Medicine

486 free practice questions at the pre-internship 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 12-year-old girl has moderate intellectual disability and speaks only in single words. Her family has just moved to Perth. A chromosomal microarray was sent t…

Psychiatry · Pre-internship · middle twist

A 16-year-old boy is brought to the emergency department by police after he held a kitchen knife towards his mother during an argument about his phone. He is no…

Psychiatry · Pre-internship · middle twist

A 16-year-old Aboriginal boy is brought to a regional clinic by his aunt six weeks after his grandmother died. He says he hears his grandmother calling his name…

Psychiatry · Pre-internship · niche

A 15-year-old girl attends a Perth general practice alone and asks for the contraceptive pill. She explains accurately how it works and why it must be taken dai…

Psychiatry · Pre-internship · middle twist

A 13-year-old boy has been diagnosed with attention deficit hyperactivity disorder by a paediatrician, who recommends immediate-release dexamphetamine alongside…

Psychiatry · Pre-internship · middle twist

During the part of a consultation conducted without his parents, a 16-year-old boy tells you he smokes cannabis with friends most weekends. He is attending scho…

Psychiatry · Pre-internship · middle twist

A 29-year-old woman with borderline personality disorder has been in dialectical behaviour therapy for four months. Her self-harm has fallen from weekly to once…

Psychiatry · Pre-internship · niche

A 28-year-old woman is admitted after an overdose. The team cannot decide between a recurrent depressive illness and a personality disorder. She gives a vague,…

Psychiatry · Pre-internship · middle twist

A first-year doctor on a community mental health placement has been seeing a 24-year-old woman with borderline personality disorder. Over six weeks he has given…

Psychiatry · Pre-internship · common

At 11 pm a 27-year-old woman with borderline personality disorder comes to the emergency department after her flatmate ended their friendship. She has three sup…

Psychiatry · Pre-internship · common

A 17-year-old boy is seen in the emergency department under police guard after seriously assaulting a stranger. Since primary school he has bullied other childr…

Psychiatry · Pre-internship · middle twist

A 41-year-old man with a long-standing diagnosis of borderline personality disorder is reviewed by his community team. Over the past five weeks he has woken at…

Psychiatry · Pre-internship · 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,…

Psychiatry · Pre-internship · middle twist

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…

Psychiatry · Pre-internship · 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…

Psychiatry · Pre-internship · 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…

Psychiatry · Pre-internship · middle twist

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…

Psychiatry · Pre-internship · middle twist

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…

Psychiatry · 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…

Psychiatry · Pre-internship · middle twist

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…

Psychiatry · Pre-internship · niche