Psychiatry
294 free practice questions shared by students. Answer them right here — no account needed.
A 38-year-old man with bipolar I disorder has been well on lithium for two years. At review he says he has decided to stop it because of tremor and a 9 kg weigh…
Pre-internship · middle twist
A 79-year-old woman with mild Alzheimer disease is an inpatient with a severe depressive episode. Electroconvulsive therapy is proposed. An hour after the discu…
Clinical rotations · middle twist
A 68-year-old woman is an involuntary inpatient at an authorised hospital in Perth with a severe depressive episode with psychotic features. She has not respond…
Pre-internship · niche
A 31-year-old man with schizophrenia stopped his aripiprazole six weeks ago because of restlessness. His mother brings him to a Perth community mental health cl…
Pre-internship · niche
A 46-year-old woman was admitted as a voluntary patient to an authorised psychiatric hospital in Perth three days ago with a severe depressive episode. This mor…
Pre-internship · middle twist
A 24-year-old man with schizophrenia has been made an involuntary inpatient at an authorised hospital in Perth under the Mental Health Act 2014 (WA) after refus…
Clinical rotations · middle twist
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
An 81-year-old woman attends a Perth general practice for a diabetes review, accompanied by her son, who moved in with her this year and has driven her today. T…
Clinical rotations · common
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 22-year-old apprentice electrician has recovered from a first episode of psychosis and is well on aripiprazole. He lives with his parents, has no debts, showe…
Clinical rotations · common
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