Psychiatry Exam With Questions And
Answers Latest Update 2026
Abnormalities in how a person
perceives/experiences sensory stimuli. These can
1. Disturbances in perception involve any of the five senses and may include
hallucinations & illusions. They can vary in
intensity, being hyper- or hypoesthesia
Quantitative disturbances
Illusions
1. Types of disturbances in perception Hallucinations
Pseudohallucinations
Depersonalisation and derealisation
Anamnesis, past psychiatric and medical
history and treatment, personal history
and premorbid personality, family history,
presenting complaints
Mental status examination: appearance
1+2. Principles of assessment and behaviour, speech, mood, thoughts,
perception, cognition and insight
Rule out organic causes
Risk assessment, substance use
(toxicology screening) and physical
examination
F20-F29 → schizophrenia and delusional
disorders
1. Clinical disorders according to ICD-10 F30-F39 → mood (affective) disorders
F00-F09 → organic, including
symptomatic, mental disorders
, Risk to themselves/others
Severe mood disturbances
Substance-related
Acute psychosis
1+2. Indications for emergency hospitalisation Severe eating disorders
Inability to care for basic needs
Lack of insight
Hallucinations are demanding
Suspected organic cause or delirium
, Safe environment and room set up (exits)
Clinical risk assessment - suicide ideation,
substance abuse can escalate
unpredictable behaviour
Avoid unnecessary physical contact,
communicate in a neutral and positive
1-3. Risk management in the work with patients manner
Emergency protocols and stabilisation
(pharmacological management) of the
patient
Monitor regularly
Understand circumstances on how they
came to the clinic - violence, etc.
Abnormalities in the process, form, or content of
2. Disturbances of thinking thought. impairs communication, decision-
making, and perceiving reality
Disturbances in form and flow:
slow/accelerated, thought blocking
word salad
tangentiality
echolalia
stereotypy
connectivity
2. Types of disturbances in thinking Disturbances in content:
overvalued ideas
delusions
ideas of references
Disturbances in thought control
thought insertion
thought withdrawal
thought broadcasting
F20-F29 → schizophrenia and delusional
disorders
2. Clinical disorders according to ICD-10 F30-F39 → mood (affective) disorders
F00-F09 → organic, including
symptomatic, mental disorders
3. Disturbances in mood
Pathological and persistent changes in a persons
emotional state that are disproportionate to their
actual circumstances and significantly impair their
ability to function
Affect - emotional state at any given period
, Mood - emotional stage during longer period
Depressive: Sadness, hopelessness, or
anhedonia.
Manic: Elevated or irritable mood,
increased energy, and grandiosity.
Hypomanic: Similar to mania but less
severe and without psychotic features or
significant functional impairment
Elated: euphoria, elation, exaltation,
ecstasy
3. Types of disturbances in mood
Bipolar
Anxiety: Excessive worry or tension.
Generalized, mutism.
Trait anxiety: anxiety as a feature of
temperament
Panic, phobias: irrational fear. Ex.
Agoraphobia (public or crowded place)
Dysphoric: combination of anxiety,
depression, and irritability.
PHQ9
HAM-D, YMRS, GDS
Anamnesis, past psychiatric and medical
history and treatment, personal history
and premorbid personality, family history,
presenting complaints
3. Principles of assessment Mental status examination: appearance
and behaviour, speech, mood, thoughts,
perception, cognition and insight
Rule out organic causes
Risk assessment, substance use
(toxicology screening) and physical
examination
F30-F39 → mood (affective) disorders
3. Clinical disorders according to ICD-10 F00-F09 → organic, including
symptomatic, mental disorders
Suicidal ideation, plans or attempts
Severe mania
3. Indications for emergency hospitalisation Lack of insight
Psychotic symptoms
Risk of self harm or to others
4. Symptoms of anxiety Divided into 4 types:
Answers Latest Update 2026
Abnormalities in how a person
perceives/experiences sensory stimuli. These can
1. Disturbances in perception involve any of the five senses and may include
hallucinations & illusions. They can vary in
intensity, being hyper- or hypoesthesia
Quantitative disturbances
Illusions
1. Types of disturbances in perception Hallucinations
Pseudohallucinations
Depersonalisation and derealisation
Anamnesis, past psychiatric and medical
history and treatment, personal history
and premorbid personality, family history,
presenting complaints
Mental status examination: appearance
1+2. Principles of assessment and behaviour, speech, mood, thoughts,
perception, cognition and insight
Rule out organic causes
Risk assessment, substance use
(toxicology screening) and physical
examination
F20-F29 → schizophrenia and delusional
disorders
1. Clinical disorders according to ICD-10 F30-F39 → mood (affective) disorders
F00-F09 → organic, including
symptomatic, mental disorders
, Risk to themselves/others
Severe mood disturbances
Substance-related
Acute psychosis
1+2. Indications for emergency hospitalisation Severe eating disorders
Inability to care for basic needs
Lack of insight
Hallucinations are demanding
Suspected organic cause or delirium
, Safe environment and room set up (exits)
Clinical risk assessment - suicide ideation,
substance abuse can escalate
unpredictable behaviour
Avoid unnecessary physical contact,
communicate in a neutral and positive
1-3. Risk management in the work with patients manner
Emergency protocols and stabilisation
(pharmacological management) of the
patient
Monitor regularly
Understand circumstances on how they
came to the clinic - violence, etc.
Abnormalities in the process, form, or content of
2. Disturbances of thinking thought. impairs communication, decision-
making, and perceiving reality
Disturbances in form and flow:
slow/accelerated, thought blocking
word salad
tangentiality
echolalia
stereotypy
connectivity
2. Types of disturbances in thinking Disturbances in content:
overvalued ideas
delusions
ideas of references
Disturbances in thought control
thought insertion
thought withdrawal
thought broadcasting
F20-F29 → schizophrenia and delusional
disorders
2. Clinical disorders according to ICD-10 F30-F39 → mood (affective) disorders
F00-F09 → organic, including
symptomatic, mental disorders
3. Disturbances in mood
Pathological and persistent changes in a persons
emotional state that are disproportionate to their
actual circumstances and significantly impair their
ability to function
Affect - emotional state at any given period
, Mood - emotional stage during longer period
Depressive: Sadness, hopelessness, or
anhedonia.
Manic: Elevated or irritable mood,
increased energy, and grandiosity.
Hypomanic: Similar to mania but less
severe and without psychotic features or
significant functional impairment
Elated: euphoria, elation, exaltation,
ecstasy
3. Types of disturbances in mood
Bipolar
Anxiety: Excessive worry or tension.
Generalized, mutism.
Trait anxiety: anxiety as a feature of
temperament
Panic, phobias: irrational fear. Ex.
Agoraphobia (public or crowded place)
Dysphoric: combination of anxiety,
depression, and irritability.
PHQ9
HAM-D, YMRS, GDS
Anamnesis, past psychiatric and medical
history and treatment, personal history
and premorbid personality, family history,
presenting complaints
3. Principles of assessment Mental status examination: appearance
and behaviour, speech, mood, thoughts,
perception, cognition and insight
Rule out organic causes
Risk assessment, substance use
(toxicology screening) and physical
examination
F30-F39 → mood (affective) disorders
3. Clinical disorders according to ICD-10 F00-F09 → organic, including
symptomatic, mental disorders
Suicidal ideation, plans or attempts
Severe mania
3. Indications for emergency hospitalisation Lack of insight
Psychotic symptoms
Risk of self harm or to others
4. Symptoms of anxiety Divided into 4 types:
