Dr. High Yield Psychiatry Practice Test

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• If an SSRI causes side effects but is clinically effective, what is the recommended approach?
• Somatic symptom disorder is characterized by which finding?
• First-line pharmacotherapy for dystonia is which agent?
• Which statement correctly differentiates somatic symptom disorder from illness anxiety disorder?
• What is the first-line treatment for delirium tremens?
• Cyclothymic disorder involves mood fluctuations lasting at least two years without meeting criteria for mania or major depressive episodes. True or False?
• What is the most common physiological cause of erectile dysfunction?
• Which anticholinergic is commonly associated with delirium in older adults?
• Which seizure type is typically associated with a post-ictal state?
• In evaluating suspected TCA overdose, which statement is correct?
• Which is NOT part of the AEIOU mnemonic for dialysis indications?
• In differentiating a panic attack from pheochromocytoma, which feature is most informative?
• Before performing a lumbar puncture in a patient with suspected intracranial pathology, what should be done first to rule out mass effect?
• Trazodone can be used to treat which combination of conditions?
• Which diagnostic feature is commonly associated with panic disorder and supports ruling out other conditions?
• Which deficiency is specifically associated with subacute combined degeneration of the spinal cord?
• Which disorder is defined as preoccupation with having a serious illness with few or no somatic symptoms?
• ECT is indicated in which scenarios?
• In differentiating schizoaffective disorder from major depressive disorder with psychotic features, what does baseline mood determine?
• Which medication is not typically used to treat extrapyramidal symptoms?
• A long-acting antipsychotic formulation is known as what?
• High-potency first-generation antipsychotics are most associated with which side effects?
• During evaluation of erectile dysfunction, which factor should be ruled out?
• In the AEIOU mnemonic, which component corresponds to ingestion of toxins?
• Which statement correctly describes megaloblastic anemia in B9 and B12 deficiencies?
• Which electrolyte abnormality is specifically associated with purging-type anorexia?
• What is the first-line treatment for narcolepsy and its mechanism of action?
• According to the material, what duration defines a brief psychotic disorder?
• Encopresis is diagnosed at what age?
• In suspected tricyclic antidepressant overdose, which diagnostic test is most informative?
• Dysfunction in which pathway is linked to parkinsonian symptoms?
• Which statement about clozapine is true?
• Which statement best differentiates social anxiety disorder from avoidant personality disorder?
• Dopamine has what effect on prolactin release?
• Which neural tract is most closely associated with the positive symptoms of schizophrenia?
• Which antipsychotic is most commonly associated with increased prolactin secretion?
• Which drug class is among the three most common causes of delirium?
• Which pharmacologic class is first-line for panic disorder?
• Which medication is used to treat parkinsonism as an extrapyramidal symptom?
• In Wernicke-Korsakoff syndrome, thiamine should be administered before glucose.
• In anorexia nervosa with purging type, which electrolyte findings are typical?
• Which disease is associated with rapidly progressive dementia and characteristic EEG periodic sharp wave complexes?
• Which antipsychotic is considered relatively safer for elderly patients with psychosis?
• What is a common treatment for dystonia?
• Which of the following is NOT an ADH receptor antagonist?
• First-line treatment for fibromyalgia is which pharmacologic class?
• What is the appropriate treatment for acute benzodiazepine toxicity in a patient without chronic use?
• The tuberoinfundibular dopamine pathway primarily regulates which hormone?
• Elevated CPK levels are most commonly associated with which overdose presentation?
• Which two medications are used to treat alcohol use disorder?
• Enuresis is diagnosed at what age?
• Why are beta-blockers avoided in cocaine toxicity?
• Which symptom cluster is common to both NMS and serotonin syndrome?
• Why is clonazepam favored for acute panic attacks?
• A primary mechanism targeted by cholinesterase inhibitors used to treat Alzheimer’s disease is which?
• Is seeing recently dead people a normal part of grief?
• What duration range is used to define schizophreniform disorder in the material?
• Among schizophrenia prognosis indicators, which is a bad prognostic sign?
• Tourette syndrome is defined by which criteria?
• In the management of Wernicke-Korsakoff syndrome, what is replenished after thiamine administration?
• Which drug class is listed as used to treat Tourette syndrome?
• Why is flumazenil contraindicated in chronic benzodiazepine users who present with acute toxicity?
• Which is a core feature of borderline personality disorder?
• Refeeding syndrome involves which energy pathway leading to phosphate depletion?
• For tardive dyskinesia, which antipsychotic is preferred to switch to?
• What is a key differentiating feature between mania and hypomania as described?
• For nicotine addiction, which pharmacotherapy is considered first-line?
• For a manic episode, what duration and symptom count are described in the material?
• Which obesity weight loss medication is a pancreatic lipase inhibitor?
• In tricyclic antidepressant (TCA) toxicity, which treatment helps correct QRS prolongation?
• Which sleep-related disorder is characterized by an urge to move the legs that is relieved by movement and worsens at night?
• Which benzodiazepine is specifically recommended for catatonia?
• Which antidepressant class is among the three most common delirium precipitants?
• Low-potency first-generation antipsychotics cause more side effects due to which receptor block?
• Tyramine crisis is best treated as a hypertensive emergency with which agent?
• What is the mechanism of action of sildenafil in treating erectile dysfunction?
• Which laboratory finding is hallmark of refeeding syndrome?
• Which adverse effect is commonly associated with second-generation antipsychotics, particularly olanzapine?
• Illness anxiety disorder differs from somatic symptom disorder in that illness anxiety is worried about getting a disease but no symptoms. Which option best reflects this distinction?
• Which ocular side effect is reported with chlorpromazine?
• Which condition is a contraindication to initiating beta-blocker therapy?
• In the AEIOU dialysis indications mnemonic, what does the E stand for?
• What is a recognized side effect of electroconvulsive therapy?
• ECT is indicated in which scenario according to the material?
• Which statement about purging-type anorexia is consistent with the described labs?
• Clozapine has a risk of agranulocytosis. Which white blood cell type is most affected?
• Cyclothymic disorder is best described as mood fluctuations for at least two years that do not meet criteria for depression or hypomania. True or False?
• Which of the following is an extrapyramidal symptom?
• Which psychotherapy is indicated for borderline personality disorder?
• Which drug is used to treat Huntington chorea?
• What is the definitive treatment for normal pressure hydrocephalus?
• Which adverse effect is classically associated with thioridazine?
• First-line pharmacologic treatment for Restless Legs Syndrome includes which class of drugs?
• Triphasic sharp wave complexes on EEG are characteristic of which disease?
• Which age value best matches the typical understanding of death permanence?
• Low estrogen levels lead to osteoporosis through which mechanism?
• Opioid withdrawal management typically includes which medication to alleviate autonomic symptoms?
• A young obese patient on isotretinoin presents with papilledema; which diagnosis is most likely?
• In tyramine crisis, which agent can be used to control hypertensive emergency?
• Initial management of acute lithium toxicity includes which step?
• Which of the following is a contraindication to bupropion?
• Which of the following is NOT a listed key feature of borderline personality disorder?
• Which medication is used to treat performance anxiety such as public speaking?
• First-line treatment for SIADH?
• In the material, nocturnal erections are described as not physiologic. How is this described in the choices?
• Grief is differentiated from major depressive disorder by which mood pattern?
• Which of the following is not listed as a lithium adverse effect in LMNOPP?
• Which pairing between disorder and treatment is accurately matched according to the material?
• Somatic symptom disorder criteria include which of the following?
• Nightmare disorder occurs predominantly during which sleep stage?
• What is the key distinguishing feature between anorexia nervosa and bulimia nervosa in the provided material?
• Which obesity management strategies are listed in the material?
• Which test result would support a diagnosis of suspected TCA overdose?
• Huntington disease is caused by expansion of which trinucleotide repeat?
• Akathisia is characterized by which symptom?
• In an elderly patient presenting with delirium, which precipitating factor is most commonly observed?
• Which statement best describes the treatment approach for panic disorder as indicated in the material?
• What is the first-line nonpharmacologic treatment for Tourette syndrome?
• Persistent depressive disorder is defined as two years of MDD symptoms plus two years of subthreshold symptoms. True or False?
• Antipsychotic-induced hyperprolactinemia results from blockade of which pathway?
• Which symptom is NOT typically associated with PCP overdose?
• Which finding is commonly observed in PCP overdose?
• Schizophrenia requires disturbance for at least how long, according to the material?
• Irritable bowel syndrome is commonly treated with which class of medication?
• Which is a treatment option for akathisia?
• In a chronic benzodiazepine user with acute overdose, what is the recommended management?
• What is the mechanism of action of disulfiram?
• In differential diagnosis of panic-like episodes with hypertension, which condition should be considered?
• Which mechanism best describes modafinil’s action for narcolepsy?
• In the management of Neuroleptic Malignant Syndrome, what is the immediate first step?
• Severe lithium toxicity may require which therapy?
• Delirium tremens is best differentiated from alcohol hallucinosis by which feature?
• Which statement best differentiates factitious disorder from malingering?
• Wernicke-Korsakoff syndrome results from deficiency of which vitamin?
• Which statement best describes the relationship between starvation risk and ECT indications?
• For panic disorder, which statement best describes diagnostic timing?
• Which antipsychotic has the highest risk of weight gain among common second-generation agents?
• Blocking dopamine receptors by an antipsychotic typically leads to which change in prolactin secretion?
• In anorexia nervosa, which scenario most clearly indicates admission for inpatient care?
• Which of the following is a plausible electrolyte abnormality in purging-type anorexia?
• Which of the following is a recommended nonpharmacologic management for PMDD?
• What duration is used to define schizophrenia in the material?
• Compared with first-generation antipsychotics, second-generation antipsychotics are more strongly associated with which group of metabolic abnormalities?
• Which drug classes can precipitate lithium toxicity?
• Which fetal defect is associated with lithium exposure during pregnancy?
• Which statement about clozapine is true?
• Which scenario is an indicator of serotonin syndrome?
• B9 (folate) deficiency and B12 deficiency share which hematologic finding?
• Which EEG finding is typical of delirium?
• Which symptom differentiates peripartum blues from major depressive disorder?
• In schizophrenia, dysfunction of the mesocortical dopaminergic tract is most closely associated with which type of symptoms?
• Which disorder features cognitive decline with chorea and is commonly treated with tetrabenazine for chorea?
• Absence seizures vs complex partial seizures: which typically lacks a post-ictal period?
• Which feature best differentiates alcohol withdrawal delirium (delirium tremens) from alcohol hallucinosis?
• A patient presents with psychotic symptoms and a perioral rash. Which substance is most likely responsible?
• Which agent is recommended for acute cocaine toxicity management?
• Which side effect is associated with chlorpromazine?
• What is the first-line treatment for PCP (phencyclidine) overdose?
• Which mood stabilizer is most associated with reducing suicide risk?
• Bariatric surgery is considered at which threshold?
• Delusional disorder is characterized by at least how long of delusions, with no hallucinations and normal functioning?
• In suspected normal pressure hydrocephalus, what is considered a first-line step?
• Approximately at what age do most children understand the permanence of death?
• Which treatment is used for serotonin syndrome?
• Which bicarbonate abnormality is described in anorexia purging type?
• In elderly patients with dementia-related psychosis, what is the effect of antipsychotics on mortality?
• PCP overdose can mimic which syndrome due to elevated CPK and autonomic instability?
• Encopresis and enuresis age thresholds mentioned in the material place encopresis at age what and enuresis at age what?
• How are acute hallucinogen-induced anxiety or agitation typically managed?
• What combination of effects is associated with tricyclic antidepressants due to receptor blockade?
• Dystonia commonly involves contraction of which muscle group?
• What is the antidote for opioid overdose?
• Night terrors occur during which sleep stage?
• How does dystonia typically present?
• Which drug interactions are listed as precipitating lithium toxicity?
• Which feature helps differentiate serotonin syndrome from NMS?
• What is the first-line pharmacologic treatment for an acute panic attack?
• Among schizophrenia prognosis indicators, which is a good prognostic sign?
• Which symptom is characteristic of tardive dyskinesia?
• Refeeding syndrome MOA involves which primary event?
• Opioid withdrawal treatment focuses on non-life-threatening symptom relief; which drug is commonly used for autonomic stabilization?
• Memantine’s mechanism in Alzheimer's therapy is what?
• Pharmacologic treatment for PTSD-related nightmares MOA?
• Akathisia is most commonly associated with use of which medication class?
• Long-term lithium therapy commonly affects which organ system?
• Ebstein's anomaly is best described as what?
• Elevated methylmalonic acid is a lab finding associated with which deficiency?
• Mirtazapine can be used to treat which combination?
• Which drug class should be avoided in delirium because it can worsen symptoms?
• Vaginismus is best described as which symptom?
• Which antipsychotic lowers suicide risk the most?
• In generalized anxiety disorder, the patient is anxious about which domains?
• Which of the following is a sign of catatonia?
• Teeth grinding occurs during which sleep stage?