Australia
739 free practice questions shared by students. Answer them right here — no account needed.
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
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 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
A 31-year-old man is waiting to be seen in a busy emergency department, brought in by his brother, who says he has stopped his medication. He has schizophrenia…
Psychiatry · Clinical rotations · middle twist
A 22-year-old apprentice is brought to a regional emergency department by friends at 11 pm after telling them he wanted to die. Six hours later his breath alcoh…
Psychiatry · Pre-internship · middle twist
A 44-year-old man attends the community mental health clinic. He has recurrent major depressive disorder and came home nine days ago after a two-week admission…
Psychiatry · Clinical rotations · middle twist
A 76-year-old woman was admitted five days ago with a severe depressive episode. Her general practitioner started amitriptyline 75 mg at night three weeks ago a…
Psychiatry · Pre-internship · middle twist
A 58-year-old man was admitted three and a half days ago after a fall from a ladder; his wife said he drinks nightly at the club. He was settled and oriented fo…
Psychiatry · Clinical rotations · middle twist
An 84-year-old woman with metastatic breast cancer is admitted from her retirement village because over four days she has become drowsy by day, restless at nigh…
Psychiatry · Clinical rotations · middle twist
You are the intern covering the orthopaedic ward at 2 am. A 79-year-old man, two days after hemiarthroplasty for a fractured neck of femur, is climbing over the…
Psychiatry · Pre-internship · middle twist
A 46-year-old accountant is brought in by his wife. Over five weeks he has become convinced that his neighbours are broadcasting his thoughts to the street, and…
Psychiatry · Pre-internship · middle twist
A 71-year-old man is flown in from a remote Aboriginal community in the far north of Western Australia with his daughter, who says that over two years he has be…
Psychiatry · Clinical rotations · middle twist
Eighteen months after her husband died, a 58-year-old woman is brought to the general practice by her daughter. She thinks about him for most of each day and ac…
Psychiatry · Clinical rotations · middle twist
A student writes up a new patient using a format taken from an older textbook: schizophrenia on Axis I, no personality disorder on Axis II, type 2 diabetes on A…
Psychiatry · Clinical rotations · middle twist
An intern reviews a 47-year-old man in the emergency department twelve hours after he swallowed twenty paracetamol tablets on the night his wife left him. He is…
Psychiatry · Pre-internship · middle twist
A 39-year-old man is brought to a regional Western Australian emergency department by police after climbing onto a shop roof shouting that transmitters have bee…
Psychiatry · Pre-internship · middle twist
A 15-year-old girl attends the adolescent mental health clinic alone. She has moderate depression and, after discussion, wants to start an antidepressant. She d…
Psychiatry · Pre-internship · middle twist
A 61-year-old man was admitted with severe depression and pervasive hopelessness after a near-fatal overdose. Twelve days after starting an antidepressant the n…
Psychiatry · Pre-internship · middle twist