6/11/25, 10:07 AM Psych EOR
PSYCH EOR NEWEST VERSION 2025-2026 \LATEST EXAM
WITH COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \COMPLETE EXAM\GRADED A+
1) A 15-year-old boy is B
brought to the office by his
mother due to "odd 8-month history of auditory hallucinations plus negative
behavior." Since moving to a symptoms (social withdrawal, flat affect) resulting in
new school 8 months ago, significant functional decline = consistent with
the boy has started talking schizophrenia. Hallucinations = more common than
to his imaginary friend delusions in pediatric schizophrenia.
Henry again. His mother
reports that he had this
imaginary friend for a few
months in kindergarten. The
boy has been spending
more time alone, and he
spends time laughing and
talking to Henry. His
teachers report that the
patient has not been
paying attention in class
or completing his
homework. He no longer
spends time with his
siblings and says he
"would rather play video
games with Henry." The
patient states, "Henry is
always with me and likes to
comment on what I am
doing." He has tried
marijuana in the past but
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,6/11/25, 10:07 AM Psych EOR
does not use other drugs.
On mental status
examination, the patient
avoids eye contact and has
a flat affect. Which of the
following is the most likely
explanation for the
patient's behavior?
a. Schizoid personality
disorder
b.
2) A 42-year-old man is D
brought to the emergency
department by his wife after Methamphetamine intoxication:
• Euphoric/dysphoric mood (anxiety, irritability)
he assaulted her. The
• Agitation (restlessness, tremor)
patient has not slept or
• Bruxism/poor dentition
eaten for days; he became
• Psychotic symptoms (delusions, hallucinations, "bugs
agitated and started
crawling under the skin", excoriations from skin
accusing her of plotting to
picking)
murder him. The patient • Anorexia
also feels as though bugs • Decreased need for sleep
are crawling under his skin. • Sympathomimetic effects (tachycardia, hypertension, mydriasis,
He had a prior psychiatric diaphoresis)
hospitalization 8 months
ago when he was
admitted for paranoid
delusions and visual
hallucinations. He is
uncooperative, speaks
rapidly and loudly, gets up
to pace during the
interview, and shouts "I
/ 2/124
,6/11/25, 10:07 AM Psych EOR
don't trust any of you;
you're in this together."
Temperature is 100º F, BP is
140/90, pulse is 104, and
RR is 20. Exam shows a
thin, diaphoretic man with
poor grooming and
dentition. He clenches his
teeth, picks at his skin, and
has multiple sores on his
face and body. Which of
the following is the most
likely diagnosis in this
patient?
a. Alcohol withdrawal
b. Bipolar I disorder
c. Delusional disorder, somatic
subty
3) A 59-year-old woman C
comes to the office due to
upper respiratory 3. Narcissistic personality disorder (cluster B):
symptoms for the past 3 grandiosity, need for admiration, sense of entitlement,
days. She arrives an hour lack of empathy; difficulty sustaining relationships
late for her appointment,
blaming it on an
emergency at work that
"only I could take care of."
The patient is angry that
the provider refused to
prescribe antibiotics for
her over the phone, and
she paces at the reception
desk, insisting that the office
staff work her into the
schedule because "I'm
very busy and must be
seen immediately." The
patient then talks at length
/ 3/124
, 6/11/25, 10:07 AM Psych EOR
about feeling depressed
because her children no
longer want to see her
even though she is a "great
mother." She is upset that
her daughter recently
canceled plans to visit in
order to help a friend who
was in a near-fatal motor
vehicle collision. Which of
the following is the best
explanation for this
patient's behavior?
a. Borderline personality
disorder
b. Histrionic personality
disorder
c. Narcissistic personality
disorder
d. P
4) A 42-year-old man D
comes to the office for a
follow-up. Last year, the 4. Pharmacotherapy for alcohol use disorder:
• Naltrexone: decreases cravings, reduces heavy
patient was hospitalized for
acute gastritis. During the drinking days, increases days of abstinence, can be
hospitalization, he went initiated while patient is still drinking
o CI in patients taking opioids (can precipitate withdrawal)
into alcohol withdrawal
o CI in patients with acute hepatitis or liver failure
that was treated with
• Acamprosate (preferred for patients with liver disease
chlordiazepoxide. The
or opioid use, CI in patients with renal impairment)
patient was abstinent for 2 • Disulfiram (only used second-line; patient must be highly-
motivated)
weeks following discharge,
but then started drinking
again. Over the past
several months, he has
been drinking 6-10 beers
daily. The patient says "I
want to cut down, but the
cravings are too strong." He
fears he will lose his job and
/ 4/124
PSYCH EOR NEWEST VERSION 2025-2026 \LATEST EXAM
WITH COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \COMPLETE EXAM\GRADED A+
1) A 15-year-old boy is B
brought to the office by his
mother due to "odd 8-month history of auditory hallucinations plus negative
behavior." Since moving to a symptoms (social withdrawal, flat affect) resulting in
new school 8 months ago, significant functional decline = consistent with
the boy has started talking schizophrenia. Hallucinations = more common than
to his imaginary friend delusions in pediatric schizophrenia.
Henry again. His mother
reports that he had this
imaginary friend for a few
months in kindergarten. The
boy has been spending
more time alone, and he
spends time laughing and
talking to Henry. His
teachers report that the
patient has not been
paying attention in class
or completing his
homework. He no longer
spends time with his
siblings and says he
"would rather play video
games with Henry." The
patient states, "Henry is
always with me and likes to
comment on what I am
doing." He has tried
marijuana in the past but
/ 1/124
,6/11/25, 10:07 AM Psych EOR
does not use other drugs.
On mental status
examination, the patient
avoids eye contact and has
a flat affect. Which of the
following is the most likely
explanation for the
patient's behavior?
a. Schizoid personality
disorder
b.
2) A 42-year-old man is D
brought to the emergency
department by his wife after Methamphetamine intoxication:
• Euphoric/dysphoric mood (anxiety, irritability)
he assaulted her. The
• Agitation (restlessness, tremor)
patient has not slept or
• Bruxism/poor dentition
eaten for days; he became
• Psychotic symptoms (delusions, hallucinations, "bugs
agitated and started
crawling under the skin", excoriations from skin
accusing her of plotting to
picking)
murder him. The patient • Anorexia
also feels as though bugs • Decreased need for sleep
are crawling under his skin. • Sympathomimetic effects (tachycardia, hypertension, mydriasis,
He had a prior psychiatric diaphoresis)
hospitalization 8 months
ago when he was
admitted for paranoid
delusions and visual
hallucinations. He is
uncooperative, speaks
rapidly and loudly, gets up
to pace during the
interview, and shouts "I
/ 2/124
,6/11/25, 10:07 AM Psych EOR
don't trust any of you;
you're in this together."
Temperature is 100º F, BP is
140/90, pulse is 104, and
RR is 20. Exam shows a
thin, diaphoretic man with
poor grooming and
dentition. He clenches his
teeth, picks at his skin, and
has multiple sores on his
face and body. Which of
the following is the most
likely diagnosis in this
patient?
a. Alcohol withdrawal
b. Bipolar I disorder
c. Delusional disorder, somatic
subty
3) A 59-year-old woman C
comes to the office due to
upper respiratory 3. Narcissistic personality disorder (cluster B):
symptoms for the past 3 grandiosity, need for admiration, sense of entitlement,
days. She arrives an hour lack of empathy; difficulty sustaining relationships
late for her appointment,
blaming it on an
emergency at work that
"only I could take care of."
The patient is angry that
the provider refused to
prescribe antibiotics for
her over the phone, and
she paces at the reception
desk, insisting that the office
staff work her into the
schedule because "I'm
very busy and must be
seen immediately." The
patient then talks at length
/ 3/124
, 6/11/25, 10:07 AM Psych EOR
about feeling depressed
because her children no
longer want to see her
even though she is a "great
mother." She is upset that
her daughter recently
canceled plans to visit in
order to help a friend who
was in a near-fatal motor
vehicle collision. Which of
the following is the best
explanation for this
patient's behavior?
a. Borderline personality
disorder
b. Histrionic personality
disorder
c. Narcissistic personality
disorder
d. P
4) A 42-year-old man D
comes to the office for a
follow-up. Last year, the 4. Pharmacotherapy for alcohol use disorder:
• Naltrexone: decreases cravings, reduces heavy
patient was hospitalized for
acute gastritis. During the drinking days, increases days of abstinence, can be
hospitalization, he went initiated while patient is still drinking
o CI in patients taking opioids (can precipitate withdrawal)
into alcohol withdrawal
o CI in patients with acute hepatitis or liver failure
that was treated with
• Acamprosate (preferred for patients with liver disease
chlordiazepoxide. The
or opioid use, CI in patients with renal impairment)
patient was abstinent for 2 • Disulfiram (only used second-line; patient must be highly-
motivated)
weeks following discharge,
but then started drinking
again. Over the past
several months, he has
been drinking 6-10 beers
daily. The patient says "I
want to cut down, but the
cravings are too strong." He
fears he will lose his job and
/ 4/124
