1. A 65-year-old male presents with gradual memory loss, difficulty
recognizing familiar faces, and word-finding difficulties. What is the
most likely diagnosis?
A. Vascular dementia
B. Alzheimer's disease
C. Lewy body dementia
D. Parkinson’s disease
Answer: b) Alzheimer's disease
Rationale: Alzheimer's disease is the most common form of dementia in
older adults. It is characterized by progressive memory loss, language
difficulties, and disorientation.
2. Which of the following is considered a common side effect of
selective serotonin reuptake inhibitors (SSRIs)?
A. Weight loss
B. Sedation
C. Sexual dysfunction
D. Tardive dyskinesia
Answer: c) Sexual dysfunction
Rationale: Sexual dysfunction, including reduced libido, anorgasmia,
and erectile dysfunction, is a common side effect of SSRIs. These
,medications work by increasing serotonin levels, which can affect
sexual desire and performance.
3. A 35-year-old male with schizophrenia is experiencing auditory
hallucinations and paranoia. He is started on a second-generation
antipsychotic medication. Which of the following is the most common
side effect of second-generation antipsychotics?
A. Extrapyramidal symptoms
B. Weight gain
C. Tardive dyskinesia
D. Hypertension
Answer: b) Weight gain
Rationale: Second-generation antipsychotics are commonly associated
with weight gain, along with other metabolic side effects such as
increased blood glucose and cholesterol levels. These medications have
a lower risk of extrapyramidal symptoms compared to first-generation
antipsychotics.
4. A 40-year-old female presents with excessive concern about
cleanliness and order, which interferes with her daily functioning. She
spends hours each day organizing and cleaning. What is the most likely
diagnosis?
A. Obsessive-compulsive disorder
B. Body dysmorphic disorder
C. Hoarding disorder
,D. Generalized anxiety disorder
Answer: a) Obsessive-compulsive disorder
Rationale: Obsessive-compulsive disorder (OCD) is characterized by
intrusive, unwanted thoughts (obsessions) and repetitive behaviors
(compulsions). In this case, the excessive concern with cleanliness and
order suggests OCD.
5. A 25-year-old female presents with episodes of rapid speech,
decreased need for sleep, and engaging in risky behaviors. Which of the
following medications is most commonly used to treat manic episodes
in bipolar disorder?
A. Lithium
B. Fluoxetine
C. Risperidone
D. Sertraline
Answer: a) Lithium
Rationale: Lithium is considered the gold standard for the treatment of
manic episodes in bipolar disorder. It is effective in reducing the
severity and frequency of manic episodes.
6. A 25-year-old male presents with a history of eating large amounts
of food in a short period of time, without any compensatory behaviors
like vomiting. He feels distressed and out of control during these
episodes. What is the most likely diagnosis?
A. Bulimia nervosa
, B. Binge eating disorder
C. Anorexia nervosa
D. Avoidant/restrictive food intake disorder
Answer: b) Binge eating disorder
Rationale: Binge eating disorder is characterized by episodes of
consuming large quantities of food in a short time, accompanied by a
lack of control. Unlike bulimia nervosa, there are no compensatory
behaviors such as vomiting.
7. A 32-year-old female presents with a fear of gaining weight despite
being underweight and engaging in extreme dieting and exercise.
Which of the following is the most likely diagnosis?
A. Anorexia nervosa
B. Bulimia nervosa
C. Body dysmorphic disorder
D. Binge eating disorder
Answer: a) Anorexia nervosa
Rationale: Anorexia nervosa is characterized by an intense fear of
gaining weight and a distorted body image, often leading to severe
weight loss due to restrictive eating and excessive exercise.
8. A 42-year-old male with a history of alcohol dependence presents for
evaluation. He reports having several seizures after abrupt cessation of
drinking. Which of the following is the most likely diagnosis?
recognizing familiar faces, and word-finding difficulties. What is the
most likely diagnosis?
A. Vascular dementia
B. Alzheimer's disease
C. Lewy body dementia
D. Parkinson’s disease
Answer: b) Alzheimer's disease
Rationale: Alzheimer's disease is the most common form of dementia in
older adults. It is characterized by progressive memory loss, language
difficulties, and disorientation.
2. Which of the following is considered a common side effect of
selective serotonin reuptake inhibitors (SSRIs)?
A. Weight loss
B. Sedation
C. Sexual dysfunction
D. Tardive dyskinesia
Answer: c) Sexual dysfunction
Rationale: Sexual dysfunction, including reduced libido, anorgasmia,
and erectile dysfunction, is a common side effect of SSRIs. These
,medications work by increasing serotonin levels, which can affect
sexual desire and performance.
3. A 35-year-old male with schizophrenia is experiencing auditory
hallucinations and paranoia. He is started on a second-generation
antipsychotic medication. Which of the following is the most common
side effect of second-generation antipsychotics?
A. Extrapyramidal symptoms
B. Weight gain
C. Tardive dyskinesia
D. Hypertension
Answer: b) Weight gain
Rationale: Second-generation antipsychotics are commonly associated
with weight gain, along with other metabolic side effects such as
increased blood glucose and cholesterol levels. These medications have
a lower risk of extrapyramidal symptoms compared to first-generation
antipsychotics.
4. A 40-year-old female presents with excessive concern about
cleanliness and order, which interferes with her daily functioning. She
spends hours each day organizing and cleaning. What is the most likely
diagnosis?
A. Obsessive-compulsive disorder
B. Body dysmorphic disorder
C. Hoarding disorder
,D. Generalized anxiety disorder
Answer: a) Obsessive-compulsive disorder
Rationale: Obsessive-compulsive disorder (OCD) is characterized by
intrusive, unwanted thoughts (obsessions) and repetitive behaviors
(compulsions). In this case, the excessive concern with cleanliness and
order suggests OCD.
5. A 25-year-old female presents with episodes of rapid speech,
decreased need for sleep, and engaging in risky behaviors. Which of the
following medications is most commonly used to treat manic episodes
in bipolar disorder?
A. Lithium
B. Fluoxetine
C. Risperidone
D. Sertraline
Answer: a) Lithium
Rationale: Lithium is considered the gold standard for the treatment of
manic episodes in bipolar disorder. It is effective in reducing the
severity and frequency of manic episodes.
6. A 25-year-old male presents with a history of eating large amounts
of food in a short period of time, without any compensatory behaviors
like vomiting. He feels distressed and out of control during these
episodes. What is the most likely diagnosis?
A. Bulimia nervosa
, B. Binge eating disorder
C. Anorexia nervosa
D. Avoidant/restrictive food intake disorder
Answer: b) Binge eating disorder
Rationale: Binge eating disorder is characterized by episodes of
consuming large quantities of food in a short time, accompanied by a
lack of control. Unlike bulimia nervosa, there are no compensatory
behaviors such as vomiting.
7. A 32-year-old female presents with a fear of gaining weight despite
being underweight and engaging in extreme dieting and exercise.
Which of the following is the most likely diagnosis?
A. Anorexia nervosa
B. Bulimia nervosa
C. Body dysmorphic disorder
D. Binge eating disorder
Answer: a) Anorexia nervosa
Rationale: Anorexia nervosa is characterized by an intense fear of
gaining weight and a distorted body image, often leading to severe
weight loss due to restrictive eating and excessive exercise.
8. A 42-year-old male with a history of alcohol dependence presents for
evaluation. He reports having several seizures after abrupt cessation of
drinking. Which of the following is the most likely diagnosis?
