself. She le…

Psychiatry · Clinical rotations · niche

A 67-year-old Yolŋu man from a remote community in north-east Arnhem Land is admitted to a Darwin hospital for assessment of low mood and weight loss. His first…

Psychiatry · Clinical rotations · middle twist

A 19-year-old man received his first ever dose of an antipsychotic 14 hours ago, having been admitted with psychosis. He calls the nurse because his neck has pu…

Psychiatry · Pre-internship · middle twist

A 74-year-old woman is referred three months after her husband died. Two or three times a week, while she is standing at the kitchen sink, she hears him call he…

Psychiatry · Clinical rotations · middle twist

A 58-year-old man attends his general practice for review of his mood. Asked how he has been sleeping, he begins with the layout of his bedroom, moves on to the…

Psychiatry · Clinical rotations · common

A 79-year-old woman is brought to the emergency department at 2 am by police, having been found walking along a main road in her nightdress. She is pleasant and…

Psychiatry · Pre-internship · middle twist

A 24-year-old man was admitted yesterday to the psychiatric unit as a voluntary patient with a first episode of psychosis. He has told the team he does not want…

Psychiatry · Pre-internship · middle twist

A 68-year-old woman comes to the emergency department at 10 pm with four hours of severe right-sided headache and vomiting that began while she was watching a f…

Ophthalmology · Pre-internship · middle twist

A 34-year-old woman has had a gritty, watering right eye since walking home through a dust storm yesterday afternoon. It hurts most when she blinks. She has nev…

Ophthalmology · Clinical rotations · middle twist

A 4-year-old boy is screened at his preschool in Sydney under the state vision screening programme. Using a matching-letter chart he scores 6/9 in the left eye…

Ophthalmology · Clinical rotations · middle twist

A 74-year-old man attends for a repeat prescription. He drives himself and his wife to the shops and to church each week. He has had dry age-related macular deg…

Ophthalmology · Pre-internship · middle twist

A 54-year-old man with type 2 diabetes of 14 years attends his general practice for review. His most recent glycated haemoglobin is 9.4% (79 mmol/mol) and his b…

Ophthalmology · Clinical rotations · middle twist

A 71-year-old man with long-standing poorly controlled hypertension wakes to find the vision in his left eye blurred. There is no pain, no flashing lights and n…

Ophthalmology · Clinical rotations · common