Psychiatry Board Exam Started: Jul 13, 2026 07:22 Page 13 of 53 Attempt #2305 Overall: 0 / 264 questions answered Question 61 / 264 Not answered A 40-year-old with persistent depressed mood anhedonia and insomnia for 3 months. Most appropriate initial therapy: A. Psychotherapy alone B. Antidepressants like SSRIs C. Antipsychotics D. Mood stabilizers E. Hospitalization Show Answer & Explanation Correct Answer: B Explanation: SSRIs are first-line pharmacotherapy for major depression and have favorable efficacy and tolerability profiles. Reference: American Psychiatric Association 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 62 / 264 Not answered During morning rounds: a 33-year-old man presents with withdrawal symptoms with craving. Relevant risk context includes social isolation. What is the most likely diagnosis? A. Generalized anxiety disorder B. Schizophrenia spectrum disorder C. Alcohol use disorder D. Bipolar disorder E. Acute suicide risk state Show Answer & Explanation Correct Answer: B Explanation: The pattern of withdrawal symptoms with craving with risk factors such as social isolation is most consistent with Schizophrenia spectrum disorder. This answer best matches the expected diagnostic framework for 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 63 / 264 Not answered During morning rounds: a 66-year-old man is evaluated for episodic elevated mood with reduced sleep in the context of social isolation. Which is the most appropriate next investigation? A. Medical cause exclusion workup B. Baseline metabolic monitoring C. Collateral history when indicated D. Substance use screening tools E. Suicide risk assessment Show Answer & Explanation Correct Answer: C Explanation: Collateral history when indicated is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in 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 64 / 264 Not answered A 22-year-old with first episode psychosis presents with delusions and hallucinations. Most appropriate therapy: A. Supportive care only B. Atypical antipsychotics such as risperidone C. Benzodiazepines only D. Tricyclic antidepressants E. Lithium monotherapy Show Answer & Explanation Correct Answer: B Explanation: Atypical antipsychotics are recommended for first-episode psychosis due to lower risk of extrapyramidal symptoms. Reference: American Psychiatric Association 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 65 / 264 Not answered At a multidisciplinary case conference: a 33-year-old man presents with persistent low mood with anhedonia. Relevant risk context includes trauma exposure. What is the most likely diagnosis? A. Generalized anxiety disorder B. Acute suicide risk state C. Major depressive disorder D. Bipolar disorder E. Schizophrenia spectrum disorder Show Answer & Explanation Correct Answer: B Explanation: The pattern of persistent low mood with anhedonia with risk factors such as trauma exposure 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 13 of 53 Next → »