Page 1 of 56
PA PSYCHIATRY EOR EXAM 2 | {LATEST 2026/
2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
6 months illness with 1 - month acute illness and functional
decline
Hallucinations
Delusions
Disorganized speech
Catatonic symptoms
Negative symptoms - ✔✔✔ Correct Answer > schizophrenia
First generation antipsychotics can cause women to have _____
due to _________ (period) - ✔✔✔ Correct Answer > amenorrhea
secondary to hyperprolactinemia
A 44 - year- old man presents to the clinic with involuntary facial
movements. He states that for the past several months, his lower
lip and jaw move in writhing motions every half hour or so, and it
is beyond his control. He is taking risperidone 2 mg daily. When
,Page 2 of 56
questioned about the reason for taking risperidone, he states
that his previous healthcare provider put him on the drug
because he has no friends (and doesn't want any), has little facial
expression, finds no pleasure in any activity, and prefers to be
alone. He denies any past history of visual or auditory
hallucinations. Which of the following therapeutic changes would
be best to make for this patient? - ✔✔✔ Correct Answer > discontinue
risperadone and refer for psychotherapy
First generation antipsychotics can cause this life threatening
disorder due to d2 inhibition in the basal ganglia - ✔✔✔ Correct
Answer > neuroleptic malignant syndrome
This (initiated by drug) happens w/in 90 days of initiation or dose
increase and looks like extreme muscle rigidity,
hyperthermia/fever, incontinence, respiratory difficulty, bp
changes - ✔✔✔ Correct Answer > neuroleptic malignant syndrome
These drugs block dopamine d4 receptors, serotonin 5ht2, alpha
1 antagonism, antimuscirinic, and h1 blocking - ✔✔✔ Correct Answer >
second generation antipsychotics
These drugs have less eps d/t less d2 blocking but have more
weight gain and metabolic dysregulation - ✔✔✔ Correct Answer >
second generation antipsychotics
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Draw this level with all antipsychotics due to inhibition of
dopamine - ✔✔✔ Correct Answer > prolactin
This second gen antipsychotic has the most anticholinergic side
effects, decreases seizure threshold most, and is one of the most
sedating - ✔✔✔ Correct Answer > clozapine
This antipsychotic has highest weight gain associated with it -
✔✔✔ Correct Answer > olanzapine
Patients taking second generation antipsychotics need to be
monitored for development of ________ - ✔✔✔ Correct Answer >
dyslipidemia, diabetes mellitus, weight gain, metabolic syndrome
Use this second gen antipsychotic adjunctive to ssri for ocd - ✔✔✔
Correct Answer > risperidone
Kihoih - ✔✔✔ Correct Answer > hodih
This drug increase ne and 5ht receptor sensitivity, filtered
entirely by the kidney - ✔✔✔ Correct Answer > lithium
Indications for this drug include bipolar with acute mania - ✔✔✔
Correct Answer > lithium
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Must drink 8 - 12 glass of water a day with this drug, worry about
hyperparathyroidism/hypothyroidism and diabetes insipidus with
this drug (what is the narrow therapeutic index) - ✔✔✔ Correct
Answer > lithium (0.6 - 1.2)
This drug binds voltage gated sodium channels and potentiates
gaba - ✔✔✔ Correct Answer > valproic acid
Associated with neural tube defects - ✔✔✔ Correct Answer > valproic
acid
This drug is used for a mood stabilizer but 10% develop rash with
sjs or ten possible - ✔✔✔ Correct Answer > lamotrigine
This drug is specifically indicated for first line/trigeminal
neuralgia but associated with asian sjs/ten - ✔✔✔ Correct Answer >
carbamezapine
This therapy focused on persons thoughts/beliefs and how it
influences their actions, ways to change thinking to become
more positive and healthy, teaching ways to cope with anxiety
provoking situations - ✔✔✔ Correct Answer > cbt
PA PSYCHIATRY EOR EXAM 2 | {LATEST 2026/
2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
6 months illness with 1 - month acute illness and functional
decline
Hallucinations
Delusions
Disorganized speech
Catatonic symptoms
Negative symptoms - ✔✔✔ Correct Answer > schizophrenia
First generation antipsychotics can cause women to have _____
due to _________ (period) - ✔✔✔ Correct Answer > amenorrhea
secondary to hyperprolactinemia
A 44 - year- old man presents to the clinic with involuntary facial
movements. He states that for the past several months, his lower
lip and jaw move in writhing motions every half hour or so, and it
is beyond his control. He is taking risperidone 2 mg daily. When
,Page 2 of 56
questioned about the reason for taking risperidone, he states
that his previous healthcare provider put him on the drug
because he has no friends (and doesn't want any), has little facial
expression, finds no pleasure in any activity, and prefers to be
alone. He denies any past history of visual or auditory
hallucinations. Which of the following therapeutic changes would
be best to make for this patient? - ✔✔✔ Correct Answer > discontinue
risperadone and refer for psychotherapy
First generation antipsychotics can cause this life threatening
disorder due to d2 inhibition in the basal ganglia - ✔✔✔ Correct
Answer > neuroleptic malignant syndrome
This (initiated by drug) happens w/in 90 days of initiation or dose
increase and looks like extreme muscle rigidity,
hyperthermia/fever, incontinence, respiratory difficulty, bp
changes - ✔✔✔ Correct Answer > neuroleptic malignant syndrome
These drugs block dopamine d4 receptors, serotonin 5ht2, alpha
1 antagonism, antimuscirinic, and h1 blocking - ✔✔✔ Correct Answer >
second generation antipsychotics
These drugs have less eps d/t less d2 blocking but have more
weight gain and metabolic dysregulation - ✔✔✔ Correct Answer >
second generation antipsychotics
,Page 3 of 56
Draw this level with all antipsychotics due to inhibition of
dopamine - ✔✔✔ Correct Answer > prolactin
This second gen antipsychotic has the most anticholinergic side
effects, decreases seizure threshold most, and is one of the most
sedating - ✔✔✔ Correct Answer > clozapine
This antipsychotic has highest weight gain associated with it -
✔✔✔ Correct Answer > olanzapine
Patients taking second generation antipsychotics need to be
monitored for development of ________ - ✔✔✔ Correct Answer >
dyslipidemia, diabetes mellitus, weight gain, metabolic syndrome
Use this second gen antipsychotic adjunctive to ssri for ocd - ✔✔✔
Correct Answer > risperidone
Kihoih - ✔✔✔ Correct Answer > hodih
This drug increase ne and 5ht receptor sensitivity, filtered
entirely by the kidney - ✔✔✔ Correct Answer > lithium
Indications for this drug include bipolar with acute mania - ✔✔✔
Correct Answer > lithium
, Page 4 of 56
Must drink 8 - 12 glass of water a day with this drug, worry about
hyperparathyroidism/hypothyroidism and diabetes insipidus with
this drug (what is the narrow therapeutic index) - ✔✔✔ Correct
Answer > lithium (0.6 - 1.2)
This drug binds voltage gated sodium channels and potentiates
gaba - ✔✔✔ Correct Answer > valproic acid
Associated with neural tube defects - ✔✔✔ Correct Answer > valproic
acid
This drug is used for a mood stabilizer but 10% develop rash with
sjs or ten possible - ✔✔✔ Correct Answer > lamotrigine
This drug is specifically indicated for first line/trigeminal
neuralgia but associated with asian sjs/ten - ✔✔✔ Correct Answer >
carbamezapine
This therapy focused on persons thoughts/beliefs and how it
influences their actions, ways to change thinking to become
more positive and healthy, teaching ways to cope with anxiety
provoking situations - ✔✔✔ Correct Answer > cbt
