Psychiatry and Mental Health
20 free practice questions shared by students. Answer them right here — no account needed.
A 42-year-old farmer attends because his wife insisted. She left him four months ago and he has been drinking a bottle of wine most nights. He has lost 6 kg, wa…
Pre-internship · common
A 45-year-old woman with bipolar I disorder, stable on lithium carbonate 1,000 mg nightly for six years with levels consistently 0.7–0.8 mmol/L, presents with t…
Pre-internship · middle twist
A 72-year-old man with Parkinson disease is brought by his wife because he has begun speaking to people who are not present and has become suspicious of her. He…
Clinical rotations · middle twist
A 67-year-old man has become withdrawn and stopped eating over six weeks. He says his organs have rotted and that his family will be financially ruined because…
Clinical rotations · common
A 30-year-old woman is brought by her partner 10 days after giving birth. For four nights she has slept for less than two hours, says the infant has been exchan…
Clinical rotations · common
A 48-year-old man presents with severe persecutory psychosis and requires medication after verbal de-escalation has failed. He has no history of cardiac disease…
Clinical rotations · middle twist
A 26-year-old man with schizophrenia stopped taking lorazepam prescribed for recurrent episodes of immobility and mutism. Two days later he is mute, alternates…
Clinical rotations · niche
A 72-year-old man with Parkinson disease has developed distressing visual experiences over the past month. His wife reports that he sets places at the table for…
Clinical rotations · niche
A 35-year-old woman at 31 weeks’ gestation has six weeks of low mood, guilt and early-morning waking. During the past week she has stopped eating, believes her…
Clinical rotations · common
A 27-year-old man with no previous psychiatric history is brought to hospital by his family after two weeks of little sleep, expansive business plans and increa…
Clinical rotations · common
A 38-year-old woman with bipolar disorder started haloperidol 10 days ago for a manic episode. She now reports that she cannot sit still, repeatedly walks aroun…
Clinical rotations · middle twist
A 46-year-old man with recurrent major depression tells his general practitioner that he intends to take all his prescribed medicines after his partner leaves f…
Pre-internship · common
A 29-year-old man with schizophrenia is brought to the emergency department after threatening another patient. He is pacing, shouting and clenching his fists; h…
Pre-internship · common
A 35-year-old man with a known diagnosis of schizophrenia is brought to the emergency department by police after neighbours reported him shouting in the street…
Pre-internship · middle twist
A 24-year-old university student commenced sertraline 50 mg daily three weeks ago for a depressive episode. His flatmates bring him to the emergency department…
Clinical rotations · common
A 46-year-old woman with bipolar disorder has been stable on lithium carbonate for five years. She presents with two days of nausea, vomiting and unsteadiness o…
Clinical rotations · common
A 17-year-old girl is admitted for nutritional rehabilitation. She weighs 39 kg with a height of 168 cm, having lost 15 kg over six months through severe dietar…
Clinical rotations · common
A 45-year-old man is brought to the emergency department after taking 20 paracetamol tablets following an argument. He is medically cleared and a psychiatric as…
Clinical rotations · common
A 28-year-old man with schizophrenia that failed to respond to two previous antipsychotics has been taking clozapine for four months with good effect. He presen…
Clinical rotations · common
A 52-year-old man is admitted to hospital after a fall at home and is managed with analgesia and bed rest. Thirty-six hours after admission he becomes restless…
Clinical rotations · common