Psychiatry Board Exam Started: Jul 13, 2026 09:05 Page 17 of 53 Attempt #2453 Overall: 0 / 264 questions answered Question 81 / 264 Not answered During morning rounds: a 74-year-old man has recent self-harm with ongoing intent with risk profile of family psychiatric history. After initial stabilization and assessment, what is the most appropriate management step? A. Safety planning with crisis intervention B. Appropriate first-line pharmacotherapy C. Integrated addiction treatment plan D. Evidence-based psychotherapy pathway E. Early follow-up and monitoring Show Answer & Explanation Correct Answer: E Explanation: Early follow-up and monitoring is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Psychiatry. Reference: NICE Mental Health Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 82 / 264 Not answered During a primary-care follow-up visit: a 39-year-old woman is evaluated for withdrawal symptoms with craving in the context of social isolation. Which is the most appropriate next investigation? A. Substance use screening tools B. Baseline metabolic monitoring C. Medical cause exclusion workup D. Structured psychiatric interview E. Suicide risk assessment Show Answer & Explanation Correct Answer: A Explanation: Substance use screening tools is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Psychiatry. Reference: NICE Mental Health Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 83 / 264 Not answered At a preventive-care consultation: a 70-year-old man is evaluated for excessive uncontrollable worry in the context of psychosocial stress. Which is the most appropriate next investigation? A. Structured psychiatric interview B. Suicide risk assessment C. Baseline metabolic monitoring D. Substance use screening tools E. Medical cause exclusion workup Show Answer & Explanation Correct Answer: D Explanation: Substance use screening tools is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Psychiatry. Reference: WHO mhGAP Guidance; Psychiatry topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 84 / 264 Not answered During a primary-care follow-up visit: a 59-year-old man presents with episodic elevated mood with reduced sleep. Relevant risk context includes poor treatment adherence. What is the most likely diagnosis? A. Bipolar disorder B. Schizophrenia spectrum disorder C. Generalized anxiety disorder D. Major depressive disorder E. Acute suicide risk state Show Answer & Explanation Correct Answer: A Explanation: The pattern of episodic elevated mood with reduced sleep with risk factors such as poor treatment adherence is most consistent with Bipolar disorder. This answer best matches the expected diagnostic framework for Psychiatry. Reference: NICE Mental Health Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 85 / 264 Not answered At a multidisciplinary case conference: a 63-year-old woman is evaluated for excessive uncontrollable worry in the context of psychosocial stress. Which is the most appropriate next investigation? A. Collateral history when indicated B. Substance use screening tools C. Medical cause exclusion workup D. Baseline metabolic monitoring E. Suicide risk assessment Show Answer & Explanation Correct Answer: E Explanation: Suicide risk assessment is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Psychiatry. Reference: WHO mhGAP Guidance; Psychiatry topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 17 of 53 Next → »