Psychiatry
294 free practice questions shared by students. Answer them right here — no account needed.
At a hospital grand round on mental health funding, a registrar is asked how much Australia spends on mental health. She finds several different figures in circ…
Clinical rotations · niche
A general practice in Perth is planning how to staff its mental health clinics and asks a medical student to summarise the most recent national data. The studen…
Clinical rotations · common
A 29-year-old man with bipolar I disorder is reviewed in the community mental health clinic. He was admitted at 22 with a manic episode and stopped lithium thre…
Pre-internship · middle twist
A 46-year-old woman has been fully well for eight months on sertraline 100 mg daily. This is her fourth depressive episode; the previous three, at 30, 34 and 39…
Pre-internship · middle twist
A 31-year-old primary school teacher has felt low, flat and tearful for seven weeks. She still gets to work every day but finds preparing lessons harder than us…
Clinical rotations · common
A 47-year-old farmer is brought to a regional emergency department by his brother. Over three months he has withdrawn from the family, stopped eating with them…
Pre-internship · common
A 58-year-old man with a three-month depressive episode tells his general practitioner, quietly and without being asked, that he has been thinking about ending…
Clinical rotations · common
A 79-year-old woman was started on sertraline three weeks ago for her first depressive episode. Her daughter brings her to the emergency department because over…
Pre-internship · middle twist
A 15-year-old girl is brought by her mother, who says that for four months she has snapped at everyone, slipped from top of the class to failing, given up netba…
Clinical rotations · common
A 32-year-old woman attends the child health clinic six weeks after an uncomplicated birth. For a month she has felt flat throughout the day, has taken no pleas…
Clinical rotations · common
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 64-year-old woman attends the general practice with six weeks of low mood, tearfulness, broken sleep and loss of interest in everything she used to enjoy. Fiv…
Pre-internship · middle twist
A 61-year-old man is brought by his daughter seven months after his wife died. He has lost 9 kg, wakes at 3 am, and has not gone back to the bowls club or to hi…
Clinical rotations · common
A 27-year-old man is assessed in the emergency department short-stay unit with three weeks of low mood, waking at 4 am and hopelessness. He has had two similar…
Pre-internship · middle twist
A 24-year-old woman is referred because of mood swings since her late teens. Twice in two years she has had six-day spells of sleeping three hours a night, talk…
Clinical rotations · middle twist
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 71-year-old man is three months into rehabilitation after a left middle cerebral artery infarct. He eats little and has lost 4 kg. He wakes at 4 am and cannot…
Clinical rotations · middle twist
A 22-year-old university student had her first episode of psychosis nine months ago and has been in full remission on aripiprazole for the past seven months. Sh…
Pre-internship · middle twist
A 27-year-old man with schizophrenia took risperidone 6 mg daily for ten weeks and then olanzapine 20 mg daily for twelve weeks. His case manager supervises eac…
Pre-internship · middle twist
A 24-year-old man has recovered from his first episode of schizophrenia and has been well on aripiprazole for four months. He has moved back in with his parents…
Clinical rotations · middle twist