PA PSYCHIATRY EOR EXAM STUDY GUIDE 2025/2026
QUESTIONS WITH ANSWERS MARKED A+
✔✔A pt presenting with falsification of sx or induction of injury w/ deception but no
obvious reward besides being the pt is: - ✔✔Facticious d/o aka Munchausen +/- by
proxy
✔✔A pt who is faking sx with a specific goal in mind is: - ✔✔Malingering
✔✔What is the treatment for somatization d/o? - ✔✔SSRI, TCAs and psychotherapy
- Encourage pt to have frequent visits and be involved in deciding what should be
accomplished at each visit
✔✔A pt presents with restriction of her intake and a fear of gaining weight. Her BMI is
<17. What is this and what are the associated sx? - ✔✔Anorexia; Bradycardia, MVP,
pericardial effusion, gastroparesis, osteoparosis, hypokalemia
✔✔A pt presents with recurrent binge eating followed by compensation. Her BMI is 24.
What is this condition and what are the associated sx? - ✔✔Bulemia; esophageal tear,
laxative dependence, hypokalemia, hyponatremia, increased serum amylase d/t
vomiting, enlarged parotid
✔✔What is Russell's sign? - ✔✔calluses on hands from inducing vomiting - commonly
seen in Bulimic pts
✔✔What should be avoided in the treatment of anorexia and bulemia? - ✔✔Wellbutrin
and Benzos
✔✔What are the three subtypes of ADHD and which are more common in girls? Which
are more common in boys? - ✔✔Inattention (MC in girls), hyperactivity and impulsivity
(MC in boys)
✔✔What are the first line and second line medication treatments for ADHD? -
✔✔Methylphenidate (Ritalin)
Atomoxetine (Strattera)
- Caution any arrhythmia seen w/ Rx use
✔✔A 21 y/o pt presents w/ slurred speech, stumbling, sleepiness, nystagmus and
mydriasis. What is the likely intox? What other types of drugs could cause these sx if
there is miosis instead? - ✔✔Alcohol
Sedatives, anxiolytics and hypnotics
, ✔✔A pt presents with tremor, agitation, N/V, generalized tonic clonic seizures and
autonomic hyperreactivity. What drugs show this withdrawl pattern? - ✔✔Alcohol
✔✔A pt presents with severe respiratory depression, pinpoint pupils and track marks on
the arm. What is the intox and what should be given? - ✔✔Heroin; Methadone or
Buprenophine
✔✔LSD, Peyote, Mushrooms and Nutmeg are all what type of drug? - ✔✔Hallucinogen
✔✔A pt presents with mydriasis, paranoia, hallucinations, extreme aggression and
super human strength. What have they likely ingested? - ✔✔PCP
✔✔A pt used to abuse hallucinogens but has been clean for a year. They are continuing
to experience sx similar to when they were intoxicated. What is this called? -
✔✔Hallucinogen Persisting Perception d/o
✔✔A pt presents with euphoria, glassy, red eyes, loud talking, dry mouth excessive
hunger and sleepiness. What is the intox? - ✔✔Marijuana
✔✔What are the withdrawl sx of marijuana? - ✔✔irritable, nervousness, insomnia,
anorexia, depression, abdominal pain/tremor/sweating/F/HA
✔✔What are the sx of tobacco intox? - ✔✔sweating, vomiting, confusion, decreased
pulse, respiratory failure, anorexia
✔✔What is the OD treatment for alcohol? - ✔✔Naltrexone
Librium or Valum to prevent seizures
✔✔What is the OD treatment for amphetamines/cocaine? - ✔✔benzodiazapines
(Ativan) + lebetalol if malignant HTN develops
✔✔What is the OD treatment for antihistamines? - ✔✔Physostigmine
✔✔What is the OD treatment for anticholinergic (insecticides) poisoning? - ✔✔Atropine
✔✔What is the OD treatment for Opiates? - ✔✔Narcan/Naloxone, Methadone
✔✔What is the OD treatment for Benzos? - ✔✔Romazicon (Flumazenil)
✔✔What is the OD treatment for Tricyclics? - ✔✔Sodium Bicarb
✔✔What is the OD treatment for CCB? - ✔✔Calcium Chloride
QUESTIONS WITH ANSWERS MARKED A+
✔✔A pt presenting with falsification of sx or induction of injury w/ deception but no
obvious reward besides being the pt is: - ✔✔Facticious d/o aka Munchausen +/- by
proxy
✔✔A pt who is faking sx with a specific goal in mind is: - ✔✔Malingering
✔✔What is the treatment for somatization d/o? - ✔✔SSRI, TCAs and psychotherapy
- Encourage pt to have frequent visits and be involved in deciding what should be
accomplished at each visit
✔✔A pt presents with restriction of her intake and a fear of gaining weight. Her BMI is
<17. What is this and what are the associated sx? - ✔✔Anorexia; Bradycardia, MVP,
pericardial effusion, gastroparesis, osteoparosis, hypokalemia
✔✔A pt presents with recurrent binge eating followed by compensation. Her BMI is 24.
What is this condition and what are the associated sx? - ✔✔Bulemia; esophageal tear,
laxative dependence, hypokalemia, hyponatremia, increased serum amylase d/t
vomiting, enlarged parotid
✔✔What is Russell's sign? - ✔✔calluses on hands from inducing vomiting - commonly
seen in Bulimic pts
✔✔What should be avoided in the treatment of anorexia and bulemia? - ✔✔Wellbutrin
and Benzos
✔✔What are the three subtypes of ADHD and which are more common in girls? Which
are more common in boys? - ✔✔Inattention (MC in girls), hyperactivity and impulsivity
(MC in boys)
✔✔What are the first line and second line medication treatments for ADHD? -
✔✔Methylphenidate (Ritalin)
Atomoxetine (Strattera)
- Caution any arrhythmia seen w/ Rx use
✔✔A 21 y/o pt presents w/ slurred speech, stumbling, sleepiness, nystagmus and
mydriasis. What is the likely intox? What other types of drugs could cause these sx if
there is miosis instead? - ✔✔Alcohol
Sedatives, anxiolytics and hypnotics
, ✔✔A pt presents with tremor, agitation, N/V, generalized tonic clonic seizures and
autonomic hyperreactivity. What drugs show this withdrawl pattern? - ✔✔Alcohol
✔✔A pt presents with severe respiratory depression, pinpoint pupils and track marks on
the arm. What is the intox and what should be given? - ✔✔Heroin; Methadone or
Buprenophine
✔✔LSD, Peyote, Mushrooms and Nutmeg are all what type of drug? - ✔✔Hallucinogen
✔✔A pt presents with mydriasis, paranoia, hallucinations, extreme aggression and
super human strength. What have they likely ingested? - ✔✔PCP
✔✔A pt used to abuse hallucinogens but has been clean for a year. They are continuing
to experience sx similar to when they were intoxicated. What is this called? -
✔✔Hallucinogen Persisting Perception d/o
✔✔A pt presents with euphoria, glassy, red eyes, loud talking, dry mouth excessive
hunger and sleepiness. What is the intox? - ✔✔Marijuana
✔✔What are the withdrawl sx of marijuana? - ✔✔irritable, nervousness, insomnia,
anorexia, depression, abdominal pain/tremor/sweating/F/HA
✔✔What are the sx of tobacco intox? - ✔✔sweating, vomiting, confusion, decreased
pulse, respiratory failure, anorexia
✔✔What is the OD treatment for alcohol? - ✔✔Naltrexone
Librium or Valum to prevent seizures
✔✔What is the OD treatment for amphetamines/cocaine? - ✔✔benzodiazapines
(Ativan) + lebetalol if malignant HTN develops
✔✔What is the OD treatment for antihistamines? - ✔✔Physostigmine
✔✔What is the OD treatment for anticholinergic (insecticides) poisoning? - ✔✔Atropine
✔✔What is the OD treatment for Opiates? - ✔✔Narcan/Naloxone, Methadone
✔✔What is the OD treatment for Benzos? - ✔✔Romazicon (Flumazenil)
✔✔What is the OD treatment for Tricyclics? - ✔✔Sodium Bicarb
✔✔What is the OD treatment for CCB? - ✔✔Calcium Chloride
