Australia
739 free practice questions shared by students. Answer them right here — no account needed.
A 74-year-old man is reviewed in a memory clinic. Over the past year he has twice been brought home by police after becoming lost while driving to familiar plac…
Psychiatry · Pre-internship · middle twist
A 16-year-old girl is seen alone at a youth health service, where she has been attending for low mood. Today she tells you that for the past fortnight she has b…
Psychiatry · Pre-internship · middle twist
A 15-year-old girl is brought to a general practice by her mother, who is worried about three months of falling grades, weight loss and irritability. After the…
Psychiatry · Clinical rotations · middle twist
A 9-year-old boy attends a child and adolescent mental health clinic for severe attention deficit hyperactivity disorder. The psychiatrist explains the risks, b…
Psychiatry · Clinical rotations · middle twist
You are an intern on a Perth psychiatry ward. At handover for the evening shift the other intern smells strongly of alcohol, is unsteady and slurring slightly,…
Psychiatry · Pre-internship · middle twist
You are a final-year medical student on a Perth psychiatry ward. During the ward round the registrar tells a nursing student, in front of the patient and the wh…
Psychiatry · Pre-internship · middle twist
A 19-year-old man is an inpatient with a first episode of psychosis. He has capacity and told the team yesterday, without being asked, that his family are not t…
Psychiatry · Pre-internship · middle twist
You are the resident on a Perth adult psychiatric inpatient unit. A 41-year-old man with bipolar disorder is a voluntary inpatient and has capacity. Over one we…
Psychiatry · Clinical rotations · middle twist
You are a psychiatry registrar in a country town in Western Australia. A close friend from your football club telephones you at home. He has slept badly for thr…
Psychiatry · Pre-internship · middle twist
A psychiatry registrar treated a 29-year-old woman for a depressive episode in a Perth outpatient clinic, seeing her weekly for eight months. She was discharged…
Psychiatry · Pre-internship · middle twist
A 38-year-old man with bipolar I disorder has been well on lithium for two years. At review he says he has decided to stop it because of tremor and a 9 kg weigh…
Psychiatry · Pre-internship · middle twist
A 79-year-old woman with mild Alzheimer disease is an inpatient with a severe depressive episode. Electroconvulsive therapy is proposed. An hour after the discu…
Psychiatry · Clinical rotations · middle twist
A 46-year-old woman was admitted as a voluntary patient to an authorised psychiatric hospital in Perth three days ago with a severe depressive episode. This mor…
Psychiatry · Pre-internship · middle twist
A 24-year-old man with schizophrenia has been made an involuntary inpatient at an authorised hospital in Perth under the Mental Health Act 2014 (WA) after refus…
Psychiatry · Clinical rotations · middle twist
A 34-year-old woman attends a Perth general practice for insomnia. On direct questioning she says her partner pushed her into a wall last week, checks her phone…
Psychiatry · Pre-internship · middle twist
A 7-year-old boy is brought to a Perth emergency department by his mother with a spiral fracture of the left humerus. He also has a healing circular burn on the…
Psychiatry · Pre-internship · middle twist
An 84-year-old woman is brought to a Perth general practice by her daughter, with whom she lives, for a third presentation this year with dehydration. She has l…
Psychiatry · Clinical rotations · middle twist
You are the intern on an adult inpatient psychiatric unit. At the morning meeting the occupational therapist reports that a woman due for discharge tomorrow cou…
Psychiatry · Pre-internship · middle twist
A 44-year-old man with treatment-resistant schizophrenia has taken clozapine 400 mg at night for six years and smokes 30 cigarettes a day. He is admitted to a s…
Psychiatry · Pre-internship · middle twist
A 49-year-old woman with schizophrenia has taken olanzapine for 12 years and attends a community clinic. Over three months she has become thirsty, gets up twice…
Psychiatry · Clinical rotations · middle twist