PA PSYCHIATRY EOR 2026/2027 TEST PAPER QUESTIONS
AND SOLUTIONS RATED A+
✔✔Pt diagnosed with schizophrenia that resistant to conventional medication. He is
started on clozapine. What lab values must be monitored weekly? - ✔✔white blood cells
( can cause agranulocytosis -risk higher in Ashkenazi Jew)
✔✔What descriptors suggests a diagnosis of paranoid personality disorder? -
✔✔defensive, oversensitive, secretive, and has limited emotional responses
✔✔Pt with schizophrenia developed polyuria, vomiting, stupor, diarrhea, and
restlessness. Pt currently taking Risperdal. What is the likely diagnosis? - ✔✔water
intoxication
✔✔What type of schizophrenia is characterized by disorganized speech, disorganized
behavior, and an inappropriate affect? - ✔✔disorganized schiqophrenia
(pt rambling speech and inappropriate giggling)
✔✔What type of disorder is a pervasive pattern of instability in interpersonal
relationships that begin in early adulthood; efforts to avoid abandonment, a pattern of
unstable relationships alternating between idealization and devaluation, unstable self-
image, impulsivity, recurrent suicidal behavior, chronic feeling of emptiness? -
✔✔borderline personality disorder
✔✔What medication is given to reverse the psychophysiologic effects of
benzodiazepine medication, (such as alprazolam, diazepam, lorazepam)? -
✔✔Flumazenil (Romazicon)
✔✔What are the milestones that are appropriate for a 4 year old child? - ✔✔hopping,
galloping, alternating feet while walking downstairs
fine motor -- copying a cross and a square and drawing a man with 2 to 4 parts besides
the head
should also know colors, tell stories, speak in full, understandable sentences
group play, brush teeth
✔✔In schizophreniform disorder or schizophrenia, several features are associated with
better* long-term prognosis; What are they? - ✔✔onset of psychotic symptoms within a
month of the first change in behavior
, (confusion or perplexity at the height of the psychotic episode, good premorbid social
and occupational functioning, absence of blunted or flat affect)
✔✔What type of testing should be performed on sisters of males who are diagnosed
with fragile X (heterozygous females often develop ADHD)? - ✔✔cytogenetic testing
✔✔What disorder characterized by a pt fearing situations in which he/she is the object
of attention. Those pts unable to advance professionally because of professional
demands including public interaction? - ✔✔social phobia
✔✔When a patient associates words similar in sound but not in meaning, this is known
as a ________. - ✔✔clanging
✔✔What you need to know when you are switching patient from phenelzine (Nardil) to
an SSRI? - ✔✔a 10 day washout period after discontinuing phenelzine (Nardil) is
needed before an SSRI can be started
✔✔Pt stated hallucinating because she ran out of her Seroquel. She lives in personal
care home. What is appropriate next step in management? - ✔✔contact her case
manager to ensure support and follow-up
✔✔Pt last 25 punds over 6 months, she is 20% below her expected body weight. She
stopped having menstrual period. What is the most appropriate next step in
management? - ✔✔admit her to the hospital to reestablish weight and correct metabolic
abnormalities
✔✔Pt with hx of Alzheimer's disease during exam been asked what he would do if he
found someone else's SS check mixed in with his own mail at home. What mental
status testing is being assessed? - ✔✔Judgment
✔✔What medication can be given for alcohol withdrawal delirium (tremens)? -
✔✔lorazepam (Ativan)
✔✔What best describes the attributes of individuals who commit elder abuse? - ✔✔they
have lived with the abused person for a long period of time
✔✔Pt is post surgery developed a shaking tremor, is pulling out her IV lines, watching
shakes crawl around the floor of her room and ants crawling on her skin. What is the
pt's hx most likely to point to the diagnosis? - ✔✔alcohol use
✔✔____________ includes full-blown episodes of mania with erratic and disinhibited
behavior, grandiosity, overextended activities, poor frustration tolerance, and vegetative
AND SOLUTIONS RATED A+
✔✔Pt diagnosed with schizophrenia that resistant to conventional medication. He is
started on clozapine. What lab values must be monitored weekly? - ✔✔white blood cells
( can cause agranulocytosis -risk higher in Ashkenazi Jew)
✔✔What descriptors suggests a diagnosis of paranoid personality disorder? -
✔✔defensive, oversensitive, secretive, and has limited emotional responses
✔✔Pt with schizophrenia developed polyuria, vomiting, stupor, diarrhea, and
restlessness. Pt currently taking Risperdal. What is the likely diagnosis? - ✔✔water
intoxication
✔✔What type of schizophrenia is characterized by disorganized speech, disorganized
behavior, and an inappropriate affect? - ✔✔disorganized schiqophrenia
(pt rambling speech and inappropriate giggling)
✔✔What type of disorder is a pervasive pattern of instability in interpersonal
relationships that begin in early adulthood; efforts to avoid abandonment, a pattern of
unstable relationships alternating between idealization and devaluation, unstable self-
image, impulsivity, recurrent suicidal behavior, chronic feeling of emptiness? -
✔✔borderline personality disorder
✔✔What medication is given to reverse the psychophysiologic effects of
benzodiazepine medication, (such as alprazolam, diazepam, lorazepam)? -
✔✔Flumazenil (Romazicon)
✔✔What are the milestones that are appropriate for a 4 year old child? - ✔✔hopping,
galloping, alternating feet while walking downstairs
fine motor -- copying a cross and a square and drawing a man with 2 to 4 parts besides
the head
should also know colors, tell stories, speak in full, understandable sentences
group play, brush teeth
✔✔In schizophreniform disorder or schizophrenia, several features are associated with
better* long-term prognosis; What are they? - ✔✔onset of psychotic symptoms within a
month of the first change in behavior
, (confusion or perplexity at the height of the psychotic episode, good premorbid social
and occupational functioning, absence of blunted or flat affect)
✔✔What type of testing should be performed on sisters of males who are diagnosed
with fragile X (heterozygous females often develop ADHD)? - ✔✔cytogenetic testing
✔✔What disorder characterized by a pt fearing situations in which he/she is the object
of attention. Those pts unable to advance professionally because of professional
demands including public interaction? - ✔✔social phobia
✔✔When a patient associates words similar in sound but not in meaning, this is known
as a ________. - ✔✔clanging
✔✔What you need to know when you are switching patient from phenelzine (Nardil) to
an SSRI? - ✔✔a 10 day washout period after discontinuing phenelzine (Nardil) is
needed before an SSRI can be started
✔✔Pt stated hallucinating because she ran out of her Seroquel. She lives in personal
care home. What is appropriate next step in management? - ✔✔contact her case
manager to ensure support and follow-up
✔✔Pt last 25 punds over 6 months, she is 20% below her expected body weight. She
stopped having menstrual period. What is the most appropriate next step in
management? - ✔✔admit her to the hospital to reestablish weight and correct metabolic
abnormalities
✔✔Pt with hx of Alzheimer's disease during exam been asked what he would do if he
found someone else's SS check mixed in with his own mail at home. What mental
status testing is being assessed? - ✔✔Judgment
✔✔What medication can be given for alcohol withdrawal delirium (tremens)? -
✔✔lorazepam (Ativan)
✔✔What best describes the attributes of individuals who commit elder abuse? - ✔✔they
have lived with the abused person for a long period of time
✔✔Pt is post surgery developed a shaking tremor, is pulling out her IV lines, watching
shakes crawl around the floor of her room and ants crawling on her skin. What is the
pt's hx most likely to point to the diagnosis? - ✔✔alcohol use
✔✔____________ includes full-blown episodes of mania with erratic and disinhibited
behavior, grandiosity, overextended activities, poor frustration tolerance, and vegetative
