Psychiatry
152 free practice questions at the pre-internship stage shared by students. Answer them right here — no account needed.
A 52-year-old woman who arrived in Australia from Afghanistan eleven months ago attends a community mental health clinic for review of post-traumatic stress dis…
Pre-internship · common
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 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
A 17-year-old boy was assessed six weeks ago with four months of social withdrawal and fleeting suspiciousness, and was referred for psychological therapy. He r…
Pre-internship · middle twist
A 29-year-old woman attends for the fourth time in six months with headache, abdominal pain and difficulty sleeping. Investigations at the previous visits were…
Pre-internship · middle twist
A 24-year-old man with schizophrenia has had three admissions in eighteen months. He receives paliperidone palmitate by monthly injection at the clinic and ever…
Pre-internship · middle twist
A 44-year-old man has adjustment disorder with anxious mood following a workplace investigation. Over eight weeks he has completed six sessions of cognitive beh…
Pre-internship · middle twist
A 68-year-old man is reviewed by the intern on a general medical ward. His wife died sixteen months ago. He says he thinks about her for most of every day, stil…
Pre-internship · niche
A 34-year-old woman has been treated for adjustment disorder with depressed mood for ten months, since her only son sustained a spinal cord injury and she becam…
Pre-internship · middle twist
A 79-year-old woman lives alone in the house she owns. She tells the general practice registrar that her grandson shouts at her when he visits and has twice sho…
Pre-internship · middle twist
An 81-year-old woman has a severe depressive episode with nihilistic delusions. She has refused all food and fluid for four days and is dehydrated, saying that…
Pre-internship · niche
An 80-year-old woman is admitted for assessment of cognitive decline. Her daughter says her memory 'fell off a cliff' in the five months since her husband died.…
Pre-internship · niche
A 79-year-old woman is an inpatient on a psychiatric ward being treated for a depressive episode. She is oriented, gives a coherent account of her illness and i…
Pre-internship · middle twist
A 79-year-old man was prescribed temazepam 10 mg at night when his wife died four months ago, to help him sleep for a few nights. He has taken it every night si…
Pre-internship · middle twist
An 83-year-old woman in residential care has advanced Alzheimer disease. Over six weeks she has repeatedly struck staff during personal care and shouts that the…
Pre-internship · common
A 78-year-old man is reviewed four weeks after starting sertraline for a depressive episode that began when his wife died. His mood is unchanged. He tells you h…
Pre-internship · common
An 80-year-old woman with moderate Alzheimer disease in residential care has been agitated and wandering at night for five days, and is drowsy during the day. S…
Pre-internship · middle twist
An 82-year-old woman with mild dementia is admitted from home with three days of confusion that fluctuates and is worse at night. She is drowsy but rousable and…
Pre-internship · middle twist