PA PSYCHIATRY EOR STUDY GUIDE 2026/2027 QUESTIONS
AND SOLUTIONS RATED A+
✔✔What is the name of rare complication of neuroleptic therapy (high mortality) that are
due to risk factors like: lithium treatment, IM injections, high neuroleptic doses?
(defined by: severe muscle rigidity, fever; +2: tremor, dysphagia, diaphoresis,
tachycardia, leukocytosis..) - ✔✔Neuroleptic malignant syndrome (NMS)
✔✔Child failed the 6th grade now needs to repeat it; What test is most appropriate for
evaluating intelligence? - ✔✔Stanford-Binet Test
✔✔What is the name of atypical antipsychotic medication that associated with weight
gain and type 2 diabetes? - ✔✔Olanzapine (Zyprexa)
✔✔What is prevalent in women who have a history of sexual trauma, emotional abuse,
or psychosexual conflict? - ✔✔vaginismus
✔✔Patient most likely who have dissociative identity disorder have _______ or
_______. - ✔✔physical or sexual abuse
✔✔Patient with exhibiting the catatonic symptom know as ___________, which is a
motiveless resistance to all attempts to be moved* or to all instructions. Associated with
Schizophrenia. - ✔✔negativism
✔✔Patient with hx of hypomanic* episodes in the past complains of a depressed mood,
lack of energy, feelings of hopelessness and guilt, and decreased appetite for the past 5
weeks. What is her diagnosis? - ✔✔Bipolar II disorder
✔✔Pt complaints of vague and not adequately explained by a physical disorder;
Criteria: onset before 30yo, symptoms include at least 4 different body parts, 2 or more
GI, 1 reproductive/sexual, 1 neurologic symptom. What is the dx? - ✔✔somatization
disorder
✔✔_______ is a pattern of negativistic, hostile, or defiant behavior lasting at least 6
months, characterized by losing one's temper, arguing with adults, and the deliberate
annoyance of people or blaming of others for mistakes or misbehavior. -
✔✔Oppositional defiant disorder
✔✔A 3yo boy prefers to play by himself and rocks back and forth constantly, no
emotional attachment to his mom, no eye contact. What is the dx? - ✔✔Autism
, ✔✔Baby able to hilf the head to 90 degrees, eyes crossing the midline, laughing, and
slight awareness of the caregiver. What is the most likely age of this infant? - ✔✔4
months
✔✔Pt feeling "sad and lonely", his wife died. He's spending more time with his children
and grandchildren; He's hearing his wife calling out his name in is house. What would
be next step in management? - ✔✔reassurance that this is a normal grief reaction
✔✔Pt with sudden travel and amnesia; most likely diagnosis? - ✔✔dissociative fugue
✔✔Pt with restricted emotions and social detachment; Lives alone, no outside interest,
ignores social invitations. What is most likely diagnosis? - ✔✔schizoid personality
disorder
✔✔Extremely stressful event has been followed by localized loss of memory or amnesia
of circumstances surrounding the event, making the diagnosis of ______________.
Often accompanied by nightmares and anxiety. - ✔✔dissociative amnesia
✔✔__________ belongs to the group of disruptive behaviors characterized by a pattern
of negativistic hostile behavior lasting at least 6 months and including 4+ of the
following: arguing with others, blaming others for one's own mistakes, being angry and
resentful, being vindictive, refusing to comply with adults, and being easily annoyed by
others. - ✔✔oppositional defiant disorder
✔✔What type of antidepressant medication have antagonistic effects: blurred vision, dry
mouth, orthostatic hypotension? - ✔✔Imipramine (Tofranil)
✔✔A 4 year old child would be expected to: - ✔✔drawing a square
✔✔What is the most commonly abused drug by pregnant mothers?
infants are usually SGA and sometimes have microphaly and neurodevelopmental
abnormalities; their cries are often "high-pitched", risk SIDS, and periventricular
leukomalacia - ✔✔cocaine
✔✔What is the best treatment for alcoholism? - ✔✔conditioned avoidance
✔✔Pt complains of generalized weakness, fatigue, palpitations, chest pain, fever, and
SOB. What is the side effect of clozapine? - ✔✔myocarditis
✔✔_________ presents with physical symptoms that are consistent with true illness but
are under the voluntary control of a patient. (pt to fulfill the "sick role") - ✔✔factitious
disorder
AND SOLUTIONS RATED A+
✔✔What is the name of rare complication of neuroleptic therapy (high mortality) that are
due to risk factors like: lithium treatment, IM injections, high neuroleptic doses?
(defined by: severe muscle rigidity, fever; +2: tremor, dysphagia, diaphoresis,
tachycardia, leukocytosis..) - ✔✔Neuroleptic malignant syndrome (NMS)
✔✔Child failed the 6th grade now needs to repeat it; What test is most appropriate for
evaluating intelligence? - ✔✔Stanford-Binet Test
✔✔What is the name of atypical antipsychotic medication that associated with weight
gain and type 2 diabetes? - ✔✔Olanzapine (Zyprexa)
✔✔What is prevalent in women who have a history of sexual trauma, emotional abuse,
or psychosexual conflict? - ✔✔vaginismus
✔✔Patient most likely who have dissociative identity disorder have _______ or
_______. - ✔✔physical or sexual abuse
✔✔Patient with exhibiting the catatonic symptom know as ___________, which is a
motiveless resistance to all attempts to be moved* or to all instructions. Associated with
Schizophrenia. - ✔✔negativism
✔✔Patient with hx of hypomanic* episodes in the past complains of a depressed mood,
lack of energy, feelings of hopelessness and guilt, and decreased appetite for the past 5
weeks. What is her diagnosis? - ✔✔Bipolar II disorder
✔✔Pt complaints of vague and not adequately explained by a physical disorder;
Criteria: onset before 30yo, symptoms include at least 4 different body parts, 2 or more
GI, 1 reproductive/sexual, 1 neurologic symptom. What is the dx? - ✔✔somatization
disorder
✔✔_______ is a pattern of negativistic, hostile, or defiant behavior lasting at least 6
months, characterized by losing one's temper, arguing with adults, and the deliberate
annoyance of people or blaming of others for mistakes or misbehavior. -
✔✔Oppositional defiant disorder
✔✔A 3yo boy prefers to play by himself and rocks back and forth constantly, no
emotional attachment to his mom, no eye contact. What is the dx? - ✔✔Autism
, ✔✔Baby able to hilf the head to 90 degrees, eyes crossing the midline, laughing, and
slight awareness of the caregiver. What is the most likely age of this infant? - ✔✔4
months
✔✔Pt feeling "sad and lonely", his wife died. He's spending more time with his children
and grandchildren; He's hearing his wife calling out his name in is house. What would
be next step in management? - ✔✔reassurance that this is a normal grief reaction
✔✔Pt with sudden travel and amnesia; most likely diagnosis? - ✔✔dissociative fugue
✔✔Pt with restricted emotions and social detachment; Lives alone, no outside interest,
ignores social invitations. What is most likely diagnosis? - ✔✔schizoid personality
disorder
✔✔Extremely stressful event has been followed by localized loss of memory or amnesia
of circumstances surrounding the event, making the diagnosis of ______________.
Often accompanied by nightmares and anxiety. - ✔✔dissociative amnesia
✔✔__________ belongs to the group of disruptive behaviors characterized by a pattern
of negativistic hostile behavior lasting at least 6 months and including 4+ of the
following: arguing with others, blaming others for one's own mistakes, being angry and
resentful, being vindictive, refusing to comply with adults, and being easily annoyed by
others. - ✔✔oppositional defiant disorder
✔✔What type of antidepressant medication have antagonistic effects: blurred vision, dry
mouth, orthostatic hypotension? - ✔✔Imipramine (Tofranil)
✔✔A 4 year old child would be expected to: - ✔✔drawing a square
✔✔What is the most commonly abused drug by pregnant mothers?
infants are usually SGA and sometimes have microphaly and neurodevelopmental
abnormalities; their cries are often "high-pitched", risk SIDS, and periventricular
leukomalacia - ✔✔cocaine
✔✔What is the best treatment for alcoholism? - ✔✔conditioned avoidance
✔✔Pt complains of generalized weakness, fatigue, palpitations, chest pain, fever, and
SOB. What is the side effect of clozapine? - ✔✔myocarditis
✔✔_________ presents with physical symptoms that are consistent with true illness but
are under the voluntary control of a patient. (pt to fulfill the "sick role") - ✔✔factitious
disorder
