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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 13-year-old boy is brought by his father because of daily shouting matches at home over the past 18 months. He argues with every request, swears at his parent…

Psychiatry · Clinical rotations · middle twist

A 16-year-old Aboriginal boy is brought to a regional clinic by his aunt six weeks after his grandmother died. He says he hears his grandmother calling his name…

Psychiatry · Pre-internship · niche

An 11-year-old girl has missed 14 days of school this term. On school mornings she has stomach ache and vomits, and settles completely once she is told she may…

Psychiatry · Clinical rotations · middle twist

A 15-year-old girl attends a Perth general practice alone and asks for the contraceptive pill. She explains accurately how it works and why it must be taken dai…

Psychiatry · Pre-internship · middle twist

A 14-year-old girl attends your general practice with her mother for the fourth time this year with abdominal pain. She has lost 4 kg, stopped playing netball,…

Psychiatry · Clinical rotations · common

A 13-year-old boy has been diagnosed with attention deficit hyperactivity disorder by a paediatrician, who recommends immediate-release dexamphetamine alongside…

Psychiatry · Pre-internship · middle twist

A 15-year-old boy is referred by the Children's Court after a series of thefts. His mother reports that from the age of eight he lit fires in the backyard and r…

Psychiatry · Clinical rotations · middle twist

During the part of a consultation conducted without his parents, a 16-year-old boy tells you he smokes cannabis with friends most weekends. He is attending scho…

Psychiatry · Pre-internship · middle twist

A 15-year-old girl is brought to the general practice by her mother because her grades have fallen and she is tired all the time. The mother answers most of the…

Psychiatry · Clinical rotations · common

A 29-year-old woman with borderline personality disorder has been in dialectical behaviour therapy for four months. Her self-harm has fallen from weekly to once…

Psychiatry · Pre-internship · niche

A 24-year-old woman with borderline personality disorder has cut her forearms after arguments about once a fortnight for two years, and has attended the emergen…

Psychiatry · Clinical rotations · common

A 28-year-old woman is admitted after an overdose. The team cannot decide between a recurrent depressive illness and a personality disorder. She gives a vague,…

Psychiatry · Pre-internship · middle twist

A 19-year-old university student is seen the morning after taking twelve paracetamol tablets and scratching her forearm, three weeks after her parents separated…

Psychiatry · Clinical rotations · middle twist

A first-year doctor on a community mental health placement has been seeing a 24-year-old woman with borderline personality disorder. Over six weeks he has given…

Psychiatry · Pre-internship · common

At 11 pm a 27-year-old woman with borderline personality disorder comes to the emergency department after her flatmate ended their friendship. She has three sup…

Psychiatry · Pre-internship · common

A 38-year-old man on remand is referred to the prison health service for "anger management". He is charming and articulate. He was expelled from school at 13, h…

Psychiatry · Clinical rotations · common

A 17-year-old boy is seen in the emergency department under police guard after seriously assaulting a stranger. Since primary school he has bullied other childr…

Psychiatry · Pre-internship · middle twist

A 26-year-old woman is assessed by a community mental health team. She has a lifelong pattern of unstable relationships, impulsive self-harm and chronic emptine…

Psychiatry · Clinical rotations · niche

A 56-year-old man is referred by his employer after lodging a third complaint alleging that colleagues are conspiring to have him dismissed. He keeps a dated fo…

Psychiatry · Clinical rotations · middle twist

A 41-year-old man with a long-standing diagnosis of borderline personality disorder is reviewed by his community team. Over the past five weeks he has woken at…

Psychiatry · Pre-internship · middle twist