Residents Practice Exam 2

The defining fear in agoraphobia centers on which core concern?

Phenylketonuria is primarily a disorder of which metabolic category?

A parent is coached to stop responding to a child’s whining until it decreases. This technique is best described as which learning process?

A patient reports persistent trailing images and geometric visual distortions after past hallucinogen use, with no seizures or migraine history. What is the most likely diagnosis?

Medications associated with neuroleptic malignant syndrome share which key pharmacologic property?

In childhood-onset schizophrenia, which brain finding is most consistently reported on neuroimaging studies?

Atomoxetine includes a boxed warning for increased risk of which clinical outcome in children and adolescents?

An older adult has fluctuating cognition, recurrent well-formed visual hallucinations, and parkinsonian features. Which diagnosis best fits?

Which scenario best illustrates classical conditioning rather than operant learning?

Which personality trait pattern is diagnosed in men and women in roughly similar proportions?

For bulimia nervosa, which medication has the strongest evidence for reducing binge eating and purging?

Which ability is most typical for a normally developing four-year-old child?

A patient with Parkinson disease develops distressing visual hallucinations on levodopa despite dose reduction. What is the most appropriate next step?

An older man with heavy alcohol use has confusion, gait ataxia, nystagmus, and diplopia. What is the single most urgent treatment priority?

A patient on antidepressants develops agitation, diaphoresis, tremor, and myoclonus. Which diagnosis best explains this presentation?

After severe marital conflict, a man awakens hours later with a wrist laceration and cannot recall the event. Which diagnosis is most consistent?

What is the approximate incidence of benign rash during the first weeks after starting lamotrigine?

Autism spectrum disorder is in the differential for several conditions. Which diagnosis is most likely to be excluded by careful psychosocial history?

Among tricyclic antidepressants, which has comparatively lower antimuscarinic adverse effects?

Which co-medication can raise the blood concentration of valproate by reducing clearance or displacing protein binding?

A patient on methylphenidate is being considered for atomoxetine. Which concurrent medication should be avoided because of a dangerous interaction?

In global disability metrics, which mental disorder contributes the greatest overall burden in disability-adjusted life years?

Which subtype of specific phobia is most associated with a marked vasovagal response (fainting) during exposure?

A 15-year-old has body mass index 16, fear of weight gain, amenorrhea, and recurrent self-induced vomiting and laxative misuse. What is the most likely diagnosis?

Long-term exposure to which medication group is classically linked to tardive dyskinesia?

Periodic ophthalmologic review may be considered during long-term use of which medication because of potential ocular effects?

A symptom scale yields very similar scores when the same patient completes it again two weeks later. Which property is being demonstrated?

Repetitive transcranial magnetic stimulation is an approved treatment for which condition after inadequate response to one antidepressant trial?

Which psychotropic class should be used cautiously in asthma or chronic obstructive pulmonary disease because it may worsen bronchoconstriction?

Obsessive-compulsive disorder remains severe despite a partial response to a selective serotonin reuptake inhibitor. Which next step has the strongest evidence base?