Psychiatry Test 1 (Packrat) Question
and answers already passed
2025/2026
History & Physical/Psychiatry/Behavioral Medicine
Which of the following historical factors differentiates post-traumatic stress disorder from acute stress
disorder?
Answers
A. The inability of the person to recall an important aspect of the event.
B. Avoidance of stimuli that invokes recollections of the event.
C. A belief that their future has been foreshortened because of the event.
D. The presence of sleep disorder. - correct answer ✔Explanations
(u) A. See C for explanation.
(u) B. See C for explanation.
(c) C. Post-traumatic stress disorder and acute stress disorder have many of the same characteristics. A
sense of a foreshortened future, such as not expecting a normal life span or a career due to the trauma,
distinguishes post-traumatic stress disorder from an acute stress disorder. The other answers are
common to both disorders.
(u) D. See C for explanation.
History & Physical/Psychiatry/Behavioral Medicine
A patient with obsessive-compulsive disorder would most likely have which of the following findings?
Answers
A. Raw, red hands
B. Priapism
C. Memory impairment
D. Abdominal pain - correct answer ✔Explanations
,(c) A. Common manifestations of obsessive-compulsive disorder include phobias of germ and
contaminants, which results in frequent hand washing leading to chafe and reddened hands. The other
answers are inconsistent with obsessive-compulsive disorder.
(u) B. See A for explanation.
(u) C. See A for explanation.
(u) D. See A for explanation.
Diagnosis/Psychiatry/Behavioral Medicine
A 53 year-old man with a history of hypertension is being treated with atenolol (Tenormin). He currently
presents complaining of chronic fatigue, insomnia, decreased appetite, and difficulty concentrating for
the past 3 weeks. His wife also notes that he no longer goes bowling with his friends and has lost
interest in any sexual intimacy. Physical examination is unremarkable. Which of the following is the most
likely diagnosis?
Answers
A. major depression
B. dysthymic disorder
C. atypical depression
D. drug-induced depression - correct answer ✔Explanations
(c) A. Diagnostic criteria for a major depressive disorder include a loss of pleasure in usual activities,
vegetative or physical changes (poor appetite, loss of energy), and cognitive changes such as difficulty in
concentrating.
(u) B. A dysthymic disorder is a chronic depressive disorder whose symptoms are milder, but longer
lasting (> 2 years) than those in a major depressive episode.
(u) C. Atypical depression is characterized by hypersomnia, overeating, lethargy, and rejection
sensitivity, which are not present in this case.
(u) D. While beta-blockers may cause fatigue and sleep disturbances, they do not cause a depressive
disorder.
Clinical Intervention/Psychiatry/Behavioral Medicine
The most important initial component of evaluating a patient with depressive illness is
, Answers
A. assessment of suicidal risk.
B. assessment of memory function.
C. determination of the presence of hallucinations.
D. determination of the degree of intellectual impairment. - correct answer ✔Explanations
(c) A. Two-thirds of all depressed patients contemplate suicide, and 10 to 15% commit suicide.
(u) B. Assessment of memory function and degree of intellectual impairment is important during the
evaluation of the depressed patient, as both may be impaired in over 95% of patients. These, however,
are not the most important.
(u) C. Hallucinations are not a symptom of depression.
(u) D. See B for explanation.
Clinical Therapeutics/Psychiatry/Behavioral Medicine
Which of the following antipsychotic medications is associated with significant agranulocytosis but not
with extrapyramidal side effects?
Answers
A. Clozapine (Clozaril)
B. Haloperidol (Haldol)
C. Chlorpromazine (Thorazine)
D. Fluphenazine (Prolixin) - correct answer ✔Explanations
(c) A. Clozapine is referred as an "atypical" antipsychotic agent. It can cause agranulocytosis and should
be monitored with weekly CBC. This is not a first line treatment drug.
(u) B. See A for explanation.
(u) C. See A for explanation.
(u) D. See A for explanation.
192. Clinical Therapeutics/Psychiatry/Behavioral Medicine
and answers already passed
2025/2026
History & Physical/Psychiatry/Behavioral Medicine
Which of the following historical factors differentiates post-traumatic stress disorder from acute stress
disorder?
Answers
A. The inability of the person to recall an important aspect of the event.
B. Avoidance of stimuli that invokes recollections of the event.
C. A belief that their future has been foreshortened because of the event.
D. The presence of sleep disorder. - correct answer ✔Explanations
(u) A. See C for explanation.
(u) B. See C for explanation.
(c) C. Post-traumatic stress disorder and acute stress disorder have many of the same characteristics. A
sense of a foreshortened future, such as not expecting a normal life span or a career due to the trauma,
distinguishes post-traumatic stress disorder from an acute stress disorder. The other answers are
common to both disorders.
(u) D. See C for explanation.
History & Physical/Psychiatry/Behavioral Medicine
A patient with obsessive-compulsive disorder would most likely have which of the following findings?
Answers
A. Raw, red hands
B. Priapism
C. Memory impairment
D. Abdominal pain - correct answer ✔Explanations
,(c) A. Common manifestations of obsessive-compulsive disorder include phobias of germ and
contaminants, which results in frequent hand washing leading to chafe and reddened hands. The other
answers are inconsistent with obsessive-compulsive disorder.
(u) B. See A for explanation.
(u) C. See A for explanation.
(u) D. See A for explanation.
Diagnosis/Psychiatry/Behavioral Medicine
A 53 year-old man with a history of hypertension is being treated with atenolol (Tenormin). He currently
presents complaining of chronic fatigue, insomnia, decreased appetite, and difficulty concentrating for
the past 3 weeks. His wife also notes that he no longer goes bowling with his friends and has lost
interest in any sexual intimacy. Physical examination is unremarkable. Which of the following is the most
likely diagnosis?
Answers
A. major depression
B. dysthymic disorder
C. atypical depression
D. drug-induced depression - correct answer ✔Explanations
(c) A. Diagnostic criteria for a major depressive disorder include a loss of pleasure in usual activities,
vegetative or physical changes (poor appetite, loss of energy), and cognitive changes such as difficulty in
concentrating.
(u) B. A dysthymic disorder is a chronic depressive disorder whose symptoms are milder, but longer
lasting (> 2 years) than those in a major depressive episode.
(u) C. Atypical depression is characterized by hypersomnia, overeating, lethargy, and rejection
sensitivity, which are not present in this case.
(u) D. While beta-blockers may cause fatigue and sleep disturbances, they do not cause a depressive
disorder.
Clinical Intervention/Psychiatry/Behavioral Medicine
The most important initial component of evaluating a patient with depressive illness is
, Answers
A. assessment of suicidal risk.
B. assessment of memory function.
C. determination of the presence of hallucinations.
D. determination of the degree of intellectual impairment. - correct answer ✔Explanations
(c) A. Two-thirds of all depressed patients contemplate suicide, and 10 to 15% commit suicide.
(u) B. Assessment of memory function and degree of intellectual impairment is important during the
evaluation of the depressed patient, as both may be impaired in over 95% of patients. These, however,
are not the most important.
(u) C. Hallucinations are not a symptom of depression.
(u) D. See B for explanation.
Clinical Therapeutics/Psychiatry/Behavioral Medicine
Which of the following antipsychotic medications is associated with significant agranulocytosis but not
with extrapyramidal side effects?
Answers
A. Clozapine (Clozaril)
B. Haloperidol (Haldol)
C. Chlorpromazine (Thorazine)
D. Fluphenazine (Prolixin) - correct answer ✔Explanations
(c) A. Clozapine is referred as an "atypical" antipsychotic agent. It can cause agranulocytosis and should
be monitored with weekly CBC. This is not a first line treatment drug.
(u) B. See A for explanation.
(u) C. See A for explanation.
(u) D. See A for explanation.
192. Clinical Therapeutics/Psychiatry/Behavioral Medicine
