Australia

739 free practice questions 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 27-year-old man with schizophrenia remains persistently deluded and hears voices for most of each day. He has completed eight weeks of risperidone 6 mg daily…

Psychiatry · Pre-internship · middle twist

A 33-year-old woman is reviewed six weeks after the birth of her first child. She has persistent low mood, early morning waking, poor concentration and guilt at…

Psychiatry · Clinical rotations · middle twist

A 58-year-old woman telephones the practice at 5 pm. She has read an online news article claiming that a medicine she has taken for three years has been linked…

Psychiatry · Pre-internship · middle twist

A 24-year-old man with schizophrenia has been taking clozapine for 17 days, titrated to 250 mg daily after two other antipsychotics failed. He reports three day…

Psychiatry · Clinical rotations · middle twist

A general practice registrar reads a news report that the Australian regulator has issued a new warning about a mood stabiliser she prescribes, concerning a pos…

Psychiatry · Clinical rotations · middle twist

A 31-year-old woman stopped paroxetine four days ago; she had taken 20 mg daily for eight months for panic disorder and ran out of tablets while interstate for…

Psychiatry · Clinical rotations · middle twist

A 23-year-old man with treatment-resistant schizophrenia started clozapine eighteen days ago and now takes 250 mg daily. He tells the nurse he feels as though h…

Psychiatry · Clinical rotations · middle twist

A 22-year-old man with a first psychotic episode has taken olanzapine 10 mg daily for six weeks. His delusional beliefs have largely resolved and he has returne…

Psychiatry · Pre-internship · middle twist

A 34-year-old man with schizophrenia, well for two years on aripiprazole 15 mg daily, has not collected a prescription for six weeks and is again hearing neighb…

Psychiatry · Clinical rotations · middle twist

A 27-year-old man with schizophrenia has taken amisulpride 1200 mg daily for ten weeks and, before that, olanzapine 20 mg daily for twelve weeks. Both were give…

Psychiatry · Pre-internship · middle twist

A 24-year-old man with schizophrenia has been prescribed risperidone 6 mg daily for eight weeks since his first admission. He still hears two voices commenting…

Psychiatry · Clinical rotations · middle twist

A 41-year-old man with bipolar I disorder is brought to a Perth community mental health clinic by his mother, who wants him put in hospital. He stopped lithium…

Psychiatry · Pre-internship · middle twist

You are the resident medical officer in a regional Western Australian emergency department at 2 am. Police have brought in a 34-year-old man found walking along…

Psychiatry · Pre-internship · middle twist

A 29-year-old woman is seen at home on day nine after the birth of her first child. Her husband says she has not slept for three nights, is talking rapidly abou…

Psychiatry · Pre-internship · middle twist

A 44-year-old woman is seen in the emergency department after telling her general practitioner that she felt like giving up. She has four weeks of low mood, poo…

Psychiatry · Clinical rotations · middle twist

A 17-year-old boy was assessed six weeks ago with four months of social withdrawal and fleeting suspiciousness, and was referred for psychological therapy. He r…

Psychiatry · Pre-internship · middle twist

A 17-year-old girl is brought to her general practitioner by her father. Over eight months she has stopped seeing friends, dropped from an A to a D average, sle…

Psychiatry · Clinical rotations · middle twist

A 19-year-old man is admitted with a four-week history of persecutory beliefs and voices commenting on his actions. He has used methamphetamine most days for a…

Psychiatry · Clinical rotations · middle twist

A 29-year-old woman attends for the fourth time in six months with headache, abdominal pain and difficulty sleeping. Investigations at the previous visits were…

Psychiatry · Pre-internship · middle twist

A 15-month-old girl is observed in a research playroom during brief separations from and reunions with her mother. On each reunion she runs towards her mother,…

Psychiatry · Clinical rotations · middle twist