Psychiatry
204 free practice questions shared by students. Answer them right here — no account needed.
A 34-year-old woman attends a Perth general practice for insomnia. On direct questioning she says her partner pushed her into a wall last week, checks her phone…
Pre-internship · middle twist
A 7-year-old boy is brought to a Perth emergency department by his mother with a spiral fracture of the left humerus. He also has a healing circular burn on the…
Pre-internship · middle twist
An 84-year-old woman is brought to a Perth general practice by her daughter, with whom she lives, for a third presentation this year with dehydration. She has l…
Clinical rotations · middle twist
You are the intern on an adult inpatient psychiatric unit. At the morning meeting the occupational therapist reports that a woman due for discharge tomorrow cou…
Pre-internship · middle twist
A 44-year-old man with treatment-resistant schizophrenia has taken clozapine 400 mg at night for six years and smokes 30 cigarettes a day. He is admitted to a s…
Pre-internship · middle twist
A 49-year-old woman with schizophrenia has taken olanzapine for 12 years and attends a community clinic. Over three months she has become thirsty, gets up twice…
Clinical rotations · middle twist
A 31-year-old man with schizophrenia has had four admissions in 18 months. He lives alone in a boarding house, keeps about one clinic appointment in five, and e…
Pre-internship · middle twist
You are the intern on a surgical ward. A 68-year-old woman, four days after mastectomy, tells the night nurse she may as well not wake up in the morning. She ha…
Pre-internship · middle twist
A 46-year-old carpenter has had a major depressive episode for seven months. He completed eight weeks of sertraline 100 mg daily with no change, then twelve wee…
Clinical rotations · middle twist
A 16-year-old girl has been treated for a first episode of psychosis and is well on aripiprazole. She missed most of Year 11 and wants to return part time. Her…
Pre-internship · middle twist
A 24-year-old man had a first episode of schizophrenia nine months ago and has remained well on risperidone. He lives with his mother, who gave up her part-time…
Clinical rotations · middle twist
A 19-year-old university student with anorexia nervosa is admitted to a medical ward weighing 38 kg (body mass index 14.2 kg/m2). Her heart rate is 40 beats per…
Pre-internship · middle twist
A 27-year-old man with schizophrenia has been well for 18 months on paliperidone palmitate and attends a community mental health team. He lives with his parents…
Clinical rotations · middle twist
A 41-year-old woman has had panic attacks with avoidance of buses and shopping centres for two years. Another doctor started diazepam 5 mg twice daily eight mon…
Pre-internship · middle twist
A 34-year-old Aboriginal man attends a general practice in a regional Western Australian town six weeks after his uncle died. He sleeps poorly, has stopped goin…
Clinical rotations · middle twist
A 58-year-old woman who came to Australia from Afghanistan four years ago is brought to the emergency department by her adult son. For a week she has cried most…
Pre-internship · middle twist
A 15-year-old girl has lost 11 kg over eight months. She eats from a short list of permitted foods, exercises for two hours daily and says she is still too fat;…
Pre-internship · middle twist
A 3-year-old boy is brought by his mother, who says he never sits still, runs off in car parks and has been asked to leave two childcare centres. He was born at…
Clinical rotations · middle twist
A 35-year-old intern is caring for a 62-year-old woman with alcohol-related liver disease on a general medical ward. She is the same age as his mother and speak…
Clinical rotations · middle twist
A 29-year-old woman known to the community mental health service comes to the emergency department at 11 pm after an argument with her partner. She is tearful a…
Pre-internship · middle twist