Psychiatry
204 free practice questions shared by students. Answer them right here — no account needed.
A 26-year-old woman has presented to the emergency department nine times in two years after cutting her forearms. She describes chronic emptiness, intense and u…
Pre-internship · middle twist
A 22-year-old university student in a wheat-belt town has had six weeks of low mood, poor concentration and loss of interest since failing two units. There is n…
Clinical rotations · middle twist
A 38-year-old woman has a third depressive episode. It began four months after her mother died and she moved interstate for work, leaving the friends and commun…
Pre-internship · middle twist
A 71-year-old woman is receiving right unilateral electroconvulsive therapy three times a week for melancholic depression. After the fifth treatment she is eati…
Pre-internship · middle twist
A 74-year-old woman has been in hospital for eleven days with a severe depressive episode. She is convinced her bowel has rotted away and that she is being puni…
Clinical rotations · middle twist
A 23-year-old woman with bipolar I disorder has had two manic episodes in 18 months and stopped lithium because of intolerable tremor and polyuria. The psychiat…
Pre-internship · middle twist
A 27-year-old man with schizophrenia remains persistently deluded and hears voices for most of each day. He has completed eight weeks of risperidone 6 mg daily…
Pre-internship · middle twist
A 33-year-old woman is reviewed six weeks after the birth of her first child. She has persistent low mood, early morning waking, poor concentration and guilt at…
Clinical rotations · middle twist
A 58-year-old woman telephones the practice at 5 pm. She has read an online news article claiming that a medicine she has taken for three years has been linked…
Pre-internship · middle twist
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…
Clinical rotations · middle twist
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…
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…
Clinical rotations · middle twist
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…
Clinical rotations · middle twist
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…
Pre-internship · middle twist
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…
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…
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…
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…
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…
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…
Pre-internship · middle twist