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PA Psychiatry EOR Exam Latest 2025 Actual
Questions and Verified Answers () A+
Grade 100% Guarantee Verified by Experts
MDD Criteria - ..(ANSWER)...Must have at least five of the following symptoms
(must include either number I or number 2) for at least a 2-week period:
1. Depressed mood
2. Anhedonia (loss of interest in pleasurable activities)
3. Change in appetite or body weight (f or J,)
4. Feelings of worthlessness or excessive guilt
5. Insomnia or hypersomnia
6. Diminished concentration
7. Psychomotor agitation or retardation (ie, restlessness or slowness)
8. Fatigue or loss of energy
9. Recurrent thoughts of death or suicide
Manic episode criteria - ..(ANSWER)...A period of abnormally and persistently
elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if
hospitalization is necessary) and including at least three of the following (four if
mood is irritable):
I. Distractibility
2. Inflated self-esteem or grandiosity
3. tin goal-directed activity (socially, at work, or sexually)
4. J, need for sleep
5. Flight of ideas or racing thoughts
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6. More talkative or pressured speech (rapid and uninterruptible)
7. Excessive involvement in pleasurable activities that have a high risk of negative
consequences (eg, shopping sprees, sexual indiscretions)
These symptoms cannot be due to substance use or medical conditions, and they
must cause social or occupational impairment. Seventy-five percent of manic
patients have psychotic symptoms.
Mania vs hypomania - ..(ANSWER)...Mania: Lasts at least 7 days, Causes severe
impairment in social or occupational functioning, May necessitate hospitalization
to prevent harm to self or others, May have psychotic feature
Hypomania: Lasts at least 4 days, No marked impairment in social or occupational
functioning, Does not require hospitalization, No psychotic features
Bipolar 1 disorder criteria - ..(ANSWER)...The only requirement for this diagnosis is
the occurrence of one manic or mixed episode - depression, dysthymia, and
hypomania can happen between episodes, but are not required for diagnosis
Bipolar 1 and 2 treatment - ..(ANSWER)...Lithium
Anticonvulsants (carbamazepine or valproic acid) are also mood stabilizers. They
are especially useful for rapid cycling bipolar disorder and mixed episodes,
although associated with T risk of suicide.
Atypical antipsychotics (olanzapine, quetiapine, ziprasidone) are effective as both
monotherapy and adjunct therapy
Psychotherapy: Supportive psychotherapy, family therapy, group therapy
(prolongs remission once the acute manic episode has been controlled). • ECT:
Works well in treatment of manic episodes
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Lithium Side Effects - ..(ANSWER)...Weight gain • Tremor • Gastrointestinal
disturbances • Fatigue • Cardiac arrhythmias • Seizures • Goiter/hypothyroidism
• Leukocytosis (benign) • Como • Polyuria (nephrogenic diabetes insipidus) •
Polydipsia • Alopecia • Metallic taste
Bipolar 2 Criteria - ..(ANSWER)...History of one or more major depressive episodes
and at least one hypomanic episode. Remember: If there has been a full manic
episode even in the past, then the diagnosis is not bipolar II disorder, but bipolar
I.
Cyclothymic disorder - ..(ANSWER)...Alternating periods of hypomania and
periods with mild to moderate depressive symptoms.
Chronic disorder - 1/3 of patients are eventually diagnosed with bipolar disorder
Cyclothymic disorder criteria - ..(ANSWER)...• Numerous periods with hypomanic
symptoms and periods with depressive symptoms for at least 2 years.
• The person must never have been symptom free for > 2 months during those 2
years.
• No history of major depressive episode or manic episode.
Cyclothymic disorder treatment - ..(ANSWER)...Same as bipolar disorder
Persistent depressive disorder (dysthymia) - ..(ANSWER)...Chronic mild depression
Dysthymic disorder (DD) =
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2 D's
2 years of depression
2 listed criteria
Never asymptomatic for > 2 months
Dysthymia Criteria - ..(ANSWER)...l. Depressed mood for the majority of time most
days for at least 2 years (in children or adolescents for at least I year)
2. At least two of the following: • Poor concentration or difficulty making
decisions • Feelings of hopelessness • Poor appetite or overeating • Insomnia or
hypersomnia • Low energy or fatigue • Low self-esteem
3. During the 2-year period: • The person has not been without the above
symptoms for > 2 months at a time. • No major depressive episode. • The patient
must never have had a manic or hypomanic episode (this would make the
diagnosis bipolar disorder or cyclothymic disorder, respectively)
Cannot have psychotic features
Dysthymia treatment - ..(ANSWER)...Cognitive therapy and insight-oriented
psychotherapy are most effective.
Antidepressant medications (SSRis, TCAs, or MAOis) are useful when used
concurrently with psychotherapy
Exhibitionistic disorder - ..(ANSWER)...Exposure of one's genitalia to an
unsuspecting individual, with the additional requirement that the person has
acted on these sexual urges with a nonconsenting person or the sexual urges or
fantasies have resulted in clinically significant distress or functional impairment
PA Psychiatry EOR Exam Latest 2025 Actual
Questions and Verified Answers () A+
Grade 100% Guarantee Verified by Experts
MDD Criteria - ..(ANSWER)...Must have at least five of the following symptoms
(must include either number I or number 2) for at least a 2-week period:
1. Depressed mood
2. Anhedonia (loss of interest in pleasurable activities)
3. Change in appetite or body weight (f or J,)
4. Feelings of worthlessness or excessive guilt
5. Insomnia or hypersomnia
6. Diminished concentration
7. Psychomotor agitation or retardation (ie, restlessness or slowness)
8. Fatigue or loss of energy
9. Recurrent thoughts of death or suicide
Manic episode criteria - ..(ANSWER)...A period of abnormally and persistently
elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if
hospitalization is necessary) and including at least three of the following (four if
mood is irritable):
I. Distractibility
2. Inflated self-esteem or grandiosity
3. tin goal-directed activity (socially, at work, or sexually)
4. J, need for sleep
5. Flight of ideas or racing thoughts
,2|Page
6. More talkative or pressured speech (rapid and uninterruptible)
7. Excessive involvement in pleasurable activities that have a high risk of negative
consequences (eg, shopping sprees, sexual indiscretions)
These symptoms cannot be due to substance use or medical conditions, and they
must cause social or occupational impairment. Seventy-five percent of manic
patients have psychotic symptoms.
Mania vs hypomania - ..(ANSWER)...Mania: Lasts at least 7 days, Causes severe
impairment in social or occupational functioning, May necessitate hospitalization
to prevent harm to self or others, May have psychotic feature
Hypomania: Lasts at least 4 days, No marked impairment in social or occupational
functioning, Does not require hospitalization, No psychotic features
Bipolar 1 disorder criteria - ..(ANSWER)...The only requirement for this diagnosis is
the occurrence of one manic or mixed episode - depression, dysthymia, and
hypomania can happen between episodes, but are not required for diagnosis
Bipolar 1 and 2 treatment - ..(ANSWER)...Lithium
Anticonvulsants (carbamazepine or valproic acid) are also mood stabilizers. They
are especially useful for rapid cycling bipolar disorder and mixed episodes,
although associated with T risk of suicide.
Atypical antipsychotics (olanzapine, quetiapine, ziprasidone) are effective as both
monotherapy and adjunct therapy
Psychotherapy: Supportive psychotherapy, family therapy, group therapy
(prolongs remission once the acute manic episode has been controlled). • ECT:
Works well in treatment of manic episodes
,3|Page
Lithium Side Effects - ..(ANSWER)...Weight gain • Tremor • Gastrointestinal
disturbances • Fatigue • Cardiac arrhythmias • Seizures • Goiter/hypothyroidism
• Leukocytosis (benign) • Como • Polyuria (nephrogenic diabetes insipidus) •
Polydipsia • Alopecia • Metallic taste
Bipolar 2 Criteria - ..(ANSWER)...History of one or more major depressive episodes
and at least one hypomanic episode. Remember: If there has been a full manic
episode even in the past, then the diagnosis is not bipolar II disorder, but bipolar
I.
Cyclothymic disorder - ..(ANSWER)...Alternating periods of hypomania and
periods with mild to moderate depressive symptoms.
Chronic disorder - 1/3 of patients are eventually diagnosed with bipolar disorder
Cyclothymic disorder criteria - ..(ANSWER)...• Numerous periods with hypomanic
symptoms and periods with depressive symptoms for at least 2 years.
• The person must never have been symptom free for > 2 months during those 2
years.
• No history of major depressive episode or manic episode.
Cyclothymic disorder treatment - ..(ANSWER)...Same as bipolar disorder
Persistent depressive disorder (dysthymia) - ..(ANSWER)...Chronic mild depression
Dysthymic disorder (DD) =
, 4|Page
2 D's
2 years of depression
2 listed criteria
Never asymptomatic for > 2 months
Dysthymia Criteria - ..(ANSWER)...l. Depressed mood for the majority of time most
days for at least 2 years (in children or adolescents for at least I year)
2. At least two of the following: • Poor concentration or difficulty making
decisions • Feelings of hopelessness • Poor appetite or overeating • Insomnia or
hypersomnia • Low energy or fatigue • Low self-esteem
3. During the 2-year period: • The person has not been without the above
symptoms for > 2 months at a time. • No major depressive episode. • The patient
must never have had a manic or hypomanic episode (this would make the
diagnosis bipolar disorder or cyclothymic disorder, respectively)
Cannot have psychotic features
Dysthymia treatment - ..(ANSWER)...Cognitive therapy and insight-oriented
psychotherapy are most effective.
Antidepressant medications (SSRis, TCAs, or MAOis) are useful when used
concurrently with psychotherapy
Exhibitionistic disorder - ..(ANSWER)...Exposure of one's genitalia to an
unsuspecting individual, with the additional requirement that the person has
acted on these sexual urges with a nonconsenting person or the sexual urges or
fantasies have resulted in clinically significant distress or functional impairment
