Every question
The whole community bank, newest first. 1,426 questions.
A 74-year-old man is brought by his wife because for the past year he has described the small children who come into the lounge room most afternoons; he can say…
Psychiatry · Clinical rotations · middle twist
An 88-year-old man on a medical ward has a delirium precipitated by pneumonia and is receiving appropriate antibiotics. Overnight he is terrified by figures he…
Psychiatry · Pre-internship · middle twist
An 84-year-old woman was admitted three days ago with cellulitis, which is settling on flucloxacillin. Since yesterday she has been muddled at night, insists th…
Psychiatry · Clinical rotations · middle twist
A 79-year-old woman with moderate Alzheimer disease in residential care has become resistive over the past week. She shouts and pushes staff away during showeri…
Psychiatry · Pre-internship · middle twist
An 82-year-old man with Alzheimer disease diagnosed four years ago lives in residential care, where he usually plays cards each afternoon and needs help only wi…
Psychiatry · Clinical rotations · middle twist
A 27-year-old man with schizophrenia is assessed at home in Perth after his sister contacted the community mental health team. He stopped his olanzapine six wee…
Psychiatry · Pre-internship · niche
A 34-year-old man with schizophrenia has relapsed twice in nine months, on each occasion a few weeks after stopping his oral risperidone. He is currently well,…
Psychiatry · Clinical rotations · middle twist
A 31-year-old woman is reviewed at home by the perinatal mental health team three weeks after the birth of her first child. She has not slept for four nights, h…
Psychiatry · Pre-internship · middle twist
A 19-year-old university student is in the emergency department six hours after her flatmate found her drowsy on the bathroom floor beside an empty blister pack…
Psychiatry · Clinical rotations · middle twist
An 86-year-old man who lives alone is brought to the emergency department by his daughter because he has been muddled for two days and twice called her by his l…
Psychiatry · Pre-internship · middle twist
A 72-year-old woman born in Vietnam attends with her daughter, who reports that over two years her mother has become repetitive, has twice left the stove burnin…
Psychiatry · Clinical rotations · middle twist
A 78-year-old woman is on day six after an elective right hemicolectomy. Since the second postoperative day she has had episodes lasting about twenty minutes in…
Psychiatry · Pre-internship · niche
You are the intern on a geriatric medicine ward in Perth. An 84-year-old woman who developed a hyperactive delirium during her admission for pneumonia is being…
Psychiatry · Clinical rotations · niche
A 74-year-old man has been in hospital for ten days with a severe depressive episode. He is convinced that his bowel has rotted away and that he is being punish…
Psychiatry · Pre-internship · middle twist
A 23-year-old woman is brought in by her partner with three weeks of escalating persecutory beliefs, agitation and rambling speech. Over the past week he has no…
Psychiatry · Clinical rotations · niche
Police bring a 54-year-old man to the emergency department at 2 am after he shouted at passing cars and swung at an officer. He is known to the mental health se…
Psychiatry · Pre-internship · middle twist
A 62-year-old accountant is brought to the emergency department by police after he shoved a shop assistant who asked him to stop taking lollies from an open dis…
Psychiatry · Clinical rotations · middle twist
A 58-year-old man is brought to a regional emergency department after threatening a neighbour with a length of timber. He is shouting, will not sit, and has twi…
Psychiatry · Pre-internship · middle twist
A 26-year-old man has waited four hours in the emergency department to be seen about a hand injury. He is now standing at the triage window, speaking loudly and…
Psychiatry · Clinical rotations · common
A 78-year-old man admitted a fortnight ago with a first psychotic illness had his risperidone increased from 1 mg to 3 mg daily seven days ago. Since then he ha…
Psychiatry · Pre-internship · middle twist