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NR 547 / NR547 Week 4 Midterm Exam
Actual Exam 2026/2027 | Differential
Diagnosis in Psychiatric-Mental Health
across the Lifespan Practicum | Chamberlain
| Questions with Verified Answers | 100%
Correct | Pass Guaranteed
Q001: A 23-year-old graduate student presents with 4 weeks of persistent sadness,
anhedonia, hypersomnia, increased appetite, and self-reported “lead limbs.” PHQ-9
is 17. Which is the most likely DSM-5-TR diagnosis?
Options:
A. Major Depressive Disorder, melancholic features
B. Persistent Depressive Disorder (dysthymia)
C. Major Depressive Disorder, atypical features
D. Bipolar II Disorder, current depressive episode
ANSWER: C
Q002: A 30-year-old veteran describes 6 months of intrusive combat memories,
hypervigilance, and emotional numbing after a non-combat MVC. Nightmares
occur nightly. Which diagnosis best explains these symptoms?
A. Acute Stress Disorder
B. Post-Traumatic Stress Disorder
C. Adjustment Disorder with anxiety
D. Panic Disorder
, 2
ANSWER: B
Q003: A 19-year-old college freshman is brought to clinic by roommate after 3
days of decreased sleep, pressured speech, buying sprees, and claiming to “channel
Einstein.” Urine tox screen negative. Which is the immediate priority?
A. Obtain serum TSH and free T4
B. Rule out bipolar I manic episode and assess safety
C. Start SSRI for anxiety
D. Recommend 48-hour campus observation without medical work-up
ANSWER: B
Q004: A 45-year-old male with schizophrenia on risperidone reports 2 weeks of
low mood, fatigue, and hopelessness. PANSS negative for active psychosis. Which
assessment tool best differentiates depressive episode from negative symptoms?
A. PHQ-9
B. Calgary Depression Scale for Schizophrenia (CDSS)
C. Young Mania Rating Scale
D. Brief Psychiatric Rating Scale (BPRS)
ANSWER: B
Q005: A 26-year-old woman endorses 6 months of excessive worry about multiple
life areas, muscle tension, irritability, and sleep onset difficulty. GAD-7 is 16. No
medical comorbidities. Which first-line pharmacologic option is guideline-
concordant?
A. Sertraline 50 mg daily
B. Lorazepam 1 mg BID PRN
C. Hydroxyzine 25 mg nightly
D. Propranolol 20 mg TID
ANSWER: A
, 3
Q006: A 16-year-old is referred for 4 months of preoccupation with “being too fat,”
12-lb weight loss, amenorrhea, and food rituals. BMI 17. Vital signs stable. Which
immediate laboratory is most important?
A. Serum pregnancy test
B. Comprehensive metabolic panel including phosphorus
C. Serum cortisol
D. Urine drug screen
ANSWER: B
Q007: A 38-year-old teacher describes 2 months of panic attacks occurring “out of
the blue,” accompanied by derealization and fear of dying. Cardiac work -up was
negative last month. Which differential consideration is most appropriate?
A. Acute coronary syndrome
B. Panic Disorder
C. Hyperthyroidism
D. Pulmonary embolism
ANSWER: B
Q008: A 9-year-old boy is brought for 6 months of inattention, interrupting class,
and climbing furniture; symptoms present in school and home, no developmental
delays. Vanderbilt teacher rating T-score 75 on inattention. Which is the first-line
evidence-based intervention?
A. Begin methylphenidate 5 mg BID
B. Refer for parent- and teacher-administered behavioral therapy
C. Order EEG to rule out absence seizures
D. Recommend elimination diet
ANSWER: B
Q009: A 52-year-old woman with bipolar I disorder on lithium 900 mg daily
reports 2 weeks of tremor, polyuria, and metallic taste; lithium level 1.4 mEq/L
NR 547 / NR547 Week 4 Midterm Exam
Actual Exam 2026/2027 | Differential
Diagnosis in Psychiatric-Mental Health
across the Lifespan Practicum | Chamberlain
| Questions with Verified Answers | 100%
Correct | Pass Guaranteed
Q001: A 23-year-old graduate student presents with 4 weeks of persistent sadness,
anhedonia, hypersomnia, increased appetite, and self-reported “lead limbs.” PHQ-9
is 17. Which is the most likely DSM-5-TR diagnosis?
Options:
A. Major Depressive Disorder, melancholic features
B. Persistent Depressive Disorder (dysthymia)
C. Major Depressive Disorder, atypical features
D. Bipolar II Disorder, current depressive episode
ANSWER: C
Q002: A 30-year-old veteran describes 6 months of intrusive combat memories,
hypervigilance, and emotional numbing after a non-combat MVC. Nightmares
occur nightly. Which diagnosis best explains these symptoms?
A. Acute Stress Disorder
B. Post-Traumatic Stress Disorder
C. Adjustment Disorder with anxiety
D. Panic Disorder
, 2
ANSWER: B
Q003: A 19-year-old college freshman is brought to clinic by roommate after 3
days of decreased sleep, pressured speech, buying sprees, and claiming to “channel
Einstein.” Urine tox screen negative. Which is the immediate priority?
A. Obtain serum TSH and free T4
B. Rule out bipolar I manic episode and assess safety
C. Start SSRI for anxiety
D. Recommend 48-hour campus observation without medical work-up
ANSWER: B
Q004: A 45-year-old male with schizophrenia on risperidone reports 2 weeks of
low mood, fatigue, and hopelessness. PANSS negative for active psychosis. Which
assessment tool best differentiates depressive episode from negative symptoms?
A. PHQ-9
B. Calgary Depression Scale for Schizophrenia (CDSS)
C. Young Mania Rating Scale
D. Brief Psychiatric Rating Scale (BPRS)
ANSWER: B
Q005: A 26-year-old woman endorses 6 months of excessive worry about multiple
life areas, muscle tension, irritability, and sleep onset difficulty. GAD-7 is 16. No
medical comorbidities. Which first-line pharmacologic option is guideline-
concordant?
A. Sertraline 50 mg daily
B. Lorazepam 1 mg BID PRN
C. Hydroxyzine 25 mg nightly
D. Propranolol 20 mg TID
ANSWER: A
, 3
Q006: A 16-year-old is referred for 4 months of preoccupation with “being too fat,”
12-lb weight loss, amenorrhea, and food rituals. BMI 17. Vital signs stable. Which
immediate laboratory is most important?
A. Serum pregnancy test
B. Comprehensive metabolic panel including phosphorus
C. Serum cortisol
D. Urine drug screen
ANSWER: B
Q007: A 38-year-old teacher describes 2 months of panic attacks occurring “out of
the blue,” accompanied by derealization and fear of dying. Cardiac work -up was
negative last month. Which differential consideration is most appropriate?
A. Acute coronary syndrome
B. Panic Disorder
C. Hyperthyroidism
D. Pulmonary embolism
ANSWER: B
Q008: A 9-year-old boy is brought for 6 months of inattention, interrupting class,
and climbing furniture; symptoms present in school and home, no developmental
delays. Vanderbilt teacher rating T-score 75 on inattention. Which is the first-line
evidence-based intervention?
A. Begin methylphenidate 5 mg BID
B. Refer for parent- and teacher-administered behavioral therapy
C. Order EEG to rule out absence seizures
D. Recommend elimination diet
ANSWER: B
Q009: A 52-year-old woman with bipolar I disorder on lithium 900 mg daily
reports 2 weeks of tremor, polyuria, and metallic taste; lithium level 1.4 mEq/L
