Psychiatry Board Exam Started: Jul 13, 2026 08:19 Page 14 of 53 Attempt #2402 Overall: 0 / 264 questions answered Question 66 / 264 Not answered A 35-year-old with recurrent manic episodes has responded poorly to multiple medications. Most appropriate next step: A. Continue current medications B. Add lithium therapy and check serum levels C. Increase current dose only D. Psychotherapy alone E. Hospitalization only Show Answer & Explanation Correct Answer: B Explanation: Lithium is effective in bipolar disorder and has the best evidence for preventing recurrence of both manic and depressive episodes. 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 67 / 264 Not answered A 30-year-old with persistent excessive worry about multiple life domains for 8 months. Most appropriate therapy: A. Observation only B. Cognitive behavioral therapy and SSRIs if needed C. Benzodiazepines long-term D. Antipsychotics E. No treatment Show Answer & Explanation Correct Answer: B Explanation: CBT is first-line psychotherapy; SSRIs are first-line pharmacotherapy for generalized anxiety disorder. 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 68 / 264 Not answered During morning rounds: a 74-year-old woman presents with recent self-harm with ongoing intent. Relevant risk context includes social isolation. What is the most likely diagnosis? A. Major depressive disorder B. Acute suicide risk state C. Schizophrenia spectrum disorder D. Alcohol use disorder E. Bipolar disorder Show Answer & Explanation Correct Answer: B Explanation: The pattern of recent self-harm with ongoing intent with risk factors such as social isolation is most consistent with Acute suicide risk state. 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 69 / 264 Not answered At a preventive-care consultation: a 36-year-old woman has persistent low mood with anhedonia with risk profile of substance misuse. After initial stabilization and assessment, what is the most appropriate management step? A. Integrated addiction treatment plan B. Evidence-based psychotherapy pathway C. Appropriate first-line pharmacotherapy D. Family and social support engagement E. Early follow-up and monitoring Show Answer & Explanation Correct Answer: D Explanation: Family and social support engagement is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes 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 70 / 264 Not answered During morning rounds: a 64-year-old woman presents with excessive uncontrollable worry. Relevant risk context includes family psychiatric history. What is the most likely diagnosis? A. Acute suicide risk state B. Schizophrenia spectrum disorder C. Generalized anxiety disorder D. Alcohol use disorder E. Bipolar 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 Generalized anxiety 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 Cancel « ← Previous Page 14 of 53 Next → »