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Psychiatry

142 free practice questions at the clinical rotations stage shared by students. Answer them right here — no account needed.

Practise theseOne at a time, in a random order, with the explanation after each.

A 44-year-old man attends the community mental health clinic. He has recurrent major depressive disorder and came home nine days ago after a two-week admission…

Clinical rotations · middle twist

A 58-year-old man was admitted three and a half days ago after a fall from a ladder; his wife said he drinks nightly at the club. He was settled and oriented fo…

Clinical rotations · middle twist

An 84-year-old woman with metastatic breast cancer is admitted from her retirement village because over four days she has become drowsy by day, restless at nigh…

Clinical rotations · middle twist

A 47-year-old truck driver is referred by his general practitioner with insomnia and low mood after two months of exhaustion. He is in bed for nine hours a nigh…

Clinical rotations · common

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 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

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 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 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 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 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 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

A medical student takes an alcohol history from a 55-year-old man in a general practice clinic. In a rapid run, without pausing, she asks: 'You don't drink much…

Clinical rotations · middle twist

A 38-year-old woman is describing the end of her marriage at an outpatient appointment. She says she is fine about it now, honestly, while her voice shakes and…

Clinical rotations · middle twist

A 45-year-old man admitted involuntarily believes that a government agency has been recording him. He sits with his back to the wall, keeps the door in view, an…

Clinical rotations · middle twist

A 54-year-old restaurateur is brought by her husband with three weeks of elevated mood, sleeping two hours a night and plans to buy a second premises. She has n…

Clinical rotations · middle twist

An 81-year-old woman who came to Australia from Vietnam at the age of 45 is referred because her family say she forgets appointments and repeats herself. She le…

Clinical rotations · niche

A 67-year-old Yolŋu man from a remote community in north-east Arnhem Land is admitted to a Darwin hospital for assessment of low mood and weight loss. His first…

Clinical rotations · middle twist