PANCE Psychiatry Study Guide: Exam Tips & Practice
, PANCE Psychiatry Study Guide: Exam Tips & Practice
1. A 24-year-old woman comes to your of- The answer is E.
fice complaining of episodic chest pains EXPLANATION: The ditterential diagnosis of
that have been occurring over the past panic disorder includes many cardiac, pul-
several months. She experiences short- monary, and endocrine conditions, but in a
ness of breath with each occurrence and young woman without any symptoms or signs
feels like "I'm going to die." She denies between episodes, drug use, as detected on a
cough, fever, or sputum production and urine toxicology screen (E), is the most likely
has noticed the episodes occur when cause. An EKG might also be considered to rule
she is in a crowd. Her current exami- out a cardiac cause. CBC (B) and sputum culture
nation is normal and she feels well be- (D) might be helpful if infection is a consid-
tween episodes. You suspect panic dis- eration, but she has no fever or other signs
order, but want to rule out the most like- of infection. Chest x-ray (C) and blood gases
ly organic causes. Which of the follow- and he picks it up, stating,
ing tests will you include in your initial "it was on
work-up?
A. Arterial blood gases
B. CBC
C. Chest x-ray
D. Sputum culture
E. Urine toxicology screen
2. A 55-year-old male presents to the
emergency department because he be-
lieves that his son may have poisoned
his food earlier today. During the en-
counter, he shows limited interperson-
al ability and has odd speech. There is
nothing to substantiate his concern for
poisoning, as the patient ate prepack-
aged food this morning that had not
been opened. A penny is on the floor
, PANCE Psychiatry Study Guide: Exam Tips & Practice
(A) would not be helpful without symptoms or signs suggesting
particular etiologies.
The answer is E.
EXPLANATION: Schizotypal clinical findings in- clude being
superstitious, socially isolated, and suspicious, and having limited
personality abil- ity, odd speech, and eccentric behaviors.
, PANCE Psychiatry Study Guide: Exam Tips & Practice
heads, that's good luck." Upon further
questioning, you note that he is suspi-
cious of a lot of people in his life and
he appears to be socially isolated. What
is the most likely classification of this
personality disorder?
A. Borderline
B. Narcissistic
C. Paranoid
D. Schizoid
E. Schizotypal
3. Which personality disorder clinical find- Borderline
ings include impulsiveness, unstable
and intense interpersonal relationships,
lack of self control, suicidal ideations,
aggressive behavior, and a high drug
abuse rate.
4. Which personality disorder presents Narcissistic
with the clinical findings of grandiosity,
a preoccupation with power, lacking in-
terest in others, and excessive demands
for attention.
5. Clinical findings of someone who with paranoid personality
what personality disorder would include
defensiveness, being overly sensitive,
secretive, suspicious, and hyper-alert,
and having a limited emotional re-
sponse.
, PANCE Psychiatry Study Guide: Exam Tips & Practice
1. A 24-year-old woman comes to your of- The answer is E.
fice complaining of episodic chest pains EXPLANATION: The ditterential diagnosis of
that have been occurring over the past panic disorder includes many cardiac, pul-
several months. She experiences short- monary, and endocrine conditions, but in a
ness of breath with each occurrence and young woman without any symptoms or signs
feels like "I'm going to die." She denies between episodes, drug use, as detected on a
cough, fever, or sputum production and urine toxicology screen (E), is the most likely
has noticed the episodes occur when cause. An EKG might also be considered to rule
she is in a crowd. Her current exami- out a cardiac cause. CBC (B) and sputum culture
nation is normal and she feels well be- (D) might be helpful if infection is a consid-
tween episodes. You suspect panic dis- eration, but she has no fever or other signs
order, but want to rule out the most like- of infection. Chest x-ray (C) and blood gases
ly organic causes. Which of the follow- and he picks it up, stating,
ing tests will you include in your initial "it was on
work-up?
A. Arterial blood gases
B. CBC
C. Chest x-ray
D. Sputum culture
E. Urine toxicology screen
2. A 55-year-old male presents to the
emergency department because he be-
lieves that his son may have poisoned
his food earlier today. During the en-
counter, he shows limited interperson-
al ability and has odd speech. There is
nothing to substantiate his concern for
poisoning, as the patient ate prepack-
aged food this morning that had not
been opened. A penny is on the floor
, PANCE Psychiatry Study Guide: Exam Tips & Practice
(A) would not be helpful without symptoms or signs suggesting
particular etiologies.
The answer is E.
EXPLANATION: Schizotypal clinical findings in- clude being
superstitious, socially isolated, and suspicious, and having limited
personality abil- ity, odd speech, and eccentric behaviors.
, PANCE Psychiatry Study Guide: Exam Tips & Practice
heads, that's good luck." Upon further
questioning, you note that he is suspi-
cious of a lot of people in his life and
he appears to be socially isolated. What
is the most likely classification of this
personality disorder?
A. Borderline
B. Narcissistic
C. Paranoid
D. Schizoid
E. Schizotypal
3. Which personality disorder clinical find- Borderline
ings include impulsiveness, unstable
and intense interpersonal relationships,
lack of self control, suicidal ideations,
aggressive behavior, and a high drug
abuse rate.
4. Which personality disorder presents Narcissistic
with the clinical findings of grandiosity,
a preoccupation with power, lacking in-
terest in others, and excessive demands
for attention.
5. Clinical findings of someone who with paranoid personality
what personality disorder would include
defensiveness, being overly sensitive,
secretive, suspicious, and hyper-alert,
and having a limited emotional re-
sponse.
