PA PSYCHIATRY EOR 2026/2027 EVALUATION EXAM
QUESTIONS AND SOLUTIONS RATED A+
✔✔Patient presents with numbness and weakness of her arm and leg, tingling of left
side of her face. She admits to being anxious. What will be found on PE of this pt? -
✔✔sensory loss that does not conform to the dermatomes
✔✔Patient describes 2 incidents where he had no recollection of how he arrived
somewhere far from home. What is the most likely cause? - ✔✔emotional crisis
✔✔PT wondering around in a park and shouting treats at others. He is disheveled and
restless, rambling about enemies who want to kill him and his family. He states he has
the codes to set off a nuclear war and will do so if not released. What is the most likely
diagnosis? - ✔✔schizophrenia
✔✔Generalized anxiety disorder is more likely to be diagnosed in what demographic
group? - ✔✔females, 20 to 35 years old
✔✔Pt with multiple medical complains but negative workup seen 5 different PCPs in the
last 6 months. What is her diagnosis? - ✔✔somatization disorder
✔✔What type of physical sign or symptom will patient have who does self-induced
vomiting? - ✔✔petechial hemorrhages of the soft palate
(+cornea, conjunctivae, face)
✔✔What is the drug of choice in the urgent treatment of a panic attack? - ✔✔lorazepam
(Ativan)
✔✔What medication should be discontinued when patient has hypothyroidism? (this
medication can cause weight grain) - ✔✔lithium (lithobid)
✔✔The patient is exhibiting sadness and grief over the loss of her sister but is not
functionally impaired. What is the diagnosis? - ✔✔uncomplicated bereavement
✔✔What is the initial treatment for IBS? - ✔✔reassurance and dietary/life style changes
✔✔Pt with 10 year history of schizophrenia currently on risperidone (Risperdal),
presents with "feeling sad". What medication should be added? - ✔✔carbamazepine
(Tegretol)
(mood stabilizer -- schizoaffective dz/ depressive type)
, ✔✔What personality disorder characterized by traits seen in a pattern of preoccupation
with orderliness, perfectionism, and interpersonal control? - ✔✔obsessive-complusive
✔✔72 hrs after surgery, patient develops tachycardia, tremor, and nausea. He becomes
very anxious, tells "millions of ants are crawling over his skin", than pt has tonic-clinic
seizure. What is the most likely cause of this pt's condition? - ✔✔alcohol withdrawal
✔✔Patient with bipolar disorder feels hopeless. Does have ups and down. What
medications appropriate for this patient? - ✔✔olanzapine and fluoxetine combination -
Symbyax
(olanzapine = mood stabilizer; fluoxetine = antidepressant -- tx for bipolar depression)
✔✔Typical presentation of a panic attack include: - ✔✔sensation of breathlessness
✔✔What is the first-line pharmacologic treatment for ADHD? - ✔✔a methylphenidate
preparation
(Ritalin)
✔✔Pt with severe Alzheimer disease was begun on Haldol couple weeks ago. What
motor activity would this patient have? - ✔✔repetitive, rhythmic tongue protrusion and
opening and closing of the mouth
(Tardive dyskinesia)
✔✔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
QUESTIONS AND SOLUTIONS RATED A+
✔✔Patient presents with numbness and weakness of her arm and leg, tingling of left
side of her face. She admits to being anxious. What will be found on PE of this pt? -
✔✔sensory loss that does not conform to the dermatomes
✔✔Patient describes 2 incidents where he had no recollection of how he arrived
somewhere far from home. What is the most likely cause? - ✔✔emotional crisis
✔✔PT wondering around in a park and shouting treats at others. He is disheveled and
restless, rambling about enemies who want to kill him and his family. He states he has
the codes to set off a nuclear war and will do so if not released. What is the most likely
diagnosis? - ✔✔schizophrenia
✔✔Generalized anxiety disorder is more likely to be diagnosed in what demographic
group? - ✔✔females, 20 to 35 years old
✔✔Pt with multiple medical complains but negative workup seen 5 different PCPs in the
last 6 months. What is her diagnosis? - ✔✔somatization disorder
✔✔What type of physical sign or symptom will patient have who does self-induced
vomiting? - ✔✔petechial hemorrhages of the soft palate
(+cornea, conjunctivae, face)
✔✔What is the drug of choice in the urgent treatment of a panic attack? - ✔✔lorazepam
(Ativan)
✔✔What medication should be discontinued when patient has hypothyroidism? (this
medication can cause weight grain) - ✔✔lithium (lithobid)
✔✔The patient is exhibiting sadness and grief over the loss of her sister but is not
functionally impaired. What is the diagnosis? - ✔✔uncomplicated bereavement
✔✔What is the initial treatment for IBS? - ✔✔reassurance and dietary/life style changes
✔✔Pt with 10 year history of schizophrenia currently on risperidone (Risperdal),
presents with "feeling sad". What medication should be added? - ✔✔carbamazepine
(Tegretol)
(mood stabilizer -- schizoaffective dz/ depressive type)
, ✔✔What personality disorder characterized by traits seen in a pattern of preoccupation
with orderliness, perfectionism, and interpersonal control? - ✔✔obsessive-complusive
✔✔72 hrs after surgery, patient develops tachycardia, tremor, and nausea. He becomes
very anxious, tells "millions of ants are crawling over his skin", than pt has tonic-clinic
seizure. What is the most likely cause of this pt's condition? - ✔✔alcohol withdrawal
✔✔Patient with bipolar disorder feels hopeless. Does have ups and down. What
medications appropriate for this patient? - ✔✔olanzapine and fluoxetine combination -
Symbyax
(olanzapine = mood stabilizer; fluoxetine = antidepressant -- tx for bipolar depression)
✔✔Typical presentation of a panic attack include: - ✔✔sensation of breathlessness
✔✔What is the first-line pharmacologic treatment for ADHD? - ✔✔a methylphenidate
preparation
(Ritalin)
✔✔Pt with severe Alzheimer disease was begun on Haldol couple weeks ago. What
motor activity would this patient have? - ✔✔repetitive, rhythmic tongue protrusion and
opening and closing of the mouth
(Tardive dyskinesia)
✔✔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
