Psychiatry Board Exam Started: Jul 13, 2026 10:08 Page 18 of 53 Attempt #2567 Overall: 0 / 264 questions answered Question 86 / 264 Not answered At a preventive-care consultation: a 69-year-old man is evaluated for episodic elevated mood with reduced sleep in the context of psychosocial stress. Which is the most appropriate next investigation? A. Substance use screening tools B. Structured psychiatric interview C. Baseline metabolic monitoring D. Suicide risk assessment E. Collateral history when indicated Show Answer & Explanation Correct Answer: D Explanation: Suicide risk assessment 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 87 / 264 Not answered At a multidisciplinary case conference: a 24-year-old man is evaluated for auditory hallucinations with functional decline in the context of poor treatment adherence. Which is the most appropriate next investigation? A. Suicide risk assessment B. Substance use screening tools C. Collateral history when indicated D. Structured psychiatric interview E. Medical cause exclusion workup Show Answer & Explanation Correct Answer: B 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 88 / 264 Not answered At a preventive-care consultation: a 44-year-old woman presents with excessive uncontrollable worry. Relevant risk context includes family psychiatric history. What is the most likely diagnosis? A. Alcohol use disorder B. Major depressive disorder C. Bipolar disorder D. Schizophrenia spectrum disorder E. Generalized anxiety disorder Show Answer & Explanation Correct Answer: C Explanation: The pattern of excessive uncontrollable worry with risk factors such as family psychiatric history is most consistent with Bipolar disorder. This answer best matches the expected diagnostic framework for Psychiatry. Reference: APA Practice Guidelines; 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 89 / 264 Not answered At a multidisciplinary case conference: a 68-year-old woman is evaluated for excessive uncontrollable worry in the context of substance misuse. Which is the most appropriate next investigation? A. Baseline metabolic monitoring B. Substance use screening tools C. Collateral history when indicated D. Suicide risk assessment E. Medical cause exclusion workup Show Answer & Explanation Correct Answer: D 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 Question 90 / 264 Not answered At a preventive-care consultation: a 30-year-old woman presents with auditory hallucinations with functional decline. Relevant risk context includes family psychiatric history. What is the most likely diagnosis? A. Schizophrenia spectrum disorder B. Alcohol use disorder C. Acute suicide risk state D. Generalized anxiety disorder E. Major depressive disorder Show Answer & Explanation Correct Answer: C Explanation: The pattern of auditory hallucinations with functional decline with risk factors such as family psychiatric history is most consistent with Acute suicide risk state. This answer best matches the expected diagnostic framework for Psychiatry. Reference: APA Practice Guidelines; 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 18 of 53 Next → »