BARKLEY PMHNP (2025-2026) PREVIWED EXAM WITH
UPDATED QUESTIONS AND ANSWERS | GRADED A+ |
100 % GUARANTEED |PASS MARKET FROM A,B, AND
C+ (BRANDNEW) !!
Which statement correctly differentiates Anorexia Nervosa from Major Depressive
Disorder (MDD) in terms of appetite?
A. Individuals with Anorexia have a poor appetite, while those with MDD have a good
appetite
B. Individuals with Anorexia have a good appetite, while those with MDD typically have a
poor appetite
C. Both disorders are always associated with poor appetite
D. Both disorders are always associated with increased appetite
Answer: B. Individuals with Anorexia have a good appetite, while those with MDD
typically have a poor appetite
Rationale: Anorexic patients restrict intake despite normal hunger, while depression
commonly reduces appetite.
What is the primary use of Bupropion in clinical practice?
A. To treat depression
B. As a stimulant to suppress appetite
C. As a sedative
D. To treat anxiety
Answer: B. As a stimulant to suppress appetite
Rationale: Bupropion can increase dopamine and norepinephrine activity, helping with
appetite suppression in certain contexts.
How does Orlistat (Xenical) help in weight management?
A. Suppresses appetite in the brain
B. Increases metabolism
C. Inhibits pancreatic lipase, reducing fat absorption from the GI tract
D. Promotes fat excretion through urine
,Answer: C. Inhibits pancreatic lipase, reducing fat absorption from the GI tract
Rationale: By blocking fat digestion, Orlistat reduces calorie intake from dietary fat.
Which of the following are predisposing factors for eating disorders?
A. Neuroendocrine disorders, obsessive-compulsive personalities, controlling family
dynamics
B. Only genetics
C. Sedentary lifestyle
D. Low socioeconomic status only
Answer: A. Neuroendocrine disorders, obsessive-compulsive personalities, controlling
family dynamics
Rationale: These factors increase vulnerability to disordered eating behaviors.
What is a common cause of death in patients with Anorexia or Bulimia?
A. Cardiac arrhythmia only
B. Suicide, with medical death less common
C. Respiratory failure
D. Infection
Answer: B. Suicide, with medical death less common
Rationale: Psychiatric complications, including suicide, are more frequent causes of death
than medical complications, although arrhythmias can occur.
How is a substance use disorder defined?
A. Any casual use of substances
B. Maladaptive use of substances that alters mood/behavior and causes social impairment
C. Use of substances without health consequences
D. Social drinking only
Answer: B. Maladaptive use of substances that alters mood/behavior and causes social
impairment
Rationale: Substance use disorder is diagnosed when use significantly impacts daily
functioning or safety.
Which are key indicators for intervention in substance use disorders?
,A. Occasional recreational use
B. Impaired control, social impairment, risky use, increased tolerance/withdrawal
C. Drinking only at social events
D. Non-prescription medication use without impairment
Answer: B. Impaired control, social impairment, risky use, increased tolerance/withdrawal
Rationale: These criteria signal the need for clinical intervention.
How are substance abuse disorders classified by severity?
A. Mild (1 symptom), Moderate (2), Severe (3)
B. Mild (2-3 symptoms), Moderate (4-5 symptoms), Severe (6 or more symptoms)
C. Mild (no symptoms), Moderate (1-2), Severe (3+)
D. Only severe and mild
Answer: B. Mild (2-3 symptoms), Moderate (4-5 symptoms), Severe (6 or more symptoms)
Rationale: DSM-5 uses the number of symptoms to classify severity.
Which genetic factors are associated with cocaine use disorder?
A. Dopamine and norepinephrine deficiencies
B. Serotonin deficiency only
C. High acetylcholine levels
D. No genetic association
Answer: A. Dopamine and norepinephrine deficiencies
Rationale: Variations in neurotransmitter systems influence vulnerability to stimulant
addiction.
What is the effect of alcohol on the central nervous system?
A. Stimulates glutamate and inhibits GABA
B. Activates GABA and serotonin receptors, inhibits glutamate receptors
C. Inhibits GABA only
D. Only increases dopamine
Answer: B. Activates GABA and serotonin receptors, inhibits glutamate receptors
Rationale: Alcohol enhances inhibitory neurotransmission and suppresses excitatory
signaling, causing CNS depression.
What is the CAGE questionnaire used for?
, A. Screening for opioid use
B. Screening for alcohol use disorders
C. Assessing nicotine dependence
D. Evaluating cannabis withdrawal
Answer: B. Screening for alcohol use disorders
Rationale: CAGE is a brief, validated tool for detecting problem drinking.
What does the ‘C’ in CAGE stand for?
A. Consumption
B. Cut down: Have you ever wanted to cut down on your drinking?
C. Control
D. Concern
Answer: B. Cut down: Have you ever wanted to cut down on your drinking?
Rationale: Each letter in CAGE addresses a key aspect of alcohol-related problems.
What is the legal limit for blood alcohol concentration (BAC) for intoxication?
A. 50-70 mg/dL
B. 80-100 mg/dL
C. 120-140 mg/dL
D. 150-180 mg/dL
Answer: B. 80-100 mg/dL
Rationale: This is the commonly accepted threshold for legal intoxication in most
jurisdictions.
How is alcohol withdrawal delirium treated?
A. Over-the-counter pain relievers
B. As a medical emergency, often with benzodiazepines
C. Only with hydration
D. With antipsychotics exclusively
Answer: B. As a medical emergency, often with benzodiazepines
Rationale: Delirium tremens can be life-threatening; benzodiazepines prevent
complications.
Which of the following are symptoms of mild alcohol withdrawal?
UPDATED QUESTIONS AND ANSWERS | GRADED A+ |
100 % GUARANTEED |PASS MARKET FROM A,B, AND
C+ (BRANDNEW) !!
Which statement correctly differentiates Anorexia Nervosa from Major Depressive
Disorder (MDD) in terms of appetite?
A. Individuals with Anorexia have a poor appetite, while those with MDD have a good
appetite
B. Individuals with Anorexia have a good appetite, while those with MDD typically have a
poor appetite
C. Both disorders are always associated with poor appetite
D. Both disorders are always associated with increased appetite
Answer: B. Individuals with Anorexia have a good appetite, while those with MDD
typically have a poor appetite
Rationale: Anorexic patients restrict intake despite normal hunger, while depression
commonly reduces appetite.
What is the primary use of Bupropion in clinical practice?
A. To treat depression
B. As a stimulant to suppress appetite
C. As a sedative
D. To treat anxiety
Answer: B. As a stimulant to suppress appetite
Rationale: Bupropion can increase dopamine and norepinephrine activity, helping with
appetite suppression in certain contexts.
How does Orlistat (Xenical) help in weight management?
A. Suppresses appetite in the brain
B. Increases metabolism
C. Inhibits pancreatic lipase, reducing fat absorption from the GI tract
D. Promotes fat excretion through urine
,Answer: C. Inhibits pancreatic lipase, reducing fat absorption from the GI tract
Rationale: By blocking fat digestion, Orlistat reduces calorie intake from dietary fat.
Which of the following are predisposing factors for eating disorders?
A. Neuroendocrine disorders, obsessive-compulsive personalities, controlling family
dynamics
B. Only genetics
C. Sedentary lifestyle
D. Low socioeconomic status only
Answer: A. Neuroendocrine disorders, obsessive-compulsive personalities, controlling
family dynamics
Rationale: These factors increase vulnerability to disordered eating behaviors.
What is a common cause of death in patients with Anorexia or Bulimia?
A. Cardiac arrhythmia only
B. Suicide, with medical death less common
C. Respiratory failure
D. Infection
Answer: B. Suicide, with medical death less common
Rationale: Psychiatric complications, including suicide, are more frequent causes of death
than medical complications, although arrhythmias can occur.
How is a substance use disorder defined?
A. Any casual use of substances
B. Maladaptive use of substances that alters mood/behavior and causes social impairment
C. Use of substances without health consequences
D. Social drinking only
Answer: B. Maladaptive use of substances that alters mood/behavior and causes social
impairment
Rationale: Substance use disorder is diagnosed when use significantly impacts daily
functioning or safety.
Which are key indicators for intervention in substance use disorders?
,A. Occasional recreational use
B. Impaired control, social impairment, risky use, increased tolerance/withdrawal
C. Drinking only at social events
D. Non-prescription medication use without impairment
Answer: B. Impaired control, social impairment, risky use, increased tolerance/withdrawal
Rationale: These criteria signal the need for clinical intervention.
How are substance abuse disorders classified by severity?
A. Mild (1 symptom), Moderate (2), Severe (3)
B. Mild (2-3 symptoms), Moderate (4-5 symptoms), Severe (6 or more symptoms)
C. Mild (no symptoms), Moderate (1-2), Severe (3+)
D. Only severe and mild
Answer: B. Mild (2-3 symptoms), Moderate (4-5 symptoms), Severe (6 or more symptoms)
Rationale: DSM-5 uses the number of symptoms to classify severity.
Which genetic factors are associated with cocaine use disorder?
A. Dopamine and norepinephrine deficiencies
B. Serotonin deficiency only
C. High acetylcholine levels
D. No genetic association
Answer: A. Dopamine and norepinephrine deficiencies
Rationale: Variations in neurotransmitter systems influence vulnerability to stimulant
addiction.
What is the effect of alcohol on the central nervous system?
A. Stimulates glutamate and inhibits GABA
B. Activates GABA and serotonin receptors, inhibits glutamate receptors
C. Inhibits GABA only
D. Only increases dopamine
Answer: B. Activates GABA and serotonin receptors, inhibits glutamate receptors
Rationale: Alcohol enhances inhibitory neurotransmission and suppresses excitatory
signaling, causing CNS depression.
What is the CAGE questionnaire used for?
, A. Screening for opioid use
B. Screening for alcohol use disorders
C. Assessing nicotine dependence
D. Evaluating cannabis withdrawal
Answer: B. Screening for alcohol use disorders
Rationale: CAGE is a brief, validated tool for detecting problem drinking.
What does the ‘C’ in CAGE stand for?
A. Consumption
B. Cut down: Have you ever wanted to cut down on your drinking?
C. Control
D. Concern
Answer: B. Cut down: Have you ever wanted to cut down on your drinking?
Rationale: Each letter in CAGE addresses a key aspect of alcohol-related problems.
What is the legal limit for blood alcohol concentration (BAC) for intoxication?
A. 50-70 mg/dL
B. 80-100 mg/dL
C. 120-140 mg/dL
D. 150-180 mg/dL
Answer: B. 80-100 mg/dL
Rationale: This is the commonly accepted threshold for legal intoxication in most
jurisdictions.
How is alcohol withdrawal delirium treated?
A. Over-the-counter pain relievers
B. As a medical emergency, often with benzodiazepines
C. Only with hydration
D. With antipsychotics exclusively
Answer: B. As a medical emergency, often with benzodiazepines
Rationale: Delirium tremens can be life-threatening; benzodiazepines prevent
complications.
Which of the following are symptoms of mild alcohol withdrawal?
