Question 1 Select the most reliable method to make a diagnosis of schizophrenia.
A. Mental status exam
B. Intermittent hallucinations
C. Impaired abstract thinking
D. Patient history
Question 2 Select the characteristic found in persons with intersex conditions.
A. Desire for opposite gender anatomy
B. Birth with atypical anatomy
C. Dissatisfaction dysphoria
D. Chromosome X abnormality
Question 3 Select the personality disorder in which patients are preoccupied with perfectionism and interpersonal control.
A. Passive-aggressive
B. Obsessive-compulsive
C. Narcissistic
D. Avoidance
Question 4 Select the difference between illusions and hallucinations.
A. Hallucinations ARE based upon real images or sensation.
B. Hallucinations ARE NOT based upon real images or sensations.
C. Illusions ARE NOT based upon real images or sensations.
D. None of the above.
Question 5 Select twopsychiatric disorders that are often misdiagnosed as childhood-onset or early-onset schizophrenia.
A. Autism spectrum
B. Obsessive-compulsive disorder
C. Bipolar II
D. Bipolar I
Question 6Select the factor associated with a four- to five-fold greater occurrence of gender dysphoria in male than in female children.
A. Social stigma against male feminism
B. Deficiency of androgenic hormones
C. Social acceptance of female masculinity
D. Excess of estrogenic hormones
Question 7 Select the personality disorder in which patients are continually in crisis and exhibit unpredictable behavior.
A. Antisocial
B. Paranoid
C. Borderline
D. Histrionic
Question 8 Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene.
A. Fragile X
B. Prader-Willi
C. Down syndrome
D. Cri-du-chat
Question 9 Select the factor that is most influential in determining gender role development.
A. Parenting
B. Genetics
C. Learning
D. Hormonal
Question 10 Select the usual time delay to the onset of tardive dyskinesia symptoms after initiating antipsychotic drug therapy.
A. 7-10 days
B. 6 weeks
C. 3 months
D. 6 months
Question 11 Select the neurotransmitter that increases sexual desire.
A. Norepinephrine
B. Dopamine
C. GABA
D. Serotonin
Question 12 Select the psychiatric emergency that is indicated by mothers who express inadequate distress over their children’s medical symptoms.
A. Klinefelter’s syndrome
B. PTSD
C. Dissociative disorders
D. Munchausen’s syndrome
Question 13 The enzyme ADH that catalyzes the conversion of alcohol into acetaldehyde is inhibited by which medication?
A. Disulfiram
B. Haloperidol
C. Lorazepam
D. Naloxone
Question 14 Select the twomost life-threatening adverse effects of cocaine use.
A. Respiratory depression
B. Cardiac arrhythmias
C. Cerebrovascular infarction
D. Muscular paralysis
Question 15 Select the theorist who first studied social and cultural influences on suicide.
A. Freud
B. Durkheim
C. Menninger
D. Beck
Question 16 Select the personality disorder that is assigned to Cluster B in DSM-5.
A. Dependent
B. Paranoid
C. Histrionic
D. Schizoid
Question 17 What laboratory test assists with the diagnosis of schizophrenia?
A. SHBG Blood Test
B. Genesight Test
C. Both A and B
D. No lab test
Question 18 Select the youngest age at which childhood-onset schizophrenia can be distinguished from autism spectrum.
A. 3
B. 4
C. 5
D. 6
Question 19 Select the category of symptoms that is most commonly comorbid with cognitive disorders.
A. Behavioral
B. Emotional
C. Medical
D. Physical
Question 20 Select the diagnostic criterion for catatonia resulting from a medical condition.
A. Loose association
B. Pressured speech
C. Waxy flexibility
D. Involuntary movement
Question 21 Select the personality disorder that presents the greatest challenge to diagnose by experienced providers.
A. Borderline
B. Paranoid
C. Schizotypal
D. Antisocial
Question 22 Select twotreatments for adults who identify as transgender.
A. Hormonal
B. Mood stabilizers
C. ECT
D. Surgical
Question 23 Select the most distinguishing feature in the course and prognosis of schizophrenia.
A. Worsening after each relapse
B. Increase in positive symptoms
C. Decrease in negative symptoms
D. Return to baseline after each relapse
Question 24 Select the neurotransmitter deficiency that is most associated with delirium.
A. Serotonin
B. Acetylcholine
C. Norepinephrine
D. Dopamine
Question 25 Select the twonon-drug therapies most likely to be effective in treating paraphilic disorders.
A. Cognitive-behavioral
B. Dialectical
C. Insight
D. Family
Question 26 Select the drug that is most safe and effective in treating mild to moderate memory loss in early Alzheimer’s disease.
A. Donepezil
B. Risperidone
C. Benztropine
D. Tacrine
Question 27 Select the most frequently abused illicit drug.
A. Marijuana
B. Heroin
C. Cocaine
D. Phencyclidine
Question 28 Select the youngest age by which early-onset schizophrenia occurs.
A. 10
B. 13
C. 15
D. 18
Question 29 Select the neurotransmitter that is most associated with the occurrence of ADHD.
A. Serotonin
B. Dopamine
C. Acetylcholine
D. Glutamate
‘Question 30 Select the drug most likely to be effective treating paraphilic disorders.
A. Dexamethasone
B. Nandrolone
C. Fluticasone
D. Medroxyprogesterone
Question 31 Select the drug of choice to treat psychosis in delirious patients.
A. Chlorpromazine
B. Alprazolam
C. Clozapine
D. Haloperidol
Question 32 What is the terminology term for the dream-like state of patients with schizophrenia who are engaged in their hallucinations and exclude involvement in the real world?
A. Oneiroid
B. Euphoria
C. Imaginative
D. Paraphrenia
Question 33 What substance is known to decrease blood concentrations of antipsychotics, yet improve cognitive impairments and parkinsonism in schizophrenia illnesses?
A. Alcohol
B. Benzodiazepines
C. Marijuana
D. Nicotine
Question 34 Select the most effective form of questioning when taking a sex history.
A. Multiple choice
B. Open-ended
C. Yes-no
D. Why
Question 35 Select the development time of symptoms in neuroleptic malignant syndrome.
A. 12-24 hours
B. 24-72 hours
C. 4-7 days
D. 10-14 days
Question 36 Select the patient population at most risk of mortality from delirium.
A. Elderly hospitalized
B. Substance users
C. Alcohol withdrawal
D. Postpartum mothers
Question 37 Select the type of hallucinations most common in schizophrenia.
A. Tactile
B. Visual
C. Auditory
D. Olfactory
Question 38 Heavy use of cannabis in individuals with no previous psychiatric illnesses can produce:
A. Depression
B. Tics
C. Amnesia
D. Psychosis
Question 39
Select the twodefense mechanisms used commonly by patients with personality disorders.
A. Introjection
B. Repression
C. Splitting
D. Projection
Question 40 What is the term for patients who mimic mental health symptoms without having the disorder for secondary gain?
A. Schizophrenia
B. Borderline
C. Fictitious
D. Maladaptation
Question 41 Select the twopatient populations in which delirium occurs most frequently.
A. General surgical
B. Terminally ill
C. Long-term care
D. Critical care
Question 42 Select the drug that is most likely to cause parkinsonian movement symptoms.
A. Lorazepam
B. Propranolol
C. Benztropine
D. Haloperidol
Question 43 What is an example of a thought disorder?
A. Indifference
B. Apathy
C. Aversion
D. Delusion
Question 44 Select the most defining characteristic of inevitable suicide.
A. Lack of family history
B. Unexpected adverse drug effect
C. Provider loses hope in patient
D. Failure of best therapy
Question 45 Select the neurotransmitter that inhibits sexual orgasm.
A. Serotonin
B. Norepinephrine
C. Dopamine
D. Acetylcholine
Question 46 Select the brain region that is associated with substance addiction.
A. Prefrontal cortex
B. Caudate nucleus
C. Basal ganglia
D. Ventral tegmental
Question 47 Select the age before which a majority of paraphilic disorders occurs.
A. 22
B. 18
C. 25
D. 50
Question 48 Select the gender dysphoria in which genital surgery is usually not chosen.
A. Genderqueer
B. Transsexual
C. Crossdresser
D. Transgender
Question 49 Select the hormone class that determines fetal sexual differentiation.
A. Corticosteroids
B. Estrogens
C. Progestins
D. Androgens
Question 50 Select the rating scale used to assess medication-induced movement disorders.
A. CAGE
B. MMSE
C. AIMS
D. BPRS
Question 51 What theorist saw schizophrenia as a reaction to life stressors?
A. Schneider
B. Meyer
C. Bleuler
D. Kraepelin
Question 52 Select the procedure most applicable to confirming a diagnosis of delirium.
A. MRI
B. CT
C. EEG
D. PET
Question 53 Select the brain region that shows the greatest anatomical abnormalities in schizophrenic patients.
A. Hippocampus
B. Amygdala
C. Prefrontal cortex
D. Basal ganglia
Question 54 Select the substance that is most commonly abused by adolescents.
A. Cocaine
B. Marijuana
C. Methamphetamine
D. Alcohol
Question 55 Select the primary method to assess cognition.
A. Serum electrolytes
B. Thyroid function
C. Mental status exam
D. Brief psychiatric rating scale
Question 56 Select the twopatient populations most likely suffer neuroleptic-induced parkinsonian symptoms.
A. Female
B. Male
C. Elderly
D. Adolescents
Question 57 Select the hepatic enzyme that performs the initial metabolism of alcohol.
A. ADH
B. ALT
C. GGT
D. AST
Question 58 Select the characteristic of masturbation.
A. Can predispose to mental illness
B. Decreases sexual potency
C. Is most universally practiced
D. Is a sin against religious doctrine
Question 59 Select the initial intervention to treat children experiencing acute school refusal.
A. One-week delay until return to school
B. Return to school the next normal day
C. Seek enrollment in a different school
D. Start therapy with imipramine
Question 60 All of the following are symptoms of alcoholic withdrawal delirium EXCEPT
A. Agitation
B. Autonomic dysfunction
C. Confusion
D. Delusions
Question 61 Select the most distinguishing characteristic of delirium.
A. Prolonged worsening course
B. Sudden onset
C. Lack of a stimulus
D. Gradual increase
Question 62 Select the non-drug therapy in which mastery of anxiety through desensitization is critical to successful treatment of sexual dysfunction.
A. Mindfulness
B. Analytically
C. Behavior
D. Group
Question 63 In the diagnosis of schizophrenia, symptoms must persist for how long?
A. 1-2 months
B. 3-4 months
C. 6-8 months
D. 8-10 months
Question 64 Select the main goal of psychosocial therapies for persons with schizophrenia.
A. Reduce frequency of auditory hallucinations
B. Develop coping skills for adverse effects of antipsychotic drugs
C. Develop skills for independent living
D. Reduce exacerbations and re-hospitalizations
Question 65 Select the primary defense mechanism that is common in delusional disorder.
A. Projection
B. Repression
C. Suppression
D. Rationalization
Question 66 The presence of hallucinations or delusions IS needed for a diagnosis of schizophrenia.
A. True
B. False
Question 67 Select the symptom not present in paranoid personality disorder.
A. Denial of responsibility
B. Fixed delusions
C. Suspicious of coworkers
D. Hostility and irritability
Question 68 Select the distinguishing characteristic of paraphilic disorders.
A. Deviation from normal sexual behavior
B. Motivated by need to procreate
C. Expression of love between two persons
D. Cooperation to achieve mutual pleasure
Question 69 All of the following are subtypes of schizophrenia EXCEPT
A. Schizophreniform type
B. Paranoid type
C. Catatonic type
D. Residual type
Question 70 Select the medical condition that occurs less frequently in schizophrenic patients than in the general population.
A. Diabetes mellitus
B. Obesity
C. Cardiovascular disease
D. Rheumatoid arthritis
Question 71 Select the age range at which most children with gender dysphoria begin to show increased anxiety over anticipated changes to their bodies.
A. 11 to 14
B. 7 to 10
C. 6 to 8
D. 3 to 4
Question 72 Select the factor that best correlates with attempted and completed suicide.
A. Mental illness
B. Socioeconomic status
C. Religion
D. Age
Question 73 Select the comorbid disorder that is more frequent in children with gender dysphoria.
A. Down syndrome
B. Bipolar I
C. Autism spectrum
D. ADHD
Question 74 Select the psychiatric disorder in which patients refuse mental health care and deny their problems.
A. Obsessive-compulsive
B. Depressive
C. Personality
D. Anxiety
Question 75 Select the two essential features of sexual dysfunction.
A. Failure to achieve orgasm
B. Nonresponse to sexual stimulation
C. Pain during sexual activity
D. Presence of substance
Question 76 Select the psychiatric theorist who proposed that all pleasurable impulses and activities are sexual in origin.
A. Harlow
B. Masters and Johnson
C. Freud
D. Kinse
Question 77 All of the following are criteria for gender dysphoria diagnosis in children EXCEPT
A. Play preferred with same gender children
B. Urinating in body position of desired gender
C. Play preferred with opposite gender children
D. Dressing in clothing of assigned gender
Question 78 Select the neurotransmitter system that is most associated with the addictive rewarding properties of opioids.
A. Dopaminergic
B. Serotonergic
C. Adrenergic
D. Glutamatergic
Question 79 Select the negative symptom of schizophrenia.
A. Anhedonia
B. Delusions
C. Catatonia
D. Hallucinations
Question 80 Select the personality disorder in which patients exhibit covert obstructionism, procrastination and pessimism.
A. Obsessive-compulsive
B. Sadomasochistic
C. Borderline
D. Passive-aggressive
Question 81 Select the neurotransmitter for which the metabolite 5-HIAA in CSF is evident and predictive of suicide.
A. Serotonin
B. Dopamine
C. Norepinephrine
D. GABA
Question 82 Select the drug that is least life-threatening when consumed in an overdose.
A. Pentobarbital
B. Zolpidem
C. Eszopiclone
D. Diazepam
Question 83 Select the disorder in which the highest percentage of patients commit suicide.
A. Schizophrenia
B. Anxiety
C. Alcohol dependence
D. Mood
Question 84 Select the factor that exerts the strongest influence on the initiation of substance use disorder in adolescents.
A. Peers
B. Genetics
C. Parents
D. Anxiety
Question 85 Select the neurotransmitter that has least involvement in drug-induced movement disorders.
A. Norepinephrine
B. Acetylcholine
C. Dopamine
D. Serotonin (5-HT)
Question 86 Select the infectious disease that when untreated may lead to an incorrect diagnosis of depression.
A. Syphilis
B. Lyme
C. Rabies
D. Meningitis
Question 87 Select the drug used to treat neuroleptic malignant syndrome.
A. Trihexyphenidyl
B. Clonidine
C. Dantrolene
D. Buspirone
Question 88 Select the brain region devoid of cannabinoid receptors.
A. Brain stem
B. Basal ganglia
C. Cerebellum
D. Hippocampus
Question 89 Select the medical condition in which erectile dysfunction drugs (e.g., sildenafil) are likely to be ineffective.
A. Insulin-dependent diabetes
B. Rheumatoid arthritis
C. Chronic obstructive pulmonary disease (COPD)
D. Ischemic heart disease
Question 90 What is the term that describes the ability of one drug to substitute for another?
A. Addiction
B. Intoxication
C. Tolerance
D. Cross-tolerance
Question 91 Select the mental function that is most affected in mild cognitive impairment.
A. General cognition
B. Activities of daily living
C. Geographic orientation
D. Recent memory
Question 92 Select the drug used to treat age-related sexual dysfunction.
A. sildenafil
B. fluoxetine
C. oxandrolone
D. lorazepam
Question 93 Select the psychoactive substance that is most frequently consumed worldwide.
A. Nicotine
B. Caffeine
C. Alcohol
D. Marijuana
Question 94 Select the factor that increases suicidal risk in patients in early treatment with SSRI antidepressants.
A. Suspicion
B. Isolation
C. Energy
D. Guilt
Question 95 In the dopamine hypothesis, what is known to be linked to the severity of positive psychotic symptoms in schizophrenia?
A. Excessive dopamine release
B. Reduced dopamine release
C. Increased muscarinic and nicotinic receptors
D. None of the above
Question 96 Select the most common cause of dementia in elderly persons.
A. Parkinson’s disease
B. Alcohol abuse
C. Alzheimer’s disease
D. Subdural hematoma
Question 97 Select the rare adverse effect of SSRI antidepressants.
A. Tardive dyskinesia
B. Restless leg syndrome
C. Parkinsonian symptoms
D. Hyperthermia
Question 98 Select the characteristic that is greater in childhood than adult onset schizophrenia.
A. Delusions
B. Social withdrawal
C. Hallucinations
D. Disorganized speech
Question 99 Select the two Freudian stages of psychosexual development.
A. Olfactory
B. Oral
C. Tactile
D. Genital
Question 100 Select the drug most likely to inhibit female orgasm.
Lorazepam
Paroxetine
Bupropion
Valproate
