PA PSYCHIATRY EOR EVALUATION EXAM 2025/2026
QUESTIONS WITH ANSWERS MARKED A+
✔✔*↑ frequency* of Cl- channel opening = ↑ GABA
Impaired cognition
Motor incoordination
Dizziness
Drowsiness - ✔✔Benzodiazepine Overdose
Tx: Flumazenil
✔✔Specific Phobia - 5 types - ✔✔Animal or Insect
Natural phenomena (storm, flood, lightening)
Blood (injection or injury)
Situational (heights, bridges, flying, driving, small spaces)
Other
Tx: CBT
✔✔Conduct Disorder (Adolescents)
3 or more in the past 6 mo
< 18 y/o - ✔✔Aggression to people and animals
Destruction of property
Deceit or Theft
Serious violations of rules
Tx: Psychotherapy (social competence, family, medications, academic engagement,
skills building, and school interventions)
✔✔Oppositional Defiant Disorder
Dx: at least 6mo of 4 or more: - ✔✔Loses temper
Argues w/ adults
Defies or refuses to comply w/ request or rules
Deliberately annoys people
Blames others for own mistakes
Angry, Resentful, Spiteful, or Vindictive
✔✔Social phobia - ✔✔Embarrassment or humiliation in front of others
- Public Speaking (tx w/ propranolol)
- Public restrooms
- Eating in public
Tx: CBT
✔✔Paranoid Personality Disorder - ✔✔Defensive
Oversensitive
,Secretive
Suspicious
Hyper-alert
Limited emotional response
Tx: *Psychotherapy* > SSRIs if long-term
✔✔Fixed False Beliefs...
I.e.; Being followed or Poisoned
No hallucinations
*Persecutory* is MC - ✔✔Delusions (bizarre vs. non-bizarre)
✔✔Schizoid Personality Disorder - ✔✔Eccentric & reclusive
Quiet & unsociable
Constricted affect
Prefer to be alone
Tx: *Group therapy + Psychotherapy* > low-dose anti-psych or anti-dep
✔✔Schizotypal Personality Disorder - ✔✔Detached from social relationships
Restricted expression of emotion
Magical or bizarre thinking
*Odd speech or peculiar thought patterns* -starts in early adulthood
Tx: *Psychotherapy* > low-dose risperdal or zyprexa > SSRIs/Benzo's
✔✔Examples of fixed false beliefs - ✔✔*Delusions*:
Erroneous beliefs
Delusions of grandeur
Disorganized speech
Loose associations
Tangential response
✔✔Antisocial Personality Disorder (Adults) - ✔✔Conduct Disorder Dx < 18 yrs old
Selfish, callous, promiscuous, impulsive
*Breaking the law* - legal problems
Drug & alcohol abuse
*No employment or financial responsibility*
Inability to learn from mistakes
Tx: No specific effective treatment
✔✔Borderline Personality Disorder - ✔✔Mood swings & impulsive behavior
Unstable personal relationships
Poor impulse control - *splitting*
, *Always in Crisis Mode*
Substance Abuse
*Stress-induced paranoia/psychosis*
Tx:
1st Line: *Dialectical Behavioral Therapy*
2nd Line: SSRIs (fluoxetine)
✔✔Narcissistic Personality Disorder - ✔✔Exhibitionist
Grandiose
Preoccupied w/ power and lack empathy
Excessive demands for attention
*Lying * is an integral part of the behavior
Sense of *entitlement*
Tx:
1st Line: *Long-term psychodynamic therapy*
2nd Line: SSRIs
✔✔Histrionic Personality Disorder - ✔✔Center of attention - egocentric
Temper tantrums -immature, emotionally labile
Inappropriately seductive or provocative
Dependent
Substance abuse
Tx:
1st Line: *Psychotherapy*
2nd Line: SSRIs
✔✔Avoidant Personality Disorder - ✔✔Fear of rejection
Hypersensitive to rejection or failure
Low self-esteem
Poor social-skills
Tx:
1st line: *Psychotherapy*
2nd line: Paroxetine (Paxil)
3rd line: Clonazepam (Klonopin) or BB for performance anxiety
✔✔Dependent Personality Disorder - ✔✔Inability to make independent decisions
Fear of losing support or approval if they disagree
Reliant of others to take care of them
Dislike being alone
Avoid responsibility
Tx: *Psychotherapy* (insight oriented) > Anti-psych/dep
QUESTIONS WITH ANSWERS MARKED A+
✔✔*↑ frequency* of Cl- channel opening = ↑ GABA
Impaired cognition
Motor incoordination
Dizziness
Drowsiness - ✔✔Benzodiazepine Overdose
Tx: Flumazenil
✔✔Specific Phobia - 5 types - ✔✔Animal or Insect
Natural phenomena (storm, flood, lightening)
Blood (injection or injury)
Situational (heights, bridges, flying, driving, small spaces)
Other
Tx: CBT
✔✔Conduct Disorder (Adolescents)
3 or more in the past 6 mo
< 18 y/o - ✔✔Aggression to people and animals
Destruction of property
Deceit or Theft
Serious violations of rules
Tx: Psychotherapy (social competence, family, medications, academic engagement,
skills building, and school interventions)
✔✔Oppositional Defiant Disorder
Dx: at least 6mo of 4 or more: - ✔✔Loses temper
Argues w/ adults
Defies or refuses to comply w/ request or rules
Deliberately annoys people
Blames others for own mistakes
Angry, Resentful, Spiteful, or Vindictive
✔✔Social phobia - ✔✔Embarrassment or humiliation in front of others
- Public Speaking (tx w/ propranolol)
- Public restrooms
- Eating in public
Tx: CBT
✔✔Paranoid Personality Disorder - ✔✔Defensive
Oversensitive
,Secretive
Suspicious
Hyper-alert
Limited emotional response
Tx: *Psychotherapy* > SSRIs if long-term
✔✔Fixed False Beliefs...
I.e.; Being followed or Poisoned
No hallucinations
*Persecutory* is MC - ✔✔Delusions (bizarre vs. non-bizarre)
✔✔Schizoid Personality Disorder - ✔✔Eccentric & reclusive
Quiet & unsociable
Constricted affect
Prefer to be alone
Tx: *Group therapy + Psychotherapy* > low-dose anti-psych or anti-dep
✔✔Schizotypal Personality Disorder - ✔✔Detached from social relationships
Restricted expression of emotion
Magical or bizarre thinking
*Odd speech or peculiar thought patterns* -starts in early adulthood
Tx: *Psychotherapy* > low-dose risperdal or zyprexa > SSRIs/Benzo's
✔✔Examples of fixed false beliefs - ✔✔*Delusions*:
Erroneous beliefs
Delusions of grandeur
Disorganized speech
Loose associations
Tangential response
✔✔Antisocial Personality Disorder (Adults) - ✔✔Conduct Disorder Dx < 18 yrs old
Selfish, callous, promiscuous, impulsive
*Breaking the law* - legal problems
Drug & alcohol abuse
*No employment or financial responsibility*
Inability to learn from mistakes
Tx: No specific effective treatment
✔✔Borderline Personality Disorder - ✔✔Mood swings & impulsive behavior
Unstable personal relationships
Poor impulse control - *splitting*
, *Always in Crisis Mode*
Substance Abuse
*Stress-induced paranoia/psychosis*
Tx:
1st Line: *Dialectical Behavioral Therapy*
2nd Line: SSRIs (fluoxetine)
✔✔Narcissistic Personality Disorder - ✔✔Exhibitionist
Grandiose
Preoccupied w/ power and lack empathy
Excessive demands for attention
*Lying * is an integral part of the behavior
Sense of *entitlement*
Tx:
1st Line: *Long-term psychodynamic therapy*
2nd Line: SSRIs
✔✔Histrionic Personality Disorder - ✔✔Center of attention - egocentric
Temper tantrums -immature, emotionally labile
Inappropriately seductive or provocative
Dependent
Substance abuse
Tx:
1st Line: *Psychotherapy*
2nd Line: SSRIs
✔✔Avoidant Personality Disorder - ✔✔Fear of rejection
Hypersensitive to rejection or failure
Low self-esteem
Poor social-skills
Tx:
1st line: *Psychotherapy*
2nd line: Paroxetine (Paxil)
3rd line: Clonazepam (Klonopin) or BB for performance anxiety
✔✔Dependent Personality Disorder - ✔✔Inability to make independent decisions
Fear of losing support or approval if they disagree
Reliant of others to take care of them
Dislike being alone
Avoid responsibility
Tx: *Psychotherapy* (insight oriented) > Anti-psych/dep
