ABPN EVALUATION TEST.
An 80-year-old patient is evaluated for visual hallucinations and worsening gait. The patient's spouse reports that the
patient has had episodic confusion and disturbed sleep in which the patient shouts out and appears to be fighting
someone. Previous trials of levodopa/carbidopa have resulted in temporary improvement in motor function.
Examination is remarkable for bilateral rigidity, masked facies and gait instability. Which of the following is the most
likely diagnosis?
A. Alzheimer disease
B. Multisystem atrophy
C. Dementia with Lewy bodies
D. Idiopathic Parkinson disease
E. Corticobasal ganglionic degeneration
C
Low cerebrospinal fluid levels of which of the following neurotransmitter metabolites has been most consistently
associated with suicidality?
A. Homovanillic acid (HVA)
B. 3-0-methy1-Dopa (3-OMD)
C. Gamma-hydroxybutyrate (GHB)
D. 5-hydroxyindole acetic acid (5-HIAA)
E. 3-methoxy-4-hydroxyphenylglycoI (MHPG)
D
Proponents of which of the following theories agree that social norms, expectations, meaning and perceptions are
keys to understanding individual behavior in institutions and institutional effectiveness?
A. Open systems
B. Human relations
C. Organizational culture
D. Structural and sociotechnical
E. Organizational power and conflict
C
..
Exposure to light helps entrain the circadian system by activating nonvisual retinal photoreceptors that project to
which of the following brain structures?
A. Pineal gland
B. Suprachiasmatic nucleus
C. Tuberomamillary nucleus
D. Reticular activating system
E. Ventrolateral preoptic nucleus
B
What type of medication can help with tardive dyskinesia?
VMAT2 inhibitors
102. Which of the following tools can be used when a person wishes to assign a surrogate to make health care
decisions during future periods of mental incapacity?
A. Guardianship
,B. Conservatorship
C. Guardian ad litem
D. Advance directive
E. Representative payee
D
..
Dialectical behavior therapy is unique among commonly employed psychotherapies in encouraging judicious use by
patients of which of the following?
A. Keeping a diary
B. Telephone consultation
C. Brief hospital admissions
D. Psychotropic medication
E. Consultation with other therapists
B
..
What gene allele is associated with Narcolepsy?
HLA-DQB1*0602
What type of epilepsy is characterized by hypermotor seizures arising from slow-wave sleep?
AD nocturnal frontal lobe epilepsy
AD nocturnal frontal lobe epilepsy is associated with a defect in what gene? What does that gene encode?
CHRNA4 gene; alpha-4 subunit of nicotinic acetylcholine receptor
Radiation-induced neuropathy is classically seen with what EMG finding?
Myokymic discharges
A magnetic resonance imaging (MRI) scan of the head reveals an infarct in the distribution of the left anterior cerebral
artery. Which of the following is the patient most likely to exhibit?
A. Weakness of the contralateral foot and leg
B. Incoordination of the ipsilateral arm and leg
C. Visual field deficit consisting of homonymous hemianopia
D. Ipsilateral third nerve palsy and contralateral hemiplegia
E. Loss of pinprick sensation in the ipsilateral face and contralateral arm and leg
A
A male physician is repeatedly accused by adult female patients of sitting opposite them on his stool during an eye
examination, opposing knees alternating, in such a manner that one of the patients' knees touches the physician's
crotch, If true, this is an example of:
A. fetishism.
B. partialism.
C. frotteurism.
D. sexual sadism.
E. sexual masochism.
C
..
,Which of the following is a risk factor for child abuse?
A. Financial stress
B. Small family size
C. Two-parent household
D. Child older than 13 years
E. College educated parents
A
..
The primary psychological task of school-age children is achieving which of the following?
A. Identity
B. Autonomy
C. Attachment
D. Competence
E. Individuation
D
..
The 5-HT3 receptor is best described as a(n):
A. intra-cellular receptor.
B. mitochondrial receptor
C. ligand gated ion channel.
D. voltage gated ion channel.
E. G-protein coupled receptor.
C
A psychiatrist has recently graduated from residency training and is setting up a private practice. The psychiatrist is
personally an avid user of social media and wants patients to be able to access the office through social media. The
psychiatrist should:
A. send "friend" requests to all new patients.
B. not send "friend" requests to patients, but accept them from patients.
C. not use social media for professional purposes as it violates patient privacy.
D. set up a professional account completely separate from any personal accounts.
E. not use social media professionally, but use email to communicate with patients and potential patients.
D
..
A pt reports a fear of driving and experiences feelings of panic, SOB, palpitations, sweating, clamminess when
anticipating a drive down a steep road. The pt acknowledges going out of the way to avoid this situation. They deny
similar symptoms in other settings. Which is the most likely diagnosis?
A Panic disorder
B Specific phobia
C GAD
D PTSD
E OCD
B
, ..
The parents of a four-and-a-half-year-old child report that the child insists there is a small monkey who shares the
child's room. The child talks to the monkey, asks others to converse with the monkey and insists that the monkey
have a seat at the dinner table. The parents ask if they should be concerned. The best response to the parents is that
their child is exhibiting:
A. early signs of psychosis.
B. signs of visual abnormalities.
C. signs of exposure to trauma.
D. behavior typical for preschoolers.
E. early signs of developmental delay.
D
..
Which of the following is a premise of the object relations theory?
A Everyone develops true and false selves
B Aggression and envy are central to psychopathology
C The "paranoid position" is representative of the first 6 months of life
D The mind is inhabited by mental representations of the self and others
E The pleasure principle is central to understanding unconscious conflicts
D
..
Object relations- is a variation of psychoanalytic theory that diverges from Sigmund Freud's belief that humans are
motivated by sexual and aggressive drives, suggesting instead that humans are primarily motivated by the need
for contact with others—the need to form relationships with the mother.
Melanie Klein's work tends to be most commonly identified with the terms "object relations theory". It maintains that
the infant's relationship with the mother primarily determines the formation of its personality in adult life.[2]
Particularly, the need for attachment is the bedrock of the development of the self or the psychic organization that
creates the sense of identity.
object relations theory, the way mothers and infants interact plays a crucial role in infant growth and development. If
care is adequate or "good enough," children are able to develop their true selves, which is the part of the baby that is
creative and spontaneous.
ORT Defense Mechanisms
1) Introspection
2) Projection- discard good/bad to alleviate anxiety
3) Spitting- infant forms good/bad self images to better control the destructive and pleasurable impulses.
4) Projective identification- separating the bad aspects from one self and projecting them into an external object. This
bad aspect is distorted and in turn is introjected back into the infant. This process is in place to allow the person to
gain control over both the good and bad sides of an object.
The main goal of group cognitive behavior therapy for chronic pain treatment is to:
A. decrease individual members' pain.
An 80-year-old patient is evaluated for visual hallucinations and worsening gait. The patient's spouse reports that the
patient has had episodic confusion and disturbed sleep in which the patient shouts out and appears to be fighting
someone. Previous trials of levodopa/carbidopa have resulted in temporary improvement in motor function.
Examination is remarkable for bilateral rigidity, masked facies and gait instability. Which of the following is the most
likely diagnosis?
A. Alzheimer disease
B. Multisystem atrophy
C. Dementia with Lewy bodies
D. Idiopathic Parkinson disease
E. Corticobasal ganglionic degeneration
C
Low cerebrospinal fluid levels of which of the following neurotransmitter metabolites has been most consistently
associated with suicidality?
A. Homovanillic acid (HVA)
B. 3-0-methy1-Dopa (3-OMD)
C. Gamma-hydroxybutyrate (GHB)
D. 5-hydroxyindole acetic acid (5-HIAA)
E. 3-methoxy-4-hydroxyphenylglycoI (MHPG)
D
Proponents of which of the following theories agree that social norms, expectations, meaning and perceptions are
keys to understanding individual behavior in institutions and institutional effectiveness?
A. Open systems
B. Human relations
C. Organizational culture
D. Structural and sociotechnical
E. Organizational power and conflict
C
..
Exposure to light helps entrain the circadian system by activating nonvisual retinal photoreceptors that project to
which of the following brain structures?
A. Pineal gland
B. Suprachiasmatic nucleus
C. Tuberomamillary nucleus
D. Reticular activating system
E. Ventrolateral preoptic nucleus
B
What type of medication can help with tardive dyskinesia?
VMAT2 inhibitors
102. Which of the following tools can be used when a person wishes to assign a surrogate to make health care
decisions during future periods of mental incapacity?
A. Guardianship
,B. Conservatorship
C. Guardian ad litem
D. Advance directive
E. Representative payee
D
..
Dialectical behavior therapy is unique among commonly employed psychotherapies in encouraging judicious use by
patients of which of the following?
A. Keeping a diary
B. Telephone consultation
C. Brief hospital admissions
D. Psychotropic medication
E. Consultation with other therapists
B
..
What gene allele is associated with Narcolepsy?
HLA-DQB1*0602
What type of epilepsy is characterized by hypermotor seizures arising from slow-wave sleep?
AD nocturnal frontal lobe epilepsy
AD nocturnal frontal lobe epilepsy is associated with a defect in what gene? What does that gene encode?
CHRNA4 gene; alpha-4 subunit of nicotinic acetylcholine receptor
Radiation-induced neuropathy is classically seen with what EMG finding?
Myokymic discharges
A magnetic resonance imaging (MRI) scan of the head reveals an infarct in the distribution of the left anterior cerebral
artery. Which of the following is the patient most likely to exhibit?
A. Weakness of the contralateral foot and leg
B. Incoordination of the ipsilateral arm and leg
C. Visual field deficit consisting of homonymous hemianopia
D. Ipsilateral third nerve palsy and contralateral hemiplegia
E. Loss of pinprick sensation in the ipsilateral face and contralateral arm and leg
A
A male physician is repeatedly accused by adult female patients of sitting opposite them on his stool during an eye
examination, opposing knees alternating, in such a manner that one of the patients' knees touches the physician's
crotch, If true, this is an example of:
A. fetishism.
B. partialism.
C. frotteurism.
D. sexual sadism.
E. sexual masochism.
C
..
,Which of the following is a risk factor for child abuse?
A. Financial stress
B. Small family size
C. Two-parent household
D. Child older than 13 years
E. College educated parents
A
..
The primary psychological task of school-age children is achieving which of the following?
A. Identity
B. Autonomy
C. Attachment
D. Competence
E. Individuation
D
..
The 5-HT3 receptor is best described as a(n):
A. intra-cellular receptor.
B. mitochondrial receptor
C. ligand gated ion channel.
D. voltage gated ion channel.
E. G-protein coupled receptor.
C
A psychiatrist has recently graduated from residency training and is setting up a private practice. The psychiatrist is
personally an avid user of social media and wants patients to be able to access the office through social media. The
psychiatrist should:
A. send "friend" requests to all new patients.
B. not send "friend" requests to patients, but accept them from patients.
C. not use social media for professional purposes as it violates patient privacy.
D. set up a professional account completely separate from any personal accounts.
E. not use social media professionally, but use email to communicate with patients and potential patients.
D
..
A pt reports a fear of driving and experiences feelings of panic, SOB, palpitations, sweating, clamminess when
anticipating a drive down a steep road. The pt acknowledges going out of the way to avoid this situation. They deny
similar symptoms in other settings. Which is the most likely diagnosis?
A Panic disorder
B Specific phobia
C GAD
D PTSD
E OCD
B
, ..
The parents of a four-and-a-half-year-old child report that the child insists there is a small monkey who shares the
child's room. The child talks to the monkey, asks others to converse with the monkey and insists that the monkey
have a seat at the dinner table. The parents ask if they should be concerned. The best response to the parents is that
their child is exhibiting:
A. early signs of psychosis.
B. signs of visual abnormalities.
C. signs of exposure to trauma.
D. behavior typical for preschoolers.
E. early signs of developmental delay.
D
..
Which of the following is a premise of the object relations theory?
A Everyone develops true and false selves
B Aggression and envy are central to psychopathology
C The "paranoid position" is representative of the first 6 months of life
D The mind is inhabited by mental representations of the self and others
E The pleasure principle is central to understanding unconscious conflicts
D
..
Object relations- is a variation of psychoanalytic theory that diverges from Sigmund Freud's belief that humans are
motivated by sexual and aggressive drives, suggesting instead that humans are primarily motivated by the need
for contact with others—the need to form relationships with the mother.
Melanie Klein's work tends to be most commonly identified with the terms "object relations theory". It maintains that
the infant's relationship with the mother primarily determines the formation of its personality in adult life.[2]
Particularly, the need for attachment is the bedrock of the development of the self or the psychic organization that
creates the sense of identity.
object relations theory, the way mothers and infants interact plays a crucial role in infant growth and development. If
care is adequate or "good enough," children are able to develop their true selves, which is the part of the baby that is
creative and spontaneous.
ORT Defense Mechanisms
1) Introspection
2) Projection- discard good/bad to alleviate anxiety
3) Spitting- infant forms good/bad self images to better control the destructive and pleasurable impulses.
4) Projective identification- separating the bad aspects from one self and projecting them into an external object. This
bad aspect is distorted and in turn is introjected back into the infant. This process is in place to allow the person to
gain control over both the good and bad sides of an object.
The main goal of group cognitive behavior therapy for chronic pain treatment is to:
A. decrease individual members' pain.
