Psychiatry
294 free practice questions shared by students. Answer them right here — no account needed.
A 29-year-old woman has been treated for "depression" for six years and has now been referred for electroconvulsive therapy after adequate trials of three antid…
Clinical rotations · middle twist
You are the intern covering an orthopaedic ward at 11 pm on the third night after a 78-year-old woman's hip hemiarthroplasty. The nurse says she has not slept,…
Pre-internship · middle twist
A 63-year-old retired postal worker is referred with four months of "insomnia". He falls asleep within ten minutes but wakes at about 4 am and cannot get back t…
Clinical rotations · common
A 58-year-old man has slept poorly for three weeks since his brother died, and is now making errors at work. Sleep hygiene advice and relaxation training have n…
Pre-internship · middle twist
A 44-year-old accountant has had trouble getting to sleep for eight months. She goes to bed at 9.30 pm hoping to catch up, then lies awake for two or three hour…
Clinical rotations · middle twist
A 17-year-old with attention deficit hyperactivity disorder has taken immediate-release methylphenidate 10 mg at 8 am and 10 mg at 1 pm for two years, sleeping…
Pre-internship · middle twist
A 45-year-old man with major depressive disorder has been treated for seven weeks and his mood has clearly improved. He now reports intensely vivid, unpleasant…
Clinical rotations · middle twist
A 68-year-old retired plumber is brought by his wife, who says that for eight months, mostly in the hours before dawn, he shouts, kicks and swings his arms whil…
Pre-internship · middle twist
An 8-year-old boy is brought by his parents because two or three nights a week, usually about an hour after falling asleep, he sits bolt upright and screams. He…
Clinical rotations · common
A 14-year-old girl attends a Western Australian general practice on her own for what she calls a check-up. During the consultation she tells you she has been ha…
Pre-internship · middle twist
A 16-year-old girl attends your general practice with her mother, who announces at the desk that her daughter needs to go on the pill for her periods. In the ro…
Clinical rotations · common
A 16-year-old boy with anorexia nervosa weighing 39 kg was admitted three days ago and nasogastric feeding was commenced and increased daily. He has received th…
Pre-internship · niche
A 15-year-old girl is brought to a regional emergency department by her mother after fainting at school. Over five months she has cut all fats from her diet and…
Pre-internship · middle twist
A 15-year-old girl has lost 7 kg over eight months by cutting out fats and running before school, and is frightened of gaining weight. She is 160 cm tall and we…
Clinical rotations · common
A 26-year-old woman with a two-year eating disorder is admitted with cramps and profound weakness. She weighs 58 kg and has not lost weight. She denies vomiting…
Pre-internship · niche
A 24-year-old primary school teacher is referred because of painless swelling at the angles of both jaws over four months. She is 165 cm tall and weighs 61 kg,…
Clinical rotations · middle twist
A 22-year-old woman presents to the emergency department having cut her forearms after an argument with her flatmate. She describes two hours in which she felt…
Pre-internship · middle twist
Six days ago a 27-year-old childcare worker was the front-seat passenger in a head-on collision in which the driver was killed. Since then she has had intrusive…
Clinical rotations · common
A 26-year-old woman with a history of childhood sexual abuse collapses in the emergency department waiting room and develops generalised shaking. Twelve minutes…
Pre-internship · niche
A 23-year-old law student describes episodes that begin during arguments with her partner. She suddenly feels as though she has floated up to the ceiling and is…
Clinical rotations · common