Psychiatry
294 free practice questions shared by students. Answer them right here — no account needed.
A 46-year-old accountant is brought in by his wife. Over five weeks he has become convinced that his neighbours are broadcasting his thoughts to the street, and…
Pre-internship · middle twist
A 71-year-old man is flown in from a remote Aboriginal community in the far north of Western Australia with his daughter, who says that over two years he has be…
Clinical rotations · middle twist
Eighteen months after her husband died, a 58-year-old woman is brought to the general practice by her daughter. She thinks about him for most of each day and ac…
Clinical rotations · middle twist
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 student writes up a new patient using a format taken from an older textbook: schizophrenia on Axis I, no personality disorder on Axis II, type 2 diabetes on A…
Clinical rotations · middle twist
An intern reviews a 47-year-old man in the emergency department twelve hours after he swallowed twenty paracetamol tablets on the night his wife left him. He is…
Pre-internship · middle twist
A 39-year-old man is brought to a regional Western Australian emergency department by police after climbing onto a shop roof shouting that transmitters have bee…
Pre-internship · middle twist
A 19-year-old man with moderate depression agrees to start sertraline after a discussion of the options. He has no psychotic features, no manic history, takes n…
Clinical rotations · common
A 15-year-old girl attends the adolescent mental health clinic alone. She has moderate depression and, after discussion, wants to start an antidepressant. She d…
Pre-internship · middle twist
A medical student presents a new admission at the morning meeting. She gives his age, occupation and living situation, the presenting complaint and its history,…
Clinical rotations · common
A 61-year-old man was admitted with severe depression and pervasive hopelessness after a near-fatal overdose. Twelve days after starting an antidepressant the n…
Pre-internship · middle twist
A 27-year-old man is interviewed on the ward. Asked why he came into hospital, he begins with the bus timetable, moves to his neighbour's dog and then to the pr…
Clinical rotations · middle twist
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
A 29-year-old woman is referred with 'panic attacks': five months of episodes of pounding heartbeat, shaking hands and feeling unbearably hot, several of which…
Clinical rotations · middle twist
A 78-year-old woman is three days after a hemiarthroplasty for a fractured neck of femur. The night nurse reports that she was pulling at her drip at 2 am and c…
Pre-internship · middle twist
A 46-year-old teacher completes a brief consumption-based alcohol screen at a routine health check. She reports two 100 mL glasses of wine on each of Monday to…
Clinical rotations · middle twist
A 74-year-old man who came to Australia from Vietnam at the age of 40 is brought to the general practice by his daughter. Over two years he has become repetitiv…
Clinical rotations · middle twist
A 62-year-old woman brought to the emergency department after a fall at home tells the registrar that her recent illness was sent by an ancestor spirit, and tha…
Pre-internship · middle twist
A 27-year-old man with schizophrenia attends the clinic for review. Grinning broadly and giggling, he tells the registrar that his mother died last month and th…
Clinical rotations · common