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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 general practice registrar is deciding which antidepressant to start for a 40-year-old man with a first episode of major depression of moderate severity. She…

Psychiatry · Clinical rotations · common

A 24-year-old man with schizophrenia has been taking clozapine for 17 days, titrated to 250 mg daily after two other antipsychotics failed. He reports three day…

Psychiatry · Clinical rotations · middle twist

A 46-year-old man taking venlafaxine 225 mg daily for depression is admitted after a fall at work. The orthopaedic team started slow-release tramadol two days a…

Psychiatry · Pre-internship · niche

A general practice registrar reads a news report that the Australian regulator has issued a new warning about a mood stabiliser she prescribes, concerning a pos…

Psychiatry · Clinical rotations · middle twist

A 31-year-old woman stopped paroxetine four days ago; she had taken 20 mg daily for eight months for panic disorder and ran out of tablets while interstate for…

Psychiatry · Clinical rotations · middle twist

A 29-year-old woman is admitted with a first manic episode. She has not slept for four nights, has telephoned strangers at 3 am and has spent her rent money on…

Psychiatry · Pre-internship · niche

A 32-year-old man with bipolar I disorder has been euthymic for three years on sodium valproate 1200 mg daily, after two manic admissions in his twenties. At a…

Psychiatry · Pre-internship · niche

A 23-year-old man with treatment-resistant schizophrenia started clozapine eighteen days ago and now takes 250 mg daily. He tells the nurse he feels as though h…

Psychiatry · Clinical rotations · middle twist

A 46-year-old man with schizophrenia has taken clozapine 400 mg daily for four years without a dose change. Over the past ten days he has become drowsy in the a…

Psychiatry · Pre-internship · niche

A 26-year-old woman consults her general practitioner five weeks after her relationship ended. She feels flat most days, cries easily and takes an hour to fall…

Psychiatry · Clinical rotations · common

A 22-year-old man with a first psychotic episode has taken olanzapine 10 mg daily for six weeks. His delusional beliefs have largely resolved and he has returne…

Psychiatry · Pre-internship · middle twist

A 15-year-old boy is brought to a general practice by his mother, who says he has become withdrawn over four months. He has stopped playing football, his marks…

Psychiatry · Clinical rotations · common

A 52-year-old woman who arrived in Australia from Afghanistan eleven months ago attends a community mental health clinic for review of post-traumatic stress dis…

Psychiatry · Pre-internship · common

A 34-year-old man with schizophrenia, well for two years on aripiprazole 15 mg daily, has not collected a prescription for six weeks and is again hearing neighb…

Psychiatry · Clinical rotations · middle twist

A 27-year-old man with schizophrenia has taken amisulpride 1200 mg daily for ten weeks and, before that, olanzapine 20 mg daily for twelve weeks. Both were give…

Psychiatry · Pre-internship · middle twist

A 24-year-old man with schizophrenia has been prescribed risperidone 6 mg daily for eight weeks since his first admission. He still hears two voices commenting…

Psychiatry · Clinical rotations · middle twist

A 41-year-old man with bipolar I disorder is brought to a Perth community mental health clinic by his mother, who wants him put in hospital. He stopped lithium…

Psychiatry · Pre-internship · middle twist

You are the resident medical officer in a regional Western Australian emergency department at 2 am. Police have brought in a 34-year-old man found walking along…

Psychiatry · Pre-internship · middle twist

A 29-year-old woman is seen at home on day nine after the birth of her first child. Her husband says she has not slept for three nights, is talking rapidly abou…

Psychiatry · Pre-internship · middle twist

A 44-year-old woman is seen in the emergency department after telling her general practitioner that she felt like giving up. She has four weeks of low mood, poo…

Psychiatry · Clinical rotations · middle twist