PA PSYCHIATRY EOR EXAM 1 QUESTION BANK
2025 COMPLETE ACTUAL EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS |
ALREADY GRADED A+ | GUARANTEED PASS
What's the difference btwn anticholinergic toxicity and serotonin syndrome? -
✔✔✔ Correct Answer > Anticholinergic toxicity has normal muscular tone &
reflexes
There is one diagnostic criteria that usually is not recognize as MDD? - ✔✔✔
Correct Answer > AGITATION! Without external stimuli is one of the criteria for
diagnosis of depressive episodes with catatonia.
Why is depression can lead to worsening medical outcomes? - ✔✔✔ Correct
Answer > In older patients, depression is frequently comorbid with chronic
medical conditions...coronary artery disease is a great risk factor for depression
Catatonia? - ✔✔✔ Correct Answer > state of immobility and unresponsiveness
lasting for long periods of time
What's unique about Clozapine? - ✔✔✔ Correct Answer > FIVE BLACK BOX
WARNING!
Cardiomyopathy/Myocarditis
,Orthostatic hypotension
Mortality [increase] in elderly w/dementia- psychosis Agranulocytosis - monitor
CBC It shows @ beginning of tx)
Seizures
"COMAS"
*fyi- ALL pts who are Rx. Clozapine MUST be enrolled in: "Risk Evaluation and
Mitigation Strategy program". Clozapine is titrated at a slower rate to mitigate
the risk of s/e, including neutropenia.
Pt presents with these sx for more than 6 months:
- poor school performance
- sleep disturbances
- difficulty concentrating, and irritability
What's the 1st line and 2nd line?
When does this condition typically begins?
What's the common genetic heritability that is shared with this condition? - ✔✔✔
Correct Answer > Generalized anxiety disorder [GAD]
1st line: ssris [sertraline, paroxetine]
2nd line: Benzos [Lorazepam]
Usually starts: early adulthood in women
,Genetic heritability with: Major Depressive Disorder
Pt presents with:
- frequent episodes of palpitations
- diaphoresis, feeling of going to "pass out"
- fear of having another episode
What's the # of occurrence and the time frame to diagnose?
What's an unusual risk factor for it? Besides the obvious ones - ✔✔✔ Correct
Answer > Panic Disorder
3 panic attacks in 3 weeks
Risk factor: Neuroticism personality trait
~ This disorder does not have specific genes identified that are associated with it.
~ decrease GABA and ach has been found - ✔✔✔ Correct Answer >
Schizophrenia
* Remember its presentation: presence of hallucinations, delusions,
disorganization, and negative symptoms.
* Pathogenesis has multifactorial pathways= genetic + environmental +
physiological.
*Sx must be present for >6 months
, Generalized anxiety disorder [GAD]
May present with psychological sx, physical sx that at times can mimic a _____.
Therefore what should we rule out [3] - ✔✔✔ Correct Answer > GAD physical sx
can mimic myocardial infarction.
Also rule out: substance abuse, thyroid fxn, and ETOH withdrawal
Always check: ECG, Troponin --> rule out an MI.
What's the tx for someone who has sudden unexpected periods of intense fear or
discomfort? [3] - ✔✔✔ Correct Answer > Panic Disorder
* ssris: Paroxetine, Sertraline, Fluoxetine
* Benzos: for acute attacks
* Relaxation, desensitization, examining behavior consequences)
1st line tx for social anxiety disorder
What are the other options...[2] - ✔✔✔ Correct Answer > * 1st line: Cognitive
Behavioral Therapy
** IF it's affecting day to day living: SSRI/SNRI + CBT
If pt is experiencing physical sx: tremors, sweating, palpitation THEN you rx
PROPRANOLOL
#1 A/E: erectile dysfunction! - ✔✔✔ Correct Answer > Selective Serotonin
Reuptake Inhibitors (SSRI)
2025 COMPLETE ACTUAL EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS |
ALREADY GRADED A+ | GUARANTEED PASS
What's the difference btwn anticholinergic toxicity and serotonin syndrome? -
✔✔✔ Correct Answer > Anticholinergic toxicity has normal muscular tone &
reflexes
There is one diagnostic criteria that usually is not recognize as MDD? - ✔✔✔
Correct Answer > AGITATION! Without external stimuli is one of the criteria for
diagnosis of depressive episodes with catatonia.
Why is depression can lead to worsening medical outcomes? - ✔✔✔ Correct
Answer > In older patients, depression is frequently comorbid with chronic
medical conditions...coronary artery disease is a great risk factor for depression
Catatonia? - ✔✔✔ Correct Answer > state of immobility and unresponsiveness
lasting for long periods of time
What's unique about Clozapine? - ✔✔✔ Correct Answer > FIVE BLACK BOX
WARNING!
Cardiomyopathy/Myocarditis
,Orthostatic hypotension
Mortality [increase] in elderly w/dementia- psychosis Agranulocytosis - monitor
CBC It shows @ beginning of tx)
Seizures
"COMAS"
*fyi- ALL pts who are Rx. Clozapine MUST be enrolled in: "Risk Evaluation and
Mitigation Strategy program". Clozapine is titrated at a slower rate to mitigate
the risk of s/e, including neutropenia.
Pt presents with these sx for more than 6 months:
- poor school performance
- sleep disturbances
- difficulty concentrating, and irritability
What's the 1st line and 2nd line?
When does this condition typically begins?
What's the common genetic heritability that is shared with this condition? - ✔✔✔
Correct Answer > Generalized anxiety disorder [GAD]
1st line: ssris [sertraline, paroxetine]
2nd line: Benzos [Lorazepam]
Usually starts: early adulthood in women
,Genetic heritability with: Major Depressive Disorder
Pt presents with:
- frequent episodes of palpitations
- diaphoresis, feeling of going to "pass out"
- fear of having another episode
What's the # of occurrence and the time frame to diagnose?
What's an unusual risk factor for it? Besides the obvious ones - ✔✔✔ Correct
Answer > Panic Disorder
3 panic attacks in 3 weeks
Risk factor: Neuroticism personality trait
~ This disorder does not have specific genes identified that are associated with it.
~ decrease GABA and ach has been found - ✔✔✔ Correct Answer >
Schizophrenia
* Remember its presentation: presence of hallucinations, delusions,
disorganization, and negative symptoms.
* Pathogenesis has multifactorial pathways= genetic + environmental +
physiological.
*Sx must be present for >6 months
, Generalized anxiety disorder [GAD]
May present with psychological sx, physical sx that at times can mimic a _____.
Therefore what should we rule out [3] - ✔✔✔ Correct Answer > GAD physical sx
can mimic myocardial infarction.
Also rule out: substance abuse, thyroid fxn, and ETOH withdrawal
Always check: ECG, Troponin --> rule out an MI.
What's the tx for someone who has sudden unexpected periods of intense fear or
discomfort? [3] - ✔✔✔ Correct Answer > Panic Disorder
* ssris: Paroxetine, Sertraline, Fluoxetine
* Benzos: for acute attacks
* Relaxation, desensitization, examining behavior consequences)
1st line tx for social anxiety disorder
What are the other options...[2] - ✔✔✔ Correct Answer > * 1st line: Cognitive
Behavioral Therapy
** IF it's affecting day to day living: SSRI/SNRI + CBT
If pt is experiencing physical sx: tremors, sweating, palpitation THEN you rx
PROPRANOLOL
#1 A/E: erectile dysfunction! - ✔✔✔ Correct Answer > Selective Serotonin
Reuptake Inhibitors (SSRI)
