Psychiatry Board Exam Started: Jul 13, 2026 09:08 Page 15 of 53 Attempt #2500 Overall: 0 / 264 questions answered Question 71 / 264 Not answered In an emergency department assessment: a 26-year-old woman is evaluated for withdrawal symptoms with craving in the context of trauma exposure. Which is the most appropriate next investigation? A. Collateral history when indicated B. Substance use screening tools C. Medical cause exclusion workup D. Structured psychiatric interview E. Baseline metabolic monitoring Show Answer & Explanation Correct Answer: C Explanation: Medical cause exclusion workup is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Psychiatry. Reference: CANMAT 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 72 / 264 Not answered At a preventive-care consultation: a 69-year-old woman is evaluated for auditory hallucinations with functional decline in the context of psychosocial stress. Which is the most appropriate next investigation? A. Substance use screening tools B. Suicide risk assessment C. Structured psychiatric interview D. Collateral history when indicated E. Medical cause exclusion workup Show Answer & Explanation Correct Answer: B 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 73 / 264 Not answered During a primary-care follow-up visit: a 72-year-old man is evaluated for recent self-harm with ongoing intent in the context of substance misuse. Which is the most appropriate next investigation? A. Medical cause exclusion workup B. Substance use screening tools C. Baseline metabolic monitoring D. Collateral history when indicated E. Structured psychiatric interview Show Answer & Explanation Correct Answer: D 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 74 / 264 Not answered During ward handover: a 47-year-old woman presents with auditory hallucinations with functional decline. Relevant risk context includes poor treatment adherence. What is the most likely diagnosis? A. Alcohol use disorder B. Major depressive disorder C. Bipolar disorder D. Schizophrenia spectrum disorder E. Acute suicide risk state Show Answer & Explanation Correct Answer: B Explanation: The pattern of auditory hallucinations with functional decline with risk factors such as poor treatment adherence is most consistent with Major depressive 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 75 / 264 Not answered During morning rounds: a 38-year-old woman presents with episodic elevated mood with reduced sleep. Relevant risk context includes trauma exposure. What is the most likely diagnosis? A. Alcohol use disorder B. Acute suicide risk state C. Major depressive disorder D. Generalized anxiety disorder E. Bipolar disorder Show Answer & Explanation Correct Answer: D Explanation: The pattern of episodic elevated mood with reduced sleep with risk factors such as trauma exposure 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 15 of 53 Next → »