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Placements

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 29-year-old woman was admitted three weeks ago unable to walk. Magnetic resonance imaging of brain and whole spine, nerve conduction studies and cerebrospinal…

Psychiatry · Pre-internship · middle twist

A 38-year-old woman has attended your general practice eleven times in six months. Each visit follows a new bodily sensation - a headache, a skin blemish, a twi…

Psychiatry · Clinical rotations · common

A 26-year-old woman has been an inpatient for three weeks with recurrent bloodstream infections through her central venous catheter, growing a different mix of…

Psychiatry · Pre-internship · middle twist

A 52-year-old woman attends your practice 20 to 30 times a year with headaches, bloating, dizziness and aching limbs that she says rule her days. She has had tw…

Psychiatry · Clinical rotations · common

A 38-year-old labourer has been off work for nine months with back pain after a workplace lift, and his compensation claim is being contested. On examination he…

Psychiatry · Pre-internship · middle twist

A 34-year-old operating theatre nurse has had eight admissions in a year with episodes of sweating and confusion. Today her blood glucose is 1.6 mmol/L (3.0 to…

Psychiatry · Clinical rotations · middle twist

A 30-year-old woman is brought to the emergency department unable to walk after a heated argument with her mother. Her right leg lies flaccid and she cannot lif…

Psychiatry · Pre-internship · middle twist

A 46-year-old man has consulted five doctors in two years convinced he has bowel cancer. He has had three colonoscopies, all normal, and inspects his stool ever…

Psychiatry · Clinical rotations · middle twist

A 33-year-old woman has had five months of nightmares, flashbacks and hypervigilance since her partner strangled her. She still lives with him and was assaulted…

Psychiatry · Pre-internship · middle twist

Three days ago a bus carrying school staff rolled on a country highway and two people died. A 44-year-old teacher who was on the bus is physically uninjured but…

Psychiatry · Clinical rotations · common

A 24-year-old man avoids parties, will not eat in the staff cafeteria, cannot bring himself to ask a shop assistant for help, and has turned down a promotion be…

Psychiatry · Pre-internship · middle twist

A 58-year-old man is on the surgical ward on the second day after an elective inguinal hernia repair. He is anxious and sweating, his hands tremble, and he has…

Psychiatry · Pre-internship · middle twist

A 27-year-old man with obsessive compulsive disorder has checking rituals that make him two hours late for work most days. He completed 16 sessions of cognitive…

Psychiatry · Pre-internship · middle twist

A 31-year-old teacher describes eight months of constant worry about her students, her mortgage and her parents' health that she cannot switch off. She is tense…

Psychiatry · Clinical rotations · common

A 36-year-old woman was abused by a relative between the ages of six and sixteen. She has nightmares about it, avoids the suburb where it happened and startles…

Psychiatry · Pre-internship · niche

Nineteen days after being pulled from a burning car, a 34-year-old man cannot stop seeing the flames whenever he closes his eyes. He wakes several times a night…

Psychiatry · Clinical rotations · common

A 29-year-old woman is seen at home on day 10 after an uncomplicated birth. She describes repeated images of stabbing her baby that come into her mind while she…

Psychiatry · Pre-internship · middle twist

A 20-year-old warehouse worker has spent five hours a day washing since he handled a leaking drum of solvent three months ago. He is certain he will poison his…

Psychiatry · Clinical rotations · middle twist

A 74-year-old woman is referred with six months of worry, restlessness and broken sleep. She has never been anxious before and can point to no trigger. She has…

Psychiatry · Pre-internship · common

A 29-year-old woman has had six months of abrupt attacks of pounding heartbeat, breathlessness and tingling fingers that peak within minutes. They have come on…

Psychiatry · Clinical rotations · common