PA PSYCHIATRY EOR EXAMS SET 2025/2026 QUESTIONS
WITH ANSWERS MARKED A+
✔✔Fetishistic disorder treatment - ✔✔Insight oriented psychotherapy and behavior
therapy
SSRIs can be used
✔✔Pedophilic disorder - ✔✔Pedophilic disorder is defined by sexually arousing
fantasies, urges, or behaviors involving sexual activities with a prepubescent child
(generally age 13 years or younger). For the criteria for pedophilic disorder to be met,
however, the individual has to have acted on these sexual urges, or the sexual urges or
fantasies must cause marked distress or interpersonal difficulty. The individual must be
at least 16 years old and at least 5 years older than the child to whom the fantasies or
behavior is directed.
✔✔Pedophilic disorder criteria - ✔✔A. Over a period of at least 6 months, recurrent,
intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity
with a prepubescent child or children (generally age 13 years or younger).
B. The individual has acted on these sexual urges, or the sexual urges or fantasies
cause marked distress or interpersonal difficulty.
C. The individual is at least age 16 years and at least 5 years older than the child or
children in Criterion A. Note: Do not include an individual in late adolescence involved in
an ongoing sexual relationship with a 12- or 13-year-old.
✔✔Pedophilic disorder treatment - ✔✔Psychotherapy
SSRIs
Antiandrogen therapy - medroxyprogesterone
✔✔Sexual masochism disorder - ✔✔the act of being humiliated, beaten, bound, or
otherwise made to suffer. The fantasies, urges, or behaviors need to also result in
clinically significant distress or functional impairment.
✔✔Sexual masochism disorder criteria - ✔✔A. Over a period of at least 6 months,
recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or
otherwise made to suffer, as manifested by fantasies, urges, or behaviors.
B. The fantasies, sexual urges, or behaviors cause clinically significant distress or
impairment in social, occupational, or other important areas of functioning.
✔✔Sexual masochism disorder treatment - ✔✔Often ineffective
Psychotherapy, behavior therapy, SSRIs
✔✔Female sexual interest/arousal disorder - ✔✔woman has either a lack of interest in
sexual activity or an inability to attain or maintain arousal.
,✔✔Female sexual interest/arousal disorder treatment - ✔✔CBT, estrogen with or
without testosterone therapy
✔✔Male hypoactive sexual desire disorder - ✔✔Man has diminished desire for sexual
activity and few if any sexual thoughts or fantasies
✔✔Male hypoactive sexual desire disorder tx - ✔✔Dual sex therapy, behavior therapy,
group therapy, hypnosis, psychotherapy
Testosterone
✔✔Voyeuristic disorder - ✔✔Watching unsuspecting nude individuals (often with
binoculars) in order to obtain sexual pleasure.
✔✔Voyeuristic disorder dx - ✔✔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 - ✔✔Psychotherapy, support groups, and SSRIs
Sometimes antiandrogen drugs
✔✔Cluster A - ✔✔Schizoid, Schizotypal, and Paranoid
• Patients seem eccentric, peculiar, or withdrawn.
• Familial association with psychotic disorders.
✔✔Cluster B - ✔✔Antisocial, Borderline, Histrionic, and Narcissistic
• Patients seem emotional, dramatic, or inconsistent.
• Familial association with mood disorders.
✔✔Cluster C - ✔✔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. - ✔✔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. - ✔✔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. - ✔✔Schizotypal personality disorder
✔✔Paranoid personality disorder - ✔✔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 - ✔✔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.
6. Perception of attacks on his or her character that are not apparent to others; quick to
counterattack.
7. Recurrence of suspicions regarding fidelity of spouse or lover.
✔✔Paranoid PD tx - ✔✔Psychotherapy is treatment of choice
May use short course antipsychotics
✔✔Schizoid PD - ✔✔lifelong pattern of social withdrawal. They are often perceived as
eccentric and reclusive. They are quiet and unsociable and have a constricted affect.
They have no desire for close relationships and prefer to be alone.
✔✔Schizoid PD criteria - ✔✔• A pattern of voluntary social withdrawal and restricted
range of emotional expression, beginning by early adulthood and present in a variety of
contexts.
• Four or more of the following must also be present:
1. Neither enjoying nor desiring close relationships (including family)
2. Generally choosing solitary activities
3. Little (if any) interest in sexual activity with another person
4. Taking pleasure in few activities (if any)
5. Few close friends or confidants (if any)
6. Indifference to praise or criticism
7. Emotional coldness, detachment, or flattened affect
✔✔Schizoid PD tx - ✔✔Psychotherapy +/- group therapy
May use short course antipsychotics
WITH ANSWERS MARKED A+
✔✔Fetishistic disorder treatment - ✔✔Insight oriented psychotherapy and behavior
therapy
SSRIs can be used
✔✔Pedophilic disorder - ✔✔Pedophilic disorder is defined by sexually arousing
fantasies, urges, or behaviors involving sexual activities with a prepubescent child
(generally age 13 years or younger). For the criteria for pedophilic disorder to be met,
however, the individual has to have acted on these sexual urges, or the sexual urges or
fantasies must cause marked distress or interpersonal difficulty. The individual must be
at least 16 years old and at least 5 years older than the child to whom the fantasies or
behavior is directed.
✔✔Pedophilic disorder criteria - ✔✔A. Over a period of at least 6 months, recurrent,
intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity
with a prepubescent child or children (generally age 13 years or younger).
B. The individual has acted on these sexual urges, or the sexual urges or fantasies
cause marked distress or interpersonal difficulty.
C. The individual is at least age 16 years and at least 5 years older than the child or
children in Criterion A. Note: Do not include an individual in late adolescence involved in
an ongoing sexual relationship with a 12- or 13-year-old.
✔✔Pedophilic disorder treatment - ✔✔Psychotherapy
SSRIs
Antiandrogen therapy - medroxyprogesterone
✔✔Sexual masochism disorder - ✔✔the act of being humiliated, beaten, bound, or
otherwise made to suffer. The fantasies, urges, or behaviors need to also result in
clinically significant distress or functional impairment.
✔✔Sexual masochism disorder criteria - ✔✔A. Over a period of at least 6 months,
recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or
otherwise made to suffer, as manifested by fantasies, urges, or behaviors.
B. The fantasies, sexual urges, or behaviors cause clinically significant distress or
impairment in social, occupational, or other important areas of functioning.
✔✔Sexual masochism disorder treatment - ✔✔Often ineffective
Psychotherapy, behavior therapy, SSRIs
✔✔Female sexual interest/arousal disorder - ✔✔woman has either a lack of interest in
sexual activity or an inability to attain or maintain arousal.
,✔✔Female sexual interest/arousal disorder treatment - ✔✔CBT, estrogen with or
without testosterone therapy
✔✔Male hypoactive sexual desire disorder - ✔✔Man has diminished desire for sexual
activity and few if any sexual thoughts or fantasies
✔✔Male hypoactive sexual desire disorder tx - ✔✔Dual sex therapy, behavior therapy,
group therapy, hypnosis, psychotherapy
Testosterone
✔✔Voyeuristic disorder - ✔✔Watching unsuspecting nude individuals (often with
binoculars) in order to obtain sexual pleasure.
✔✔Voyeuristic disorder dx - ✔✔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 - ✔✔Psychotherapy, support groups, and SSRIs
Sometimes antiandrogen drugs
✔✔Cluster A - ✔✔Schizoid, Schizotypal, and Paranoid
• Patients seem eccentric, peculiar, or withdrawn.
• Familial association with psychotic disorders.
✔✔Cluster B - ✔✔Antisocial, Borderline, Histrionic, and Narcissistic
• Patients seem emotional, dramatic, or inconsistent.
• Familial association with mood disorders.
✔✔Cluster C - ✔✔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. - ✔✔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. - ✔✔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. - ✔✔Schizotypal personality disorder
✔✔Paranoid personality disorder - ✔✔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 - ✔✔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.
6. Perception of attacks on his or her character that are not apparent to others; quick to
counterattack.
7. Recurrence of suspicions regarding fidelity of spouse or lover.
✔✔Paranoid PD tx - ✔✔Psychotherapy is treatment of choice
May use short course antipsychotics
✔✔Schizoid PD - ✔✔lifelong pattern of social withdrawal. They are often perceived as
eccentric and reclusive. They are quiet and unsociable and have a constricted affect.
They have no desire for close relationships and prefer to be alone.
✔✔Schizoid PD criteria - ✔✔• A pattern of voluntary social withdrawal and restricted
range of emotional expression, beginning by early adulthood and present in a variety of
contexts.
• Four or more of the following must also be present:
1. Neither enjoying nor desiring close relationships (including family)
2. Generally choosing solitary activities
3. Little (if any) interest in sexual activity with another person
4. Taking pleasure in few activities (if any)
5. Few close friends or confidants (if any)
6. Indifference to praise or criticism
7. Emotional coldness, detachment, or flattened affect
✔✔Schizoid PD tx - ✔✔Psychotherapy +/- group therapy
May use short course antipsychotics
