USMLE Step 2 Psych Exam With
100% Correct Answers 2024
Q001. What is akathisia? - correct answer A001. psychomotor agitation; shoes anxiety
Q002. How do you spot akathisia? - correct answer A002. patients is moving all the time
and can't help it. Moving fingers or legs
Q003. Tx for Acathisia? - correct answer A003. 1) decrease dose; 2) B-blockers; 3)
benzodiazepines
Q004. What is the difference between hallucination and illusion? - correct answer A004.
illusions are what magicians do... Illusions are stimulus present but miss perception of
them; Hallucination is no stimulus and perception
Q005. What are the MC hallucination types? - correct answer A005. Auditory 2/3's;
Visual 1/3; Tactile; Smell
Q006. What pathology is involved with auditory hallucinations? - correct answer A006.
schizophrenia; Psychotic Disorder
Q007. What is visual hallucination due to? - correct answer A007. Drugs; Organic
Tumor of Visual pathways
Q008. What is tactile hallucination associated with? - correct answer A008. MC drugs;
Cocaine; Alcohol Withdrawal (Delirium Tremens)
Q009. What pathology is associated with blunted/flat affect? - correct answer A009.
Schizophrenia; Parkinson
Q010. What does it mean when the mood and affect are incongruent? - correct answer
A010. the person says he is happy but his body language (affect) doesn't reflect it
Q011. What is associated with mood and affect incongruency? - correct answer A011.
Psychotic Disorder
Q012. What is projection? - correct answer A012. wishes to someone else; she doesn't
like me... (really I don't like her); You are cheating on me (really I am cheating on you)
,USMLE Step 2 Psych Exam With
100% Correct Answers 2024
Q013. What personality has projection? - correct answer A013. Paranoid Personality; all
attacking them
Q014. What is denial? - correct answer A014. use to avoid painful; I didn't have a heart
attack; Woman who's husband died but she cooks for 2 and places the table for two
Q015. Patient comes in with an MI?; Telemetry, patient takes medication with leads on
himself. Patient says I didn't have a Heart Attack... What is the next step? - correct
answer A015. DO NOT refer to psych; Confront denial; Interpret denial with dream
analysis; Find out patients view about death; Do nothing; Answer is DO NOTHING;
Patients defense mechanism is not interfering with Tx
Q016. If patient spits out pill, takes all I.V. lines out... Patient in denial then you need to?
- correct answer A016. Ask the patient why
Q017. When patient thinks all good or all bad, Splitting... Which personality uses this? -
correct answer A017. Borderline; good is idealized; bad is devalued; The morning staff
is the best
Q018. What is somatization? - correct answer A018. Psychic converted to bodily
symptoms
Q019. What personality is associated with somatization? - correct answer A019.
Physical exam normal; Somatoform Disorders; 1) Hypochondriasis; 2) Body
Dysmorphic
Q020. Tx of postpartum blues? - correct answer A020. no treatment
Q021. What is the Tx for postpartum depression? - correct answer A021. SSRIs;
Antidepressants
Q022. What are the Tx for Postpartum Psychosis? - correct answer A022.
Antipsychotics; Mood stabilizers; antidepressants
,USMLE Step 2 Psych Exam With
100% Correct Answers 2024
Q023. Stages of Death and Dying?; Stage I - correct answer A023. Shock and Denial;
It's not possible
Q024. Stages of Death and Dying?; Stage II? - correct answer A024. Anger; Why me?
Q025. Stages of Death and Dying?; Stage III? - correct answer A025. Bargaining; Night
before test going to pray
Q026. Stages of Death and Dying?; Stage IV? - correct answer A026. Depression
Q027. Stages of Death and Dying?; Stage V? - correct answer A027. Acceptance
Q028. Do the stages of death and dying are in what order? - correct answer A028. Not
in order; It can be any stage, in any order
Q029. How long does the person need to have the symptoms to diagnose
schizophrenia? - correct answer A029. 6 months
Q030. How is Schizophrenia different from other psychiatric problems? - correct answer
A030. - It tends to affect all the aspects of an individuals life; worst prognosis; 1/3 don't
go back to their normal state continue with Disease
Q031. What are the risk factors? - correct answer A031. men get Disease younger 15-
25; women 25-35
Q032. What is the worst prognosis? - correct answer A032. the younger the patient gets
a Disease the worst prognosis; so men have a worst prognosis
Q033. What is the neurotransmitter unbalance of schizophrenia? - correct answer A033.
Increase levels of DOPA; Also serotonins; (New drugs work on both)
Q034. How do patients develop Schizophrenia? Theories? - correct answer A034.
Double Bind; Mother talked to you like an adult but treated you like a baby; mixed
message from mother; you don't know what to do... in a bind
, USMLE Step 2 Psych Exam With
100% Correct Answers 2024
Q035. Another theory is High EE family? Expressed Emotions - correct answer A035. A
family that has high emotions (Italians?); family very critical, intrusive, emotional
Q036. What is important about High EE family and relapse? - correct answer A036.
Chances are very high that you will relapse and return to hospital; you go back to the
same environment
Q037. Viral Theory for Schizophrenia? - correct answer A037. They believe that viruses
infect patients when they are born since lots of patients are born in winter and early
spring
Q038. Downward Drift or Social Causation theory? - correct answer A038.
Schizophrenia in low-socioeconomic status (low SES)
Q039. Social Causation Theory? - correct answer A039. Different stress levels; low SES
with high stress
Q040. Prevalence vs. genetics? - correct answer A040. Monozygotic (47%)increase;
Dizygotic 12%
Q041. What is schizophrenia percentage in the general population? - correct answer
A041. 1%
Q042. One parent with schizophrenia what is the chance? - correct answer A042. 12%
Q043. Two schizophrenic parents?? - correct answer A043. 40%
Q044. Monozygotic Twins? - correct answer A044. 47%
Q045. Dizygotic Twins? - correct answer A045. 12%
Q046. First-degree relative with schizophrenia? - correct answer A046. 12%
Q047. Second-degree relative with schizophrenia? - correct answer A047. 5-6% chance
100% Correct Answers 2024
Q001. What is akathisia? - correct answer A001. psychomotor agitation; shoes anxiety
Q002. How do you spot akathisia? - correct answer A002. patients is moving all the time
and can't help it. Moving fingers or legs
Q003. Tx for Acathisia? - correct answer A003. 1) decrease dose; 2) B-blockers; 3)
benzodiazepines
Q004. What is the difference between hallucination and illusion? - correct answer A004.
illusions are what magicians do... Illusions are stimulus present but miss perception of
them; Hallucination is no stimulus and perception
Q005. What are the MC hallucination types? - correct answer A005. Auditory 2/3's;
Visual 1/3; Tactile; Smell
Q006. What pathology is involved with auditory hallucinations? - correct answer A006.
schizophrenia; Psychotic Disorder
Q007. What is visual hallucination due to? - correct answer A007. Drugs; Organic
Tumor of Visual pathways
Q008. What is tactile hallucination associated with? - correct answer A008. MC drugs;
Cocaine; Alcohol Withdrawal (Delirium Tremens)
Q009. What pathology is associated with blunted/flat affect? - correct answer A009.
Schizophrenia; Parkinson
Q010. What does it mean when the mood and affect are incongruent? - correct answer
A010. the person says he is happy but his body language (affect) doesn't reflect it
Q011. What is associated with mood and affect incongruency? - correct answer A011.
Psychotic Disorder
Q012. What is projection? - correct answer A012. wishes to someone else; she doesn't
like me... (really I don't like her); You are cheating on me (really I am cheating on you)
,USMLE Step 2 Psych Exam With
100% Correct Answers 2024
Q013. What personality has projection? - correct answer A013. Paranoid Personality; all
attacking them
Q014. What is denial? - correct answer A014. use to avoid painful; I didn't have a heart
attack; Woman who's husband died but she cooks for 2 and places the table for two
Q015. Patient comes in with an MI?; Telemetry, patient takes medication with leads on
himself. Patient says I didn't have a Heart Attack... What is the next step? - correct
answer A015. DO NOT refer to psych; Confront denial; Interpret denial with dream
analysis; Find out patients view about death; Do nothing; Answer is DO NOTHING;
Patients defense mechanism is not interfering with Tx
Q016. If patient spits out pill, takes all I.V. lines out... Patient in denial then you need to?
- correct answer A016. Ask the patient why
Q017. When patient thinks all good or all bad, Splitting... Which personality uses this? -
correct answer A017. Borderline; good is idealized; bad is devalued; The morning staff
is the best
Q018. What is somatization? - correct answer A018. Psychic converted to bodily
symptoms
Q019. What personality is associated with somatization? - correct answer A019.
Physical exam normal; Somatoform Disorders; 1) Hypochondriasis; 2) Body
Dysmorphic
Q020. Tx of postpartum blues? - correct answer A020. no treatment
Q021. What is the Tx for postpartum depression? - correct answer A021. SSRIs;
Antidepressants
Q022. What are the Tx for Postpartum Psychosis? - correct answer A022.
Antipsychotics; Mood stabilizers; antidepressants
,USMLE Step 2 Psych Exam With
100% Correct Answers 2024
Q023. Stages of Death and Dying?; Stage I - correct answer A023. Shock and Denial;
It's not possible
Q024. Stages of Death and Dying?; Stage II? - correct answer A024. Anger; Why me?
Q025. Stages of Death and Dying?; Stage III? - correct answer A025. Bargaining; Night
before test going to pray
Q026. Stages of Death and Dying?; Stage IV? - correct answer A026. Depression
Q027. Stages of Death and Dying?; Stage V? - correct answer A027. Acceptance
Q028. Do the stages of death and dying are in what order? - correct answer A028. Not
in order; It can be any stage, in any order
Q029. How long does the person need to have the symptoms to diagnose
schizophrenia? - correct answer A029. 6 months
Q030. How is Schizophrenia different from other psychiatric problems? - correct answer
A030. - It tends to affect all the aspects of an individuals life; worst prognosis; 1/3 don't
go back to their normal state continue with Disease
Q031. What are the risk factors? - correct answer A031. men get Disease younger 15-
25; women 25-35
Q032. What is the worst prognosis? - correct answer A032. the younger the patient gets
a Disease the worst prognosis; so men have a worst prognosis
Q033. What is the neurotransmitter unbalance of schizophrenia? - correct answer A033.
Increase levels of DOPA; Also serotonins; (New drugs work on both)
Q034. How do patients develop Schizophrenia? Theories? - correct answer A034.
Double Bind; Mother talked to you like an adult but treated you like a baby; mixed
message from mother; you don't know what to do... in a bind
, USMLE Step 2 Psych Exam With
100% Correct Answers 2024
Q035. Another theory is High EE family? Expressed Emotions - correct answer A035. A
family that has high emotions (Italians?); family very critical, intrusive, emotional
Q036. What is important about High EE family and relapse? - correct answer A036.
Chances are very high that you will relapse and return to hospital; you go back to the
same environment
Q037. Viral Theory for Schizophrenia? - correct answer A037. They believe that viruses
infect patients when they are born since lots of patients are born in winter and early
spring
Q038. Downward Drift or Social Causation theory? - correct answer A038.
Schizophrenia in low-socioeconomic status (low SES)
Q039. Social Causation Theory? - correct answer A039. Different stress levels; low SES
with high stress
Q040. Prevalence vs. genetics? - correct answer A040. Monozygotic (47%)increase;
Dizygotic 12%
Q041. What is schizophrenia percentage in the general population? - correct answer
A041. 1%
Q042. One parent with schizophrenia what is the chance? - correct answer A042. 12%
Q043. Two schizophrenic parents?? - correct answer A043. 40%
Q044. Monozygotic Twins? - correct answer A044. 47%
Q045. Dizygotic Twins? - correct answer A045. 12%
Q046. First-degree relative with schizophrenia? - correct answer A046. 12%
Q047. Second-degree relative with schizophrenia? - correct answer A047. 5-6% chance
