Every question
The whole community bank, newest first. 1,426 questions.
A 21-year-old student is brought to the emergency department at 3 am by his housemates. He has slept two hours in three days and has drunk eight cups of coffee.…
Psychiatry · Pre-internship · middle twist
A 26-year-old accountant is brought to his general practitioner by his sister. For four months he has believed that the presenter of the evening news bulletin a…
Psychiatry · Clinical rotations · common
A 24-year-old man is brought to the emergency department at 2 am by police. He has been using methamphetamine for three days, and is pacing, sweating and shouti…
Psychiatry · Pre-internship · middle twist
A 19-year-old man is brought to the emergency department by friends two hours after a party. He is frightened, is convinced the other guests were laughing at hi…
Psychiatry · Clinical rotations · common
A 63-year-old woman has taken slow-release morphine for eighteen months for pain from vertebral metastases, prescribed and reviewed monthly by her oncologist. S…
Psychiatry · Pre-internship · niche
A 29-year-old man is seen by the consultation-liaison team. Over the past twelve months he has needed steadily more alcohol for the same effect, has twice tried…
Psychiatry · Clinical rotations · middle twist
A 68-year-old woman is admitted after a fall at home. She says she takes 'a sleeping tablet now and then' and drinks 'a small sherry before bed'. Her speech is…
Psychiatry · Clinical rotations · middle twist
A 34-year-old woman attends for a routine health check. She drinks four to five standard drinks on each of five evenings a week and has done so for three years.…
Psychiatry · Clinical rotations · middle twist
A 27-year-old man attends a community drug and alcohol service at 9 am asking to start buprenorphine. He has injected heroin daily for four years and last injec…
Psychiatry · Pre-internship · middle twist
A 47-year-old man completed inpatient alcohol withdrawal and has been abstinent for eight days. He wants medication to help him stay off alcohol and is attendin…
Psychiatry · Clinical rotations · middle twist
A 54-year-old man is admitted eighteen hours after his last drink, anxious, sweating and coarsely tremulous, with a pulse of 108/min and a blood pressure of 150…
Psychiatry · Pre-internship · middle twist
A 41-year-old woman stabilised on methadone 80 mg daily for opioid dependence has had open reduction and internal fixation of an ankle fracture. Four hours late…
Psychiatry · Pre-internship · middle twist
A 58-year-old man is on the second postoperative day after an elective right hemicolectomy. Overnight he became restless and drenched with sweat; this morning h…
Psychiatry · Clinical rotations · common
A 29-year-old man who has injected heroin daily for six years has completed a seven-day inpatient withdrawal. He is medically well and has declined both methado…
Psychiatry · Pre-internship · middle twist
A general practitioner in a regional town is asked to run a drug and alcohol education session at the local secondary school. Media coverage over the past year…
Psychiatry · Clinical rotations · common
You are the intern on a geriatric ward. An 84-year-old woman admitted six days ago with pneumonia was disorientated and inattentive for her first three days; sh…
Psychiatry · Pre-internship · middle twist
A 72-year-old woman who came to Australia from Vietnam forty years ago is brought to a memory clinic by her son, who describes two years of gradually worsening…
Psychiatry · Clinical rotations · middle twist
A 79-year-old man attends with his wife for the results of a memory assessment, which has confirmed mild Alzheimer disease. He lives at home, manages his own fi…
Psychiatry · Pre-internship · middle twist
A 78-year-old woman is brought by her daughter because over eighteen months she has become slower at finding words and repeatedly mislays her keys. She still dr…
Psychiatry · Clinical rotations · middle twist
A 76-year-old man with dementia with Lewy bodies has become convinced that his son is stealing from him and has started accusing and shoving care staff. Over th…
Psychiatry · Pre-internship · niche