PA PSYCHIATRY EXAM 5 2026 FULL MOCK
TEST WITH SOLUTIONS AND
PSYCHOPHARMACOLOGY AND DIAGNOSTIC
QUESTIONS
◉ Female sexual interest/arousal disorder.
Answer: woman has either a lack of interest in sexual activity or an
inability to attain or maintain arousal.
◉ Female sexual interest/arousal disorder treatment.
Answer: CBT, estrogen with or without testosterone therapy
◉ Male hypoactive sexual desire disorder.
Answer: Man has diminished desire for sexual activity and few if any
sexual thoughts or fantasies
◉ Male hypoactive sexual desire disorder tx.
Answer: Dual sex therapy, behavior therapy, group therapy,
hypnosis, psychotherapy
Testosterone
◉ Voyeuristic disorder.
,Answer: Watching unsuspecting nude individuals (often with
binoculars) in order to obtain sexual pleasure.
◉ Voyeuristic disorder dx.
Answer: Patients have been repeatedly and intensely aroused by
observing an unsuspecting person who is naked, undressing, or
engaging in sexual activity; arousal is expressed in fantasies, intense
urges, or behaviors.
Patients have acted on their urges with a nonconsenting person, or
these fantasies, intense urges, or behaviors cause significant distress
or impair functioning at work, in social situations, or in other
important areas.
The condition has been present for ≥ 6 mo.
Voyeuristic disorder is not diagnosed in patients < 18 yr.
◉ Voyeuristic disorder tx.
Answer: Psychotherapy, support groups, and SSRIs
Sometimes antiandrogen drugs
◉ Cluster A.
Answer: Schizoid, Schizotypal, and Paranoid
• Patients seem eccentric, peculiar, or withdrawn.
• Familial association with psychotic disorders.
,◉ Cluster B.
Answer: Antisocial, Borderline, Histrionic, and Narcissistic
• Patients seem emotional, dramatic, or inconsistent.
• Familial association with mood disorders.
◉ Cluster C.
Answer: Avoidant, Dependent, and Obsessive-compulsive
• Patients seem anxious or fearful.
• Familial association with anxiety disorders.
◉ A 30-year-old man says his wife has been cheating on him
because he does not have a good enough job to provide for her
needs. He also claims that on his previous job, his boss laid him off
because he did a better job than his boss. Refuses couples therapy
because he believes the treater will side with his wife. Believes
neighbors are critical of him..
Answer: Paranoid personality disorder
◉ A 45-year-old scientist works in the lab most of the day and has
no friends, according to his coworkers. Has not been able to keep his
job because of failure to collaborate with others. He expresses no
desire to make friends and is content with his single life. He has no
evidence of a thought disorder..
Answer: Schizoid personality disorder
, ◉ A 35-year-old man dresses in a space suit every Tuesday and
Thursday. He has computers set up in his basement to detect the
precise time of invasion. He has no evidence of auditory or visual
hallucinations..
Answer: Schizotypal personality disorder
◉ Paranoid personality disorder.
Answer: Pervasive distrust and suspiciousness of others and often
interpret motives as malevolent. They tend to blame their own
problems on others and seem angry and hostile. They are often
characterized as being pathologically jealous
◉ Paranoid PD criteria.
Answer: Diagnosis requires a general distrust of others, beginning
by early adulthood and present in a variety of contexts.
At least four of the following must also be present:
I. Suspicion (without evidence) that others are exploiting or
deceiving him or her.
2. Preoccupation with doubts of loyalty or trustworthiness of
acquaintances.
3. Reluctance to confide in others.
4. Interpretation of benign remarks as threatening or demeaning.
5. Persistence of grudges.
TEST WITH SOLUTIONS AND
PSYCHOPHARMACOLOGY AND DIAGNOSTIC
QUESTIONS
◉ Female sexual interest/arousal disorder.
Answer: woman has either a lack of interest in sexual activity or an
inability to attain or maintain arousal.
◉ Female sexual interest/arousal disorder treatment.
Answer: CBT, estrogen with or without testosterone therapy
◉ Male hypoactive sexual desire disorder.
Answer: Man has diminished desire for sexual activity and few if any
sexual thoughts or fantasies
◉ Male hypoactive sexual desire disorder tx.
Answer: Dual sex therapy, behavior therapy, group therapy,
hypnosis, psychotherapy
Testosterone
◉ Voyeuristic disorder.
,Answer: Watching unsuspecting nude individuals (often with
binoculars) in order to obtain sexual pleasure.
◉ Voyeuristic disorder dx.
Answer: Patients have been repeatedly and intensely aroused by
observing an unsuspecting person who is naked, undressing, or
engaging in sexual activity; arousal is expressed in fantasies, intense
urges, or behaviors.
Patients have acted on their urges with a nonconsenting person, or
these fantasies, intense urges, or behaviors cause significant distress
or impair functioning at work, in social situations, or in other
important areas.
The condition has been present for ≥ 6 mo.
Voyeuristic disorder is not diagnosed in patients < 18 yr.
◉ Voyeuristic disorder tx.
Answer: Psychotherapy, support groups, and SSRIs
Sometimes antiandrogen drugs
◉ Cluster A.
Answer: Schizoid, Schizotypal, and Paranoid
• Patients seem eccentric, peculiar, or withdrawn.
• Familial association with psychotic disorders.
,◉ Cluster B.
Answer: Antisocial, Borderline, Histrionic, and Narcissistic
• Patients seem emotional, dramatic, or inconsistent.
• Familial association with mood disorders.
◉ Cluster C.
Answer: Avoidant, Dependent, and Obsessive-compulsive
• Patients seem anxious or fearful.
• Familial association with anxiety disorders.
◉ A 30-year-old man says his wife has been cheating on him
because he does not have a good enough job to provide for her
needs. He also claims that on his previous job, his boss laid him off
because he did a better job than his boss. Refuses couples therapy
because he believes the treater will side with his wife. Believes
neighbors are critical of him..
Answer: Paranoid personality disorder
◉ A 45-year-old scientist works in the lab most of the day and has
no friends, according to his coworkers. Has not been able to keep his
job because of failure to collaborate with others. He expresses no
desire to make friends and is content with his single life. He has no
evidence of a thought disorder..
Answer: Schizoid personality disorder
, ◉ A 35-year-old man dresses in a space suit every Tuesday and
Thursday. He has computers set up in his basement to detect the
precise time of invasion. He has no evidence of auditory or visual
hallucinations..
Answer: Schizotypal personality disorder
◉ Paranoid personality disorder.
Answer: Pervasive distrust and suspiciousness of others and often
interpret motives as malevolent. They tend to blame their own
problems on others and seem angry and hostile. They are often
characterized as being pathologically jealous
◉ Paranoid PD criteria.
Answer: Diagnosis requires a general distrust of others, beginning
by early adulthood and present in a variety of contexts.
At least four of the following must also be present:
I. Suspicion (without evidence) that others are exploiting or
deceiving him or her.
2. Preoccupation with doubts of loyalty or trustworthiness of
acquaintances.
3. Reluctance to confide in others.
4. Interpretation of benign remarks as threatening or demeaning.
5. Persistence of grudges.
