15-minute set
15 of 15 items · 15 min budget · seed 1 · 1005 available in scope
Deliberate practice, not a test. Work through the set at your own pace; nothing is timed server-side, scored, or recorded. The budget is guidance only.
1. Explain · Morbid Anxiety Description
Explain why organic neurasthenia is considered a distinct subtype of morbid anxiety rather than simply an alternative label for the same thing.
2. Explain · Experience of Multiple Personalities Description
Explain why the experience of multiple personalities requires careful, thorough differentiation from other conditions before being accepted as the diagnosis.
3. Apply · Anxious Personality Disorder Application
A woman describes intense fear specifically and only when required to eat in front of others or speak at meetings, but is otherwise socially confident, has a wide circle of established friends, and does not describe any generalised low self-worth. Before revealing the answer: is this anxious (avoidant) personality disorder?
4. Explain · La Belle Indifférence Description
Explain why la belle indifference is not simply a more dramatic form of denial.
5. Discriminate · Disturbance of the Continuity of Self vs Disturbance of the Immediate Awareness of Self-Unity Discrimination
A patient describes a disturbed sense of who they are. Before revealing the answer, decide what distinguishes a disturbance of the continuity of self from a disturbance of self-unity.
6. Elicit · Occupational Delirium Elicitation
You suspect a confused patient shows occupational delirium. Before revealing the answer, decide how you would assess for this.
7. Discriminate · Paraschemazia vs Somatoparaphrenia Discrimination
A patient describes an unusual, distressing change in how a body part feels. Before revealing the answer, decide what distinguishes paraschemazia from somatoparaphrenia.
8. Apply · Ganser Syndrome Application
A fully alert, oriented patient consistently gives approximate wrong answers to simple questions, with an amused, facetious manner, but shows no clouding of consciousness, disorientation, or hallucinations at any point. Before revealing the answer: is this Ganser syndrome?
9. Explain · Psychomotor Retardation Description
A patient's family reports she now takes far longer to complete everyday tasks than she used to, though she denies feeling unusually tired. Why is comparing her current pace against her own previous baseline more useful than asking about tiredness alone?
10. Elicit · Movement Disorders Associated with Antipsychotic Medication Elicitation
You are reviewing a patient recently started on antipsychotic medication and want to screen for a subtle movement disorder that might not be obvious just from watching them. Which single question is most appropriate to ask?
11. Discriminate · Obstruction (Blocking) vs Psychomotor Retardation Discrimination
A patient's movements are slowed or hindered. Before revealing the answer, decide what distinguishes obstruction from psychomotor retardation.
12. Explain · Thought Alienation Description
Explain why the three sub-types of thought alienation — insertion, withdrawal, and broadcasting — are described as varying by the 'direction' of the felt interference.
13. Apply · Inhibition (Slowing) of Thinking Application
Mid-sentence, describing his weekend, a patient suddenly stops speaking entirely, looking momentarily blank, and afterward cannot recall what he had been about to say, though his speech had been at a completely normal pace right up until that moment. Before revealing the answer: is this inhibition of thinking?
14. Discriminate · Depressive Pseudodementia vs Amnestic State Discrimination
One patient develops broad difficulty with memory, concentration, and everyday tasks alongside a severe, unmistakable low mood, is acutely distressed by her own decline, and recovers her cognitive function almost completely once the depression is treated. A second patient, following a head injury with no mood disturbance at all, cannot learn or recall any new information from the day of the injury onward, while his other cognitive abilities, immediate recall, and memories from before the injury all remain intact. Are both of these best understood as depressive pseudodementia?
15. Recognise · Morbid Anxiety Recognition
A patient describes a pervasive, sustained state of anxiety present most of the time for months, persisting regardless of what is actually happening in her life, and significantly impairing her ability to work or socialise. What is this?