PRACTICE QUESTIONS COMPLETE WITH 100%
VERIFIED ANSWERS AND RATIONALE
1. A psychologist receives a subpoena for a client’s records. The
psychologist should:
A) Immediately send the records without notifying the client
B) Assert privilege on behalf of the client unless the client consents or a
court orders disclosure (*)
C) Ignore the subpoena because it is not a court order
D) Release only de-identified data
Rationale: In Maryland, the psychologist–client privilege belongs to the
client. A subpoena alone is not a court order to override privilege. The
psychologist must attempt to assert privilege or seek client consent
before releasing records.
2. Under Maryland law, a psychologist’s duty to protect a third party
from harm arises when:
A) The client makes any threat, no matter how vague
B) The client has a history of violence only
C) There is a specific, serious threat of imminent violence to an
identified or readily identifiable person (*)
D) The client reports past violence
Rationale: Maryland follows the Tarasoff-type duty limited to situations
where the threat is specific, serious, and imminent, and the potential
victim is identifiable. This is codified in Health-General Article §5-609.
,3. How many continuing education (CE) credits must a Maryland
licensed psychologist earn per renewal cycle?
A) 20 hours, all of which may be home study
B) 40 hours, with at least 3 hours in ethics/law (*)
C) 30 hours, all must be live
D) 50 hours, with at least 6 hours in supervision
Rationale: Maryland requires 40 CE credits per 2-year renewal cycle, of
which a minimum of 3 hours must be in ethics/law (jurisprudence)
directly related to psychology practice.
4. A psychologist who has knowledge that another psychologist has
engaged in sexual misconduct with a patient:
A) Must report it to the Maryland Board of Examiners of Psychologists
within 30 days (*)
B) May report only if the patient consents
C) Has no legal duty to report
D) Must report to the police first
Rationale: Maryland law (Health Occupations Article §19-318) requires
mandatory reporting by a psychologist who has reasonable cause to
believe another psychologist has committed sexual misconduct with a
patient, within 30 days.
5. Which of the following is an exception to the requirement of
informed consent in psychological treatment?
A) Treatment of minors by a school psychologist without parent consent
,if the school requests it
B) Emergency treatment to prevent immediate harm (*)
C) Treatment ordered by an employer
D) Any court-ordered evaluation
Rationale: Maryland’s Health-General Article §5-609 allows exceptions
to informed consent in bona fide emergencies where delaying
treatment to obtain consent would pose a serious threat to the
patient’s health or safety.
6. A licensed psychologist in Maryland may supervise a psychology
associate (post-master’s) for licensure. The supervisor must:
A) Hold an active license and have been licensed for at least 2 years (*)
B) Be board certified in the same specialty
C) Supervise only one associate at a time
D) Be present in the same room during all client contact
Rationale: COMAR 10.36.07.04 requires that supervisors for psychology
associates be licensed in Maryland for at least two years and have no
disciplinary history relevant to supervision.
7. A psychologist wishes to store psychotherapy notes electronically.
Under Maryland law and HIPAA, which is true?
A) Psychotherapy notes cannot be stored electronically
B) Electronic storage must include encryption and access controls, and
the psychologist must have a business associate agreement with any
third-party cloud provider (*)
C) No special security is required beyond a password
, D) Electronic storage is prohibited for notes containing highly sensitive
information
Rationale: HIPAA and Maryland confidentiality laws require reasonable
safeguards. Electronic storage is allowed but must meet security
standards; if a cloud provider is used, a business associate agreement is
required.
8. The Maryland Board of Examiners of Psychologists may refuse a
license to an applicant who:
A) Has a prior DUI from 10 years ago with no other offenses
B) Has a criminal record involving moral turpitude that directly relates
to the practice of psychology (*)
C) Is not a U.S. citizen
D) Has unpaid student loans
Rationale: Under Health Occupations Article §19-313, the Board may
deny a license for crimes involving moral turpitude that are directly
related to psychology practice. Citizenship is not a requirement.
9. A psychologist providing telehealth to a patient located in Maryland
must:
A) Be licensed only in the state where the psychologist is physically
located
B) Be licensed by the Maryland Board of Examiners of Psychologists (*)
C) Register with the Maryland Telehealth Commission but need not be
licensed
D) Have a compact privilege only