Psychiatry
294 free practice questions shared by students. Answer them right here — no account needed.
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 17-year-old girl is brought to her general practitioner by her father. Over eight months she has stopped seeing friends, dropped from an A to a D average, sle…
Clinical rotations · middle twist
A 19-year-old man is admitted with a four-week history of persecutory beliefs and voices commenting on his actions. He has used methamphetamine most days for a…
Clinical rotations · 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 15-month-old girl is observed in a research playroom during brief separations from and reunions with her mother. On each reunion she runs towards her mother,…
Clinical rotations · 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 31-year-old woman is seen two months after her small business failed. She is tearful, sleeps poorly and has withdrawn from friends, but continues to care for…
Clinical rotations · common
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 14-year-old boy is brought in by his mother because of his behaviour over the past two months. Since his parents separated he has sworn at teachers, walked ou…
Clinical rotations · middle twist
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 47-year-old man is seen six weeks after being told his position will be made redundant at the end of the year. He is tearful in the consultation, sleeps poorl…
Clinical rotations · common
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 82-year-old widow attends her general practitioner with her son, who lives in her house and answers most questions for her. Seen alone, she says he shouts at…
Clinical rotations · common
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 83-year-old man with moderate Alzheimer disease has a large symptomatic inguinal hernia and the surgeon has recommended repair. He lives in a hostel, cannot…
Clinical rotations · middle twist
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 78-year-old retired farmer is brought in by his wife with four months of tiredness, vague upper abdominal discomfort and aching legs. He has lost 5 kg. He sto…
Clinical rotations · middle twist
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 78-year-old man with moderate Alzheimer disease is brought in by his wife, who is his only carer and is exhausted. For six weeks he has been getting up at 2 a…
Clinical rotations · common