Psychiatry
152 free practice questions at the pre-internship stage shared by students. Answer them right here — no account needed.
A 15-year-old girl attends the adolescent mental health clinic alone. She has moderate depression and, after discussion, wants to start an antidepressant. She d…
Pre-internship · middle twist
A 61-year-old man was admitted with severe depression and pervasive hopelessness after a near-fatal overdose. Twelve days after starting an antidepressant the n…
Pre-internship · middle twist
A 22-year-old woman is admitted with three weeks of rapidly worsening persecutory beliefs and speech that is increasingly hard to follow. In the last week her f…
Pre-internship · niche
A 24-year-old man with treatment-resistant schizophrenia is on day 18 of clozapine, now 250 mg at night. He is febrile at 38.4 degrees Celsius with a pulse of 1…
Pre-internship · niche
A 78-year-old woman is three days after a hemiarthroplasty for a fractured neck of femur. The night nurse reports that she was pulling at her drip at 2 am and c…
Pre-internship · middle twist
A 62-year-old woman brought to the emergency department after a fall at home tells the registrar that her recent illness was sent by an ancestor spirit, and tha…
Pre-internship · middle twist
A 28-year-old man brought in by police is pacing the ward corridor, clenching his fists and shouting that he will not be locked up again. He has not struck anyo…
Pre-internship · middle twist
A 47-year-old man is admitted for elective inguinal hernia repair. Taking the substance use history, the intern records 12 standard drinks a day for the past 20…
Pre-internship · middle twist
A 15-year-old girl attends a general practice with her mother, who says her daughter has become withdrawn and is failing subjects at school. The doctor has aske…
Pre-internship · middle twist
A 19-year-old man received his first ever dose of an antipsychotic 14 hours ago, having been admitted with psychosis. He calls the nurse because his neck has pu…
Pre-internship · middle twist
A 79-year-old woman is brought to the emergency department at 2 am by police, having been found walking along a main road in her nightdress. She is pleasant and…
Pre-internship · middle twist
A 24-year-old man was admitted yesterday to the psychiatric unit as a voluntary patient with a first episode of psychosis. He has told the team he does not want…
Pre-internship · middle twist