NEW YORK PSYCHIATRIST LICENSING EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2026|INSTANT DOWNLOAD PDF
1.
Which neurotransmitter is primarily associated with
schizophrenia positive symptoms?
A. Serotonin
B. Dopamine
C. GABA
D. Acetylcholine
Rationale: Excess dopamine activity in mesolimbic pathway is
linked to hallucinations and delusions.
Correct Answer: B
2.
A patient presents with hallucinations, delusions, and
disorganized speech lasting 2 weeks. Most likely diagnosis?
A. Schizophrenia
B. Schizophreniform disorder
C. Brief psychotic disorder
D. Delusional disorder
Rationale: Duration of 1–6 months defines schizophreniform
,disorder.
Correct Answer: B
3.
First-line treatment for acute schizophrenia psychosis?
A. SSRIs
B. Benzodiazepines
C. Antipsychotics
D. Mood stabilizers
Rationale: Antipsychotics block dopamine receptors.
Correct Answer: C
4.
Which is a typical antipsychotic?
A. Olanzapine
B. Risperidone
C. Haloperidol
D. Clozapine
Rationale: Haloperidol is first-generation antipsychotic.
Correct Answer: C
5.
Most serious side effect of clozapine?
A. Weight loss
,B. Agranulocytosis
C. Hypotension
D. Dry mouth
Rationale: Clozapine requires WBC monitoring due to
agranulocytosis risk.
Correct Answer: B
6.
Which condition is characterized by alternating mania and
depression?
A. Cyclothymia
B. Bipolar I disorder
C. Dysthymia
D. Schizoaffective disorder
Rationale: Bipolar I requires at least one manic episode.
Correct Answer: B
7.
Drug of choice for acute mania?
A. Lithium
B. Sertraline
C. Haloperidol
D. Diazepam
Rationale: Lithium stabilizes mood in mania long-term;
, antipsychotics used acutely.
Correct Answer: C
8.
Lithium toxicity commonly presents with:
A. Bradycardia
B. Tremor and ataxia
C. Hyperglycemia
D. Hearing loss
Rationale: Neurological symptoms indicate toxicity.
Correct Answer: B
9.
First-line treatment for major depressive disorder?
A. MAO inhibitors
B. SSRIs
C. Antipsychotics
D. Benzodiazepines
Rationale: SSRIs are first-line antidepressants.
Correct Answer: B
10.
Which SSRI has the longest half-life?
A. Fluoxetine
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2026|INSTANT DOWNLOAD PDF
1.
Which neurotransmitter is primarily associated with
schizophrenia positive symptoms?
A. Serotonin
B. Dopamine
C. GABA
D. Acetylcholine
Rationale: Excess dopamine activity in mesolimbic pathway is
linked to hallucinations and delusions.
Correct Answer: B
2.
A patient presents with hallucinations, delusions, and
disorganized speech lasting 2 weeks. Most likely diagnosis?
A. Schizophrenia
B. Schizophreniform disorder
C. Brief psychotic disorder
D. Delusional disorder
Rationale: Duration of 1–6 months defines schizophreniform
,disorder.
Correct Answer: B
3.
First-line treatment for acute schizophrenia psychosis?
A. SSRIs
B. Benzodiazepines
C. Antipsychotics
D. Mood stabilizers
Rationale: Antipsychotics block dopamine receptors.
Correct Answer: C
4.
Which is a typical antipsychotic?
A. Olanzapine
B. Risperidone
C. Haloperidol
D. Clozapine
Rationale: Haloperidol is first-generation antipsychotic.
Correct Answer: C
5.
Most serious side effect of clozapine?
A. Weight loss
,B. Agranulocytosis
C. Hypotension
D. Dry mouth
Rationale: Clozapine requires WBC monitoring due to
agranulocytosis risk.
Correct Answer: B
6.
Which condition is characterized by alternating mania and
depression?
A. Cyclothymia
B. Bipolar I disorder
C. Dysthymia
D. Schizoaffective disorder
Rationale: Bipolar I requires at least one manic episode.
Correct Answer: B
7.
Drug of choice for acute mania?
A. Lithium
B. Sertraline
C. Haloperidol
D. Diazepam
Rationale: Lithium stabilizes mood in mania long-term;
, antipsychotics used acutely.
Correct Answer: C
8.
Lithium toxicity commonly presents with:
A. Bradycardia
B. Tremor and ataxia
C. Hyperglycemia
D. Hearing loss
Rationale: Neurological symptoms indicate toxicity.
Correct Answer: B
9.
First-line treatment for major depressive disorder?
A. MAO inhibitors
B. SSRIs
C. Antipsychotics
D. Benzodiazepines
Rationale: SSRIs are first-line antidepressants.
Correct Answer: B
10.
Which SSRI has the longest half-life?
A. Fluoxetine
