2026 IATEST UPDATE DOWNLOAD
NC DOCC COMPREHENSIVE EXAM
ACTUAL QUESTIONS AND WELL REVISED
ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS
Question 1
A 25-year-old presents with depressed mood for 3 weeks, anhedonia, fatigue, and poor
concentration. What is the MOST likely diagnosis?
A. Adjustment disorder
B. Major depressive disorder
C. Persistent depressive disorder
D. Bipolar II disorder
Correct Answer: B
Rationale: Symptoms lasting >2 weeks with functional impairment suggest MDD. PDD requires
≥2 years duration.
Question 2
Which intervention is first-line for generalized anxiety disorder (GAD)?
A. Benzodiazepines
B. CBT
C. Antipsychotics
D. Trazodone
Correct Answer: B
Rationale: Cognitive-behavioral therapy is first-line; medications (SSRIs/SNRIs) may be
adjunct.
,2026 IATEST UPDATE DOWNLOAD
Question 3
Which neurotransmitter is most implicated in schizophrenia positive symptoms?
A. Dopamine
B. Serotonin
C. GABA
D. Acetylcholine
Correct Answer: A
Rationale: Positive symptoms (hallucinations, delusions) → mesolimbic dopamine
hyperactivity.
Question 4
A patient on lithium reports polyuria, polydipsia, and tremor. What lab should you check first?
A. CBC
B. Serum lithium level
C. Liver function tests
D. Electrolytes only
Correct Answer: B
Rationale: Symptoms suggest lithium toxicity; serum levels guide management.
Question 5
First-line pharmacotherapy for OCD:
A. Buspirone
B. Fluoxetine
C. Bupropion
D. Mirtazapine
Correct Answer: B
Rationale: SSRIs are first-line for OCD; higher doses may be needed.
, 2026 IATEST UPDATE DOWNLOAD
Question 6
Which personality cluster includes narcissistic and borderline personality disorders?
A. Cluster A
B. Cluster B
C. Cluster C
D. None
Correct Answer: B
Question 7
A patient reports hearing voices commenting on their actions. This is:
A. Illusion
B. Delusion
C. Auditory hallucination
D. Thought insertion
Correct Answer: C
Question 8
Which is a risk factor for serotonin syndrome?
A. SSRI + MAOI
B. TCA + SSRI
C. SSRI + tramadol
D. All of the above
Correct Answer: D
Question 9
A 60-year-old on sertraline develops hyponatremia. What is the most likely mechanism?
A. SIADH
B. Nephrogenic DI
C. Hyperaldosteronism
D. Renal failure
NC DOCC COMPREHENSIVE EXAM
ACTUAL QUESTIONS AND WELL REVISED
ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS
Question 1
A 25-year-old presents with depressed mood for 3 weeks, anhedonia, fatigue, and poor
concentration. What is the MOST likely diagnosis?
A. Adjustment disorder
B. Major depressive disorder
C. Persistent depressive disorder
D. Bipolar II disorder
Correct Answer: B
Rationale: Symptoms lasting >2 weeks with functional impairment suggest MDD. PDD requires
≥2 years duration.
Question 2
Which intervention is first-line for generalized anxiety disorder (GAD)?
A. Benzodiazepines
B. CBT
C. Antipsychotics
D. Trazodone
Correct Answer: B
Rationale: Cognitive-behavioral therapy is first-line; medications (SSRIs/SNRIs) may be
adjunct.
,2026 IATEST UPDATE DOWNLOAD
Question 3
Which neurotransmitter is most implicated in schizophrenia positive symptoms?
A. Dopamine
B. Serotonin
C. GABA
D. Acetylcholine
Correct Answer: A
Rationale: Positive symptoms (hallucinations, delusions) → mesolimbic dopamine
hyperactivity.
Question 4
A patient on lithium reports polyuria, polydipsia, and tremor. What lab should you check first?
A. CBC
B. Serum lithium level
C. Liver function tests
D. Electrolytes only
Correct Answer: B
Rationale: Symptoms suggest lithium toxicity; serum levels guide management.
Question 5
First-line pharmacotherapy for OCD:
A. Buspirone
B. Fluoxetine
C. Bupropion
D. Mirtazapine
Correct Answer: B
Rationale: SSRIs are first-line for OCD; higher doses may be needed.
, 2026 IATEST UPDATE DOWNLOAD
Question 6
Which personality cluster includes narcissistic and borderline personality disorders?
A. Cluster A
B. Cluster B
C. Cluster C
D. None
Correct Answer: B
Question 7
A patient reports hearing voices commenting on their actions. This is:
A. Illusion
B. Delusion
C. Auditory hallucination
D. Thought insertion
Correct Answer: C
Question 8
Which is a risk factor for serotonin syndrome?
A. SSRI + MAOI
B. TCA + SSRI
C. SSRI + tramadol
D. All of the above
Correct Answer: D
Question 9
A 60-year-old on sertraline develops hyponatremia. What is the most likely mechanism?
A. SIADH
B. Nephrogenic DI
C. Hyperaldosteronism
D. Renal failure
