Psychiatry
34 free practice questions shared by students. Answer them right here — no account needed.
A 74-year-old woman has been an inpatient for five weeks with a severe depressive episode. She has completed adequate trials of sertraline and then venlafaxine…
Pre-internship · niche
A 62-year-old man is reviewed in the cardiology clinic eight weeks after an anterior myocardial infarction. He meets criteria for a moderate depressive episode…
Pre-internship · niche
A 22-year-old woman is admitted after three weeks of increasingly odd behaviour. Her mother says she had a flu-like illness a month ago, then became convinced h…
Clinical rotations · niche
A 63-year-old woman has taken slow-release morphine for eighteen months for pain from vertebral metastases, prescribed and reviewed monthly by her oncologist. S…
Pre-internship · niche
A 76-year-old man with dementia with Lewy bodies has become convinced that his son is stealing from him and has started accusing and shoving care staff. Over th…
Pre-internship · niche
A 27-year-old man with schizophrenia is assessed at home in Perth after his sister contacted the community mental health team. He stopped his olanzapine six wee…
Pre-internship · niche
A 78-year-old woman is on day six after an elective right hemicolectomy. Since the second postoperative day she has had episodes lasting about twenty minutes in…
Pre-internship · niche
You are the intern on a geriatric medicine ward in Perth. An 84-year-old woman who developed a hyperactive delirium during her admission for pneumonia is being…
Clinical rotations · niche
A 23-year-old woman is brought in by her partner with three weeks of escalating persecutory beliefs, agitation and rambling speech. Over the past week he has no…
Clinical rotations · niche
A 24-year-old man admitted with a first episode of psychosis started olanzapine six days ago and had the dose increased four days ago; he has also taken sertral…
Pre-internship · niche
A resident is completing the discharge summary for a woman treated for a first manic episode. The diagnosis was made at the bedside against the criteria in the…
Pre-internship · niche
A 22-year-old woman is admitted with three weeks of rapidly worsening persecutory beliefs and speech that is increasingly hard to follow. In the last week her f…
Pre-internship · niche
A 24-year-old man with treatment-resistant schizophrenia is on day 18 of clozapine, now 250 mg at night. He is febrile at 38.4 degrees Celsius with a pulse of 1…
Pre-internship · niche
An 81-year-old woman who came to Australia from Vietnam at the age of 45 is referred because her family say she forgets appointments and repeats herself. She le…
Clinical rotations · niche