RANZCP MCQ Exam case studies
RANZCP MCQ Exam · Put your knowledge to work in context.
The RANZCP MCQ Examination is a multiple-choice assessment associated with the Royal Australian and New Zealand College of Psychiatrists, the body that sets training and assessment standards for psychiatry in Australia and Aotearoa New Zealand. It is aimed at candidates progressing through College psychiatry training who need to demonstrate broad, applied psychiatric knowledge under timed conditions. The RANZCP MCQ Exam case studies are 5 cases and about 2,668 words.
1Agitation and prescribing pressure on a medical ward
A 68-year-old man is day 3 post-hemicolectomy. He has a history of alcohol dependence (about 80 g/day for 20 years, last drink 5 days ago) and bipolar I disorder on lithium 900 mg nocte.
537 words, about 3 min2Capacity, refusal and family pressure in an inpatient with anorexia nervosa
A 26-year-old woman with a 9-year history of anorexia nervosa (BMI 13.8, weight 38 kg, height 1.66 m) is admitted after a syncopal episode. Potassium 2.9 mmol/L, magnesium 0.62 mmol/L, phosphate 0.71 mmol/L, heart rate 44, QTc 470 ms.
580 words, about 3 min3A young person who stops eating after a bullying episode
A 14-year-old boy is brought by his mother to a community clinic. Over 3 months he has dropped from 52 kg to 43 kg (BMI 16.1), eats only 'safe' foods, exercises at 5 am, and has stopped attending school.
537 words, about 3 min4Clozapine, constipation and a distended abdomen
A 41-year-old man with treatment-resistant schizophrenia has been on clozapine for 8 months, now 400 mg/day, with a stable level of 480 ng/mL. He presents to the emergency department with 4 days of abdominal pain, distension, vomiting and no bowel action for 5 days.
445 words, about 2 min5Fitness to stand trial in a man with mild intellectual disability
A 34-year-old man with mild intellectual disability (full-scale IQ 62, adaptive functioning at about a 9-year-old level) is charged with assault after a fight outside a pub. He has been in custody for 3 months.
569 words, about 3 min