Australia

1,357 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 47-year-old man is seen six weeks after being told his position will be made redundant at the end of the year. He is tearful in the consultation, sleeps poorl…

Psychiatry · Clinical rotations · common

A 79-year-old woman lives alone in the house she owns. She tells the general practice registrar that her grandson shouts at her when he visits and has twice sho…

Psychiatry · Pre-internship · middle twist

An 82-year-old widow attends her general practitioner with her son, who lives in her house and answers most questions for her. Seen alone, she says he shouts at…

Psychiatry · Clinical rotations · common

An 81-year-old woman has a severe depressive episode with nihilistic delusions. She has refused all food and fluid for four days and is dehydrated, saying that…

Psychiatry · Pre-internship · niche

An 83-year-old man with moderate Alzheimer disease has a large symptomatic inguinal hernia and the surgeon has recommended repair. He lives in a hostel, cannot…

Psychiatry · Clinical rotations · middle twist

An 80-year-old woman is admitted for assessment of cognitive decline. Her daughter says her memory 'fell off a cliff' in the five months since her husband died.…

Psychiatry · Pre-internship · niche

A 78-year-old retired farmer is brought in by his wife with four months of tiredness, vague upper abdominal discomfort and aching legs. He has lost 5 kg. He sto…

Psychiatry · Clinical rotations · middle twist

A 79-year-old woman is an inpatient on a psychiatric ward being treated for a depressive episode. She is oriented, gives a coherent account of her illness and i…

Psychiatry · Pre-internship · middle twist

A 78-year-old man with moderate Alzheimer disease is brought in by his wife, who is his only carer and is exhausted. For six weeks he has been getting up at 2 a…

Psychiatry · Clinical rotations · common

A 79-year-old man was prescribed temazepam 10 mg at night when his wife died four months ago, to help him sleep for a few nights. He has taken it every night si…

Psychiatry · Pre-internship · middle twist

A 71-year-old woman is seen seven weeks after the death of her husband of 48 years. She cries most days and sleeps poorly, and has lost 3 kg. She is still cooki…

Psychiatry · Clinical rotations · common

An 83-year-old woman in residential care has advanced Alzheimer disease. Over six weeks she has repeatedly struck staff during personal care and shouts that the…

Psychiatry · Pre-internship · common

A 77-year-old woman is brought to the emergency department by her daughter because she has become confused and unsteady over three days. Five weeks ago her gene…

Psychiatry · Clinical rotations · middle twist

A 78-year-old man is reviewed four weeks after starting sertraline for a depressive episode that began when his wife died. His mood is unchanged. He tells you h…

Psychiatry · Pre-internship · common

A general practice in a regional Western Australian town is auditing its patients aged 65 years and over as part of a suicide prevention programme. None of the…

Psychiatry · Clinical rotations · middle twist

An 80-year-old woman with moderate Alzheimer disease in residential care has been agitated and wandering at night for five days, and is drowsy during the day. S…

Psychiatry · Pre-internship · middle twist

A 73-year-old woman presents with four months of worry, restlessness and difficulty sleeping. She has never been an anxious person and nothing in her circumstan…

Psychiatry · Clinical rotations · middle twist

An 82-year-old woman with mild dementia is admitted from home with three days of confusion that fluctuates and is worse at night. She is drowsy but rousable and…

Psychiatry · Pre-internship · middle twist

An 84-year-old woman is referred for assessment of memory loss. Her daughter says she has become withdrawn at family gatherings and often answers questions inap…

Psychiatry · Clinical rotations · middle twist

An 84-year-old man with mild Alzheimer disease is brought to the emergency department by his daughter. For two days he has been drowsy after lunch and then agit…

Psychiatry · Pre-internship · middle twist