PROPHECY ASSESSMENTS - CORE
MANDATORY PART I AND A+ ACTUAL
EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ pharmacologic agents for PTSD.
Answer: med tx is focused on diminishing intrusive thoughts, hyperarousal,
and avoidance, with some success and mixed results
◍ PTSD frequent comorbidity.
Answer: depressive disorder, anxiety disorders, and behavioral problems
associated with ______________
◍ sertraline and paroxetine.
Answer: that __________and ______________ are approved by the Food
and Drug Administration (FDA) in the treatment of PTSD in adults, there is
scant evidence to support its use for the core symptoms of PTSD in youth
◍ Risperidone and aripiprazole.
Answer: FDA approval for use in children and adolescents with aggression,
severe behavioral dyscontrol, and severe psychiatric disorders
◍ What is the primary characteristic of Alzheimer's disease?.
Answer: Gradual memory loss and disorientation.
◍ What are the symptoms of frontotemporal dementia?.
Answer: Personality changes, disinhibition, and inappropriate behavior.
◍ What symptoms are associated with Lewy body dementia?.
Answer: Fluctuating attention, visual hallucinations, and Parkinsonian
symptoms.
,◍ Antiadrenergic agents.
Answer: treat dysregulation of the noradrenergic system in adults and youth
with PTSD
◍ clonidine and guanfacine.
Answer: Alpha2-agonists examples
◍ What causes vascular dementia?.
Answer: Cerebrovascular damage leading to abrupt changes in cognition.
◍ What is the significance of Mini-Mental State Exam (MMSE) scores?.
Answer: Scores help categorize cognitive impairment; moderate impairment
is around 18.
◍ How does the Montreal Cognitive Assessment (MoCA) assist in cognitive
evaluation?.
Answer: It helps distinguish normal aging from cognitive impairment.
◍ What is the role of cholinesterase inhibitors in dementia treatment?.
Answer: They may improve symptoms but do not alter disease progression.
◍ What is memantine and its use?.
Answer: An NMDA receptor antagonist used for moderate to severe
Alzheimer's.
◍ Alpha2 agonists.
Answer: decrease norepinephrine release, such as, are
◍ propranolol.
Answer: centrally acting β-antagonists example
◍ Why is safety planning important in dementia care?.
Answer: To address issues like wandering and driving.
◍ prazosin.
Answer: α-1-antagonists example
◍ propranolol use.
Answer: hypothesized to improve hyperarousal and intrusive thoughts
, through attenuation of norepinephrine postsynaptically
◍ prazosin use.
Answer: nightmares associated with trauma
◍ What warning is associated with antipsychotics in dementia-related
psychosis?.
Answer: Increased mortality risk.
◍ Modify PTSD sx.
Answer: Off-label medications including antidepressants, atypical
antipsychotics, adrenergic modulators/sympatholytics, and
anticonvulsants/mood stabilizers
◍ What is crucial for assessing neurocognitive disorders?.
Answer: Psychiatric evaluation with collateral information.
◍ What should be ruled out in cases of suspected dementia?.
Answer: Medical causes such as thyroid dysfunction.
◍ What are the characteristics of delirium?.
Answer: Acute onset, waxing/waning attention, and potential medical
causes.
◍ clonidine and propanolol.
Answer: nightmares and exaggerated startle response: some evidence in
adults, but children case report only
◍ How does day/night confusion differ between neurocognitive disorders and
depression?.
Answer: It is more characteristic of neurocognitive disorders.
◍ What is narcolepsy?.
Answer: A condition characterized by daytime sleep attacks despite
adequate night sleep.
◍ guanfacine and clonidine.
Answer: __________ may reduce nightmares in children with PTSD and
____________may diminish symptoms of reenactment of traumatic events
, in children
◍ What is Kleine-Levin syndrome?.
Answer: Episodic hypersomnia with normal periods in between episodes.
◍ Mood-stabilizing agents.
Answer: divalproex, carbamazepine, topiramate, and gabapentin have been
utilized for adults with PTSD with modest improvement; some
◍ clonidine with dosage ranges of 0.05 to 0.1 mg twice daily.
Answer: may provide some relief for the symptoms of hyperarousal,
impulsivity, and agitation in young children with PTSD; in children some
evidence
◍ What is a common treatment for middle-of-the-night insomnia?.
Answer: Zaleplon (Sonata); sleep logs are often a first step.
◍ What are the symptoms of obstructive sleep apnea?.
Answer: Snoring, daytime fatigue, and disrupted sleep.
◍ What is refeeding syndrome?.
Answer: The most serious complication in the treatment of anorexia
nervosa.
◍ benzodiazepines.
Answer: no controlled trials supporting use in children
◍ What distinguishes anorexia nervosa from bulimia nervosa?.
Answer: Anorexia involves weight loss and fear of gaining weight; bulimia
includes binge eating and compensatory behaviors.
◍ Trauma-Focused CBT.
Answer: 10-16 treatment sessions, including 9 components itemized in the
acronym PRACTICE
◍ What is Russell's sign?.
Answer: Callused knuckles indicating purging behavior in bulimia nervosa.
◍ PRACTICE elements.
MANDATORY PART I AND A+ ACTUAL
EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ pharmacologic agents for PTSD.
Answer: med tx is focused on diminishing intrusive thoughts, hyperarousal,
and avoidance, with some success and mixed results
◍ PTSD frequent comorbidity.
Answer: depressive disorder, anxiety disorders, and behavioral problems
associated with ______________
◍ sertraline and paroxetine.
Answer: that __________and ______________ are approved by the Food
and Drug Administration (FDA) in the treatment of PTSD in adults, there is
scant evidence to support its use for the core symptoms of PTSD in youth
◍ Risperidone and aripiprazole.
Answer: FDA approval for use in children and adolescents with aggression,
severe behavioral dyscontrol, and severe psychiatric disorders
◍ What is the primary characteristic of Alzheimer's disease?.
Answer: Gradual memory loss and disorientation.
◍ What are the symptoms of frontotemporal dementia?.
Answer: Personality changes, disinhibition, and inappropriate behavior.
◍ What symptoms are associated with Lewy body dementia?.
Answer: Fluctuating attention, visual hallucinations, and Parkinsonian
symptoms.
,◍ Antiadrenergic agents.
Answer: treat dysregulation of the noradrenergic system in adults and youth
with PTSD
◍ clonidine and guanfacine.
Answer: Alpha2-agonists examples
◍ What causes vascular dementia?.
Answer: Cerebrovascular damage leading to abrupt changes in cognition.
◍ What is the significance of Mini-Mental State Exam (MMSE) scores?.
Answer: Scores help categorize cognitive impairment; moderate impairment
is around 18.
◍ How does the Montreal Cognitive Assessment (MoCA) assist in cognitive
evaluation?.
Answer: It helps distinguish normal aging from cognitive impairment.
◍ What is the role of cholinesterase inhibitors in dementia treatment?.
Answer: They may improve symptoms but do not alter disease progression.
◍ What is memantine and its use?.
Answer: An NMDA receptor antagonist used for moderate to severe
Alzheimer's.
◍ Alpha2 agonists.
Answer: decrease norepinephrine release, such as, are
◍ propranolol.
Answer: centrally acting β-antagonists example
◍ Why is safety planning important in dementia care?.
Answer: To address issues like wandering and driving.
◍ prazosin.
Answer: α-1-antagonists example
◍ propranolol use.
Answer: hypothesized to improve hyperarousal and intrusive thoughts
, through attenuation of norepinephrine postsynaptically
◍ prazosin use.
Answer: nightmares associated with trauma
◍ What warning is associated with antipsychotics in dementia-related
psychosis?.
Answer: Increased mortality risk.
◍ Modify PTSD sx.
Answer: Off-label medications including antidepressants, atypical
antipsychotics, adrenergic modulators/sympatholytics, and
anticonvulsants/mood stabilizers
◍ What is crucial for assessing neurocognitive disorders?.
Answer: Psychiatric evaluation with collateral information.
◍ What should be ruled out in cases of suspected dementia?.
Answer: Medical causes such as thyroid dysfunction.
◍ What are the characteristics of delirium?.
Answer: Acute onset, waxing/waning attention, and potential medical
causes.
◍ clonidine and propanolol.
Answer: nightmares and exaggerated startle response: some evidence in
adults, but children case report only
◍ How does day/night confusion differ between neurocognitive disorders and
depression?.
Answer: It is more characteristic of neurocognitive disorders.
◍ What is narcolepsy?.
Answer: A condition characterized by daytime sleep attacks despite
adequate night sleep.
◍ guanfacine and clonidine.
Answer: __________ may reduce nightmares in children with PTSD and
____________may diminish symptoms of reenactment of traumatic events
, in children
◍ What is Kleine-Levin syndrome?.
Answer: Episodic hypersomnia with normal periods in between episodes.
◍ Mood-stabilizing agents.
Answer: divalproex, carbamazepine, topiramate, and gabapentin have been
utilized for adults with PTSD with modest improvement; some
◍ clonidine with dosage ranges of 0.05 to 0.1 mg twice daily.
Answer: may provide some relief for the symptoms of hyperarousal,
impulsivity, and agitation in young children with PTSD; in children some
evidence
◍ What is a common treatment for middle-of-the-night insomnia?.
Answer: Zaleplon (Sonata); sleep logs are often a first step.
◍ What are the symptoms of obstructive sleep apnea?.
Answer: Snoring, daytime fatigue, and disrupted sleep.
◍ What is refeeding syndrome?.
Answer: The most serious complication in the treatment of anorexia
nervosa.
◍ benzodiazepines.
Answer: no controlled trials supporting use in children
◍ What distinguishes anorexia nervosa from bulimia nervosa?.
Answer: Anorexia involves weight loss and fear of gaining weight; bulimia
includes binge eating and compensatory behaviors.
◍ Trauma-Focused CBT.
Answer: 10-16 treatment sessions, including 9 components itemized in the
acronym PRACTICE
◍ What is Russell's sign?.
Answer: Callused knuckles indicating purging behavior in bulimia nervosa.
◍ PRACTICE elements.
