Residents Practice Exam 1

A teenager is grieving a sibling’s death 4 weeks ago. He is tearful and sleeps poorly but remains engaged with family. Which feature most strongly suggests a major depressive episode rather than uncomplicated grief?

“Flushed skin, dry mouth, dilated pupils, fever, and delirium” most strongly indicates delirium due to:

In suspected neurocognitive disorder due to Lewy body disease, brain magnetic resonance imaging is most useful to help exclude:

Which description best matches negative reinforcement?

Which statement about adolescent substance patterns is most accurate?

A patient with sleep-onset insomnia becomes more anxious when “trying to sleep.” Which instruction reflects paradoxical intention?

A patient starts a monoamine oxidase inhibitor antidepressant. Which sleep change is expected?

In Erikson’s psychosocial stages, “mastery of skills and competence” corresponds to:

Pharmacologic treatment options for Alzheimer’s disease include:

A 15-year-old has delayed sleep phase type circadian rhythm sleep-wake disorder, falling asleep at 2 a.m. and missing school. Best family guidance is to:

The neurochemical pathway most consistently implicated in addiction reinforcement is:

Psychosis reported with disulfiram is best explained by:

Which statement about electroconvulsive therapy is true?

A patient taking valproate develops confusion and slowed thinking. Serum valproate concentration is therapeutic. Best next step is:

The most prevalent diagnostic category of psychopathology among women in the United States is:

In alcohol use disorder, naltrexone primarily works by:

A patient started a smoking-cessation medication and now has difficulty falling asleep, especially when taking it at bedtime. The most likely cause is:

A patient on bupropion for smoking cessation reports sleep-onset insomnia after taking the dose at bedtime. Best adjustment is:

Lamotrigine concentrations rise significantly when co-prescribed with:

Which statement about anabolic steroid use is most accurate?

A patient tells a psychiatrist he will kill a named person and provides a credible plan. Which legal duty is most associated with the Tarasoff ruling?

Which medication has evidence of greater efficacy than many others for obsessive-compulsive disorder?

Beyond neural tube defects, prenatal exposure to valproate is associated with increased risk of:

In long-term benzodiazepine discontinuation, the recommended maximum taper rate is closest to:

Among major causes of neurocognitive disorder, which diagnosis accounts for the largest proportion in older adults?

A teenager develops progressive behavioral change, motor clumsiness, and psychosis with a strong family history. Which brain finding is most typical on computed tomography?

Over three years, a student has frequent periods of subthreshold hypomanic symptoms alternating with mild depressive symptoms, never meeting full episode criteria. What is the best diagnosis?

Which psychiatric disorder carries the highest all-cause mortality across the lifespan?

During phencyclidine intoxication, urinary acidification is avoided primarily when which complication is present?

Which mood stabilizer is classically associated with weight gain, hair loss, and polycystic ovarian features?