1. Which of the following is a first-line treatment for obsessive-
compulsive disorder (OCD)?
A. Sertraline
B. Olanzapine
C. Mirtazapine
D. Lorazepam
Answer: a) Sertraline
Rationale: Selective serotonin reuptake inhibitors (SSRIs) like
sertraline are considered first-line pharmacological treatments for
obsessive-compulsive disorder (OCD). They help to reduce the
frequency and intensity of obsessions and compulsions.
2. A patient with depression and suicidal ideation refuses to take
medications but agrees to therapy. Which type of therapy is most
commonly used for treating depression?
A. Cognitive-behavioral therapy (CBT)
B. Psychoanalysis
C. Dialectical behavior therapy (DBT)
D. Interpersonal therapy (IPT)
Answer: a) Cognitive-behavioral therapy (CBT)
,Rationale: Cognitive-behavioral therapy (CBT) is an evidence-based
treatment for depression that focuses on identifying and modifying
negative thought patterns and behaviors. It is widely used for treating
mild to moderate depression.
3. A 19-year-old male presents with increased energy, decreased need
for sleep, and impulsive behaviors, including excessive spending. He
also reports feeling “invincible” and experiencing racing thoughts.
Which of the following is the most likely diagnosis?
A. Major depressive disorder
B. Bipolar I disorder
C. Cyclothymic disorder
D. Generalized anxiety disorder
Answer: b) Bipolar I disorder
Rationale: Bipolar I disorder is characterized by manic episodes, which
include symptoms such as increased energy, decreased need for sleep,
impulsivity, and grandiosity. The individual in this case is presenting
with a classic manic episode.
4. A 32-year-old female is diagnosed with major depressive disorder.
She is planning to start a family soon. Which of the following
antidepressants is the safest during pregnancy?
A. Fluoxetine
B. Paroxetine
C. Sertraline
,D. Amitriptyline
Answer: c) Sertraline
Rationale: Sertraline, an SSRI, is considered relatively safe during
pregnancy compared to other antidepressants. It has a lower risk of
causing neonatal withdrawal symptoms and other pregnancy-related
complications than some other antidepressants.
5. A 30-year-old male is diagnosed with post-traumatic stress disorder
(PTSD) after being involved in a motor vehicle accident. Which of the
following symptoms is most likely to be present in PTSD?
A. Flashbacks
B. Hypomanic episodes
C. Disorganized speech
D. Impulsivity
Answer: a) Flashbacks
Rationale: Flashbacks are a hallmark symptom of PTSD. These
intrusive memories can cause individuals to feel as if they are reliving
the traumatic event.
6. A 30-year-old male presents with episodes of feeling “high” followed
by periods of depression. The episodes occur for several days at a time.
What is the most likely diagnosis?
A. Major depressive disorder
B. Cyclothymic disorder
, C. Bipolar II disorder
D. Bipolar I disorder
Answer: c) Bipolar II disorder
Rationale: Bipolar II disorder involves recurrent episodes of hypomania
(mild mania) and depression. The duration of hypomanic episodes is
typically shorter than full-blown mania seen in bipolar I disorder.
7. A 35-year-old male presents with a 2-month history of low mood,
decreased energy, and anhedonia. He has trouble sleeping and has
gained weight. What is the most likely diagnosis?
A. Major depressive disorder
B. Generalized anxiety disorder
C. Bipolar disorder
D. Post-traumatic stress disorder
Answer: a) Major depressive disorder
Rationale: The patient's symptoms, including low mood, anhedonia,
sleep disturbances, and weight gain, are characteristic of major
depressive disorder (MDD). This condition is often diagnosed when
these symptoms persist for at least two weeks.
8. A 55-year-old female with depression presents with feelings of guilt,
sadness, and low energy. She has been experiencing poor appetite and
weight loss. Which of the following is a hallmark symptom of major
depressive disorder (MDD)?
compulsive disorder (OCD)?
A. Sertraline
B. Olanzapine
C. Mirtazapine
D. Lorazepam
Answer: a) Sertraline
Rationale: Selective serotonin reuptake inhibitors (SSRIs) like
sertraline are considered first-line pharmacological treatments for
obsessive-compulsive disorder (OCD). They help to reduce the
frequency and intensity of obsessions and compulsions.
2. A patient with depression and suicidal ideation refuses to take
medications but agrees to therapy. Which type of therapy is most
commonly used for treating depression?
A. Cognitive-behavioral therapy (CBT)
B. Psychoanalysis
C. Dialectical behavior therapy (DBT)
D. Interpersonal therapy (IPT)
Answer: a) Cognitive-behavioral therapy (CBT)
,Rationale: Cognitive-behavioral therapy (CBT) is an evidence-based
treatment for depression that focuses on identifying and modifying
negative thought patterns and behaviors. It is widely used for treating
mild to moderate depression.
3. A 19-year-old male presents with increased energy, decreased need
for sleep, and impulsive behaviors, including excessive spending. He
also reports feeling “invincible” and experiencing racing thoughts.
Which of the following is the most likely diagnosis?
A. Major depressive disorder
B. Bipolar I disorder
C. Cyclothymic disorder
D. Generalized anxiety disorder
Answer: b) Bipolar I disorder
Rationale: Bipolar I disorder is characterized by manic episodes, which
include symptoms such as increased energy, decreased need for sleep,
impulsivity, and grandiosity. The individual in this case is presenting
with a classic manic episode.
4. A 32-year-old female is diagnosed with major depressive disorder.
She is planning to start a family soon. Which of the following
antidepressants is the safest during pregnancy?
A. Fluoxetine
B. Paroxetine
C. Sertraline
,D. Amitriptyline
Answer: c) Sertraline
Rationale: Sertraline, an SSRI, is considered relatively safe during
pregnancy compared to other antidepressants. It has a lower risk of
causing neonatal withdrawal symptoms and other pregnancy-related
complications than some other antidepressants.
5. A 30-year-old male is diagnosed with post-traumatic stress disorder
(PTSD) after being involved in a motor vehicle accident. Which of the
following symptoms is most likely to be present in PTSD?
A. Flashbacks
B. Hypomanic episodes
C. Disorganized speech
D. Impulsivity
Answer: a) Flashbacks
Rationale: Flashbacks are a hallmark symptom of PTSD. These
intrusive memories can cause individuals to feel as if they are reliving
the traumatic event.
6. A 30-year-old male presents with episodes of feeling “high” followed
by periods of depression. The episodes occur for several days at a time.
What is the most likely diagnosis?
A. Major depressive disorder
B. Cyclothymic disorder
, C. Bipolar II disorder
D. Bipolar I disorder
Answer: c) Bipolar II disorder
Rationale: Bipolar II disorder involves recurrent episodes of hypomania
(mild mania) and depression. The duration of hypomanic episodes is
typically shorter than full-blown mania seen in bipolar I disorder.
7. A 35-year-old male presents with a 2-month history of low mood,
decreased energy, and anhedonia. He has trouble sleeping and has
gained weight. What is the most likely diagnosis?
A. Major depressive disorder
B. Generalized anxiety disorder
C. Bipolar disorder
D. Post-traumatic stress disorder
Answer: a) Major depressive disorder
Rationale: The patient's symptoms, including low mood, anhedonia,
sleep disturbances, and weight gain, are characteristic of major
depressive disorder (MDD). This condition is often diagnosed when
these symptoms persist for at least two weeks.
8. A 55-year-old female with depression presents with feelings of guilt,
sadness, and low energy. She has been experiencing poor appetite and
weight loss. Which of the following is a hallmark symptom of major
depressive disorder (MDD)?
