Behavioral Health End of Rotation (EOR) Practice Exam

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• A man who feels his coworkers are out to get him denies hallucinations. What should be ordered to aid in his evaluation?
• Which belief do patients with schizophrenia often experience regarding their thoughts?
• In a case of bulimia, which laboratory finding is most likely to be elevated due to self-induced vomiting?
• What is the best method for diagnosing the condition of a 30-year-old man with a history of multiple arrests and behavior problems?
• What is the recommended intervention for a specific phobia, such as fear of snakes?
• What diagnosis would best fit a patient exhibiting anxiety in crowds and significant avoidance of public spaces?
• Which statement best describes the mechanism of action of THC, the active compound in marijuana?
• What is the most appropriate treatment for a patient with anorexia nervosa?
• A person experiencing frequent hand washing due to fears of germs is indicative of which disorder?
• In assessing a patient suspected of having a specific personality disorder, what behavior might indicate a histrionic personality disorder?
• What is the most likely diagnosis for a patient experiencing multiple mild episodes of hypomanic symptoms and mild depression over at least two years?
• Elevated triglycerides and mean corpuscular volume can indicate what condition in a patient with social and legal issues?
• What is the best choice of maintenance therapy after stabilizing a woman with acute mania?
• What is a possible psychiatric symptom experienced due to hormonal changes in women approaching menopause?
• A patient with chronic anxiety may benefit from which of the following therapeutic interventions?
• What is the first-line therapy for a patient diagnosed with factitious disorder?
• In assessing a patient's substance use history, which behavioral pattern would most strongly suggest alcohol abuse?
• What finding is most indicative of opioid intoxication in a patient with altered mental status and track marks on his arms?
• What sensation is commonly associated with alcohol withdrawal and cocaine addiction?
• How long can cocaine be detected in a urine drug screen?
• In cases of anorexia nervosa, what is a common physical symptom caused by malnutrition?
• Who is most likely to sexually abuse a child?
• Which of the following is classified as a negative symptom of schizophrenia?
• What is the most likely diagnosis for a patient showing signs of chronic fatigue, insomnia, and loss of interest in usual activities?
• What is a characteristic behavior in patients with paranoid delusions, such as believing they are being poisoned?
• In a pregnant woman with a history of heavy alcohol consumption, which neonatal problem is a key concern?
• What is the most appropriate treatment for a patient presenting with manic symptoms including grandiosity and impulsive spending?
• What medication is most likely causing symptoms in a patient exhibiting signs of lithium toxicity?
• For a patient with their first episode of major depression with no medical history, what class of drug should be the first choice for treatment?
• Which diagnosis would be considered if a person has hypomanic and depressive symptoms without major depressive episodes for at least two years?
• Which component is often a focus in relaxation techniques for anxiety management?
• For a patient with anorexia nervosa in relapse prevention, which treatment component is vital alongside routine medical examination?
• What symptom is most likely experienced by patients diagnosed with conduct disorder?
• In the evaluation of panic disorder, which laboratory tests would be most appropriate for a patient experiencing tachycardia and shortness of breath?
• Which of the following substances is a common false positive for opioids?
• A 22-year-old woman displays several symptoms including increased irritability and tachycardia. What is the most likely next diagnostic step?
• A 17-year-old female exhibits binge eating followed by guilt and purging. What is the best initial treatment for her condition?
• Which childhood exposure is known to increase the risk of developing conduct disorder?
• Which of the following is NOT a symptom included in the diagnosis of generalized anxiety disorder?
• What is the primary focus in the supportive care of a patient exhibiting symptoms of neuroleptic malignant syndrome?
• What symptom best describes someone who avoids disagreements and has difficulty initiating projects?
• In a case of suspected bulimia nervosa, what laboratory test result would most likely be present?
• What factor should be considered when prescribing benzodiazepines for anxiety management?
• Which condition is indicated by the presence of facial tics and lip-smacking in a patient treated with neuroleptic medications?
• What aspect of personality may be demonstrated by someone who is indifferent to praise or criticism?
• Which of the following is the most likely diagnosis for a man who is perfectionistic and has difficulties delegating tasks?
• What side effect is associated with the blockage of dopamine receptors in the nigrostriatal pathways by phenothiazines?
• Which personality disorder is characterized by extreme dependence on others for advice and support?
• A woman with abdominal pain and numerous medication allergies is likely experiencing which condition?
• What type of clinical intervention is most appropriate for a 9-year-old boy exhibiting temper issues and argumentative behavior at home?
• What medication should be co-administered with haloperidol to minimize the risk of extrapyramidal symptoms?
• Which of the following is considered a positive symptom of schizophrenia?
• What vital sign may indicate severe anxiety in a patient?
• What is the first-line medication for treating conduct disorder in children?
• A woman believes she has “chronic scabies” despite repeated treatments. What is the most likely diagnosis?
• What is the most appropriate intervention for a woman with severe injuries from consensual sexual behavior linked to a psychological disorder?
• What is the benefit of antidepressants in treating somatoform disorder?
• Bupropion, which is prescribed for tobacco use disorder, primarily inhibits which process?
• What emotional response typically follows binge eating episodes in individuals with bulimia?
• In a patient with anxiety and depression, what is the most appropriate next step to evaluate for menopause as a cause of symptoms?
• What best describes a significant barrier to treatment for a patient with paranoid personality disorder?
• What is the key characteristic of the manic phase in bipolar disorder?
• What psychological phenomenon involves a patient believing they have merged with the universe?
• Which disorder is most likely indicated in a patient experiencing intense mood swings and fear of abandonment in relationships?
• What treatment is generally recommended for the management of PTSD symptoms?
• Which type of dietary change is essential to monitor for patients undergoing aggressive nutritional rehabilitation?
• Which dietary substance should patients taking monoamine oxidase inhibitors avoid to prevent serious interactions?
• A 15-year-old boy in trouble for fights and truancy may be diagnosed primarily with which disorder?
• To meet the DSM-V criteria for cyclothymic disorder, how long must symptoms persist?
• Which laboratory test must be monitored frequently in patients taking clozapine?
• What is a distinguishing symptom of Borderline Personality Disorder?
• What characteristic is essential for diagnosing cyclothymic disorder?
• Which of the following findings is commonly seen in patients who experience alcohol withdrawal?
• For monitoring the symptoms of PTSD over time, which checklist tool is utilized?
• Which medications are generally considered the most helpful for treating alcohol withdrawal symptoms?
• Which of the following questions, if answered affirmatively, would most likely aid in the diagnosis of obsessive-compulsive disorder?
• A woman with a history of pulmonary embolism develops persistent health worries. What is the most likely diagnosis?
• A 24-year-old male shows disorganized speech and delusions about the FBI listening to him. What is the most likely diagnosis?
• In the management of a patient presenting with agitation, hallucinations, and hyperthermia after drug use, which diagnostic test is most useful?
• A patient exhibits withdrawal symptoms including diarrhea and profuse sweating. Which substance is likely responsible?
• What is considered an effective management strategy for acute psychosis in schizophrenia patients?
• A 63-year-old man with sleep difficulties and forgetfulness is likely suffering from what condition?
• Which symptom must last longer than one month to qualify as PTSD?
• Which group is reported to have higher rates of alcohol use among adolescents?
• A patient presents with chronic fatigue, lack of concentration, and low mood. What is a supporting symptom for major depressive disorder?
• A patient reporting several days of depressive symptoms requires what timeframe for a diagnosis of major depressive disorder?
• What is a necessary component for diagnosing major depressive disorder?
• For a patient with excessive worry that has worsened over six months, what therapeutic approach is most appropriate to initiate?
• What symptom combination might indicate borderline personality disorder?
• A patient with schizophrenia believes that the media is constantly discussing him. What is the correct term for this belief?
• What type of medication is typically prescribed for children diagnosed with ADHD after behavioral adaptations fail?
• What behavior is most characteristic of someone with schizoid personality disorder?
• What is a common withdrawal symptom in individuals with anxiety who have stopped benzodiazepines?
• In a patient with acute anxiety, which physiological manifestation is commonly observed?
• Which of the following is one of the eight criteria needed for the diagnosis of post-traumatic stress disorder?
• What is the first and most crucial step in evaluating a patient with symptoms of depression?
• In managing a patient on clozapine, what side effect warrants close monitoring?
• Chronic use of antipsychotic medication is most associated with which condition?
• In treating a woman with generalized anxiety disorder, which behavioral strategy should be recommended?
• A 32-year-old female presents with uncontrollable worry for six months and exhibits sleep disturbances and irritability. What is the most likely diagnosis?
• What laboratory findings are often associated with alcohol abuse?
• A 45-year-old man diagnosed with male hypoactive sexual desire disorder is specifically lacking which male sexual function?
• What characteristic behavior is indicative of a histrionic personality disorder?
• Which symptom, present for more days than not for six months, would aid in diagnosing generalized anxiety disorder?
• Which antipsychotic medication is notably associated with agranulocytosis and not with extrapyramidal side effects?
• What characteristic makes a diagnosis of social anxiety disorder more likely in a patient with social fears?
• Which symptom most closely suggests generalized anxiety disorder?
• While taking Olanzapine, what is the most appropriate test to monitor for metabolic risks?
• A man displaying signs of rapid speech and hallucinations has recently stopped his medication. Which diagnosis is fitting?
• What is the false positive concern when testing for Cocaine?
• What psychological effect often accompanies insomnia and nightmares in PTSD as opposed to acute stress disorder?
• In a patient with schizoaffective disorder, how should the presence of a belief that she is dead be documented?
• Which intervention is generally not required for patients with uncomplicated bulimia?
• A 13-year-old boy exhibits aggressive behavior and fires toys. In addition to psychotherapy, which medication is most beneficial?
• What is the most appropriate first-line medication for a patient exhibiting symptoms of major depression?
• What is the most appropriate therapy for a woman with a belief that a weatherman is in love with her, associated with anxiety?
• Which part of the brain is chiefly responsible for processing fear?
• A man who derives excitement from indecent exposure is likely diagnosed with which disorder?
• For a patient with involuntary facial movements on risperidone, what is the best therapeutic change?
• What is the leading cause of injury-related death in children between the ages of 1 and 15?
• A patient taking risperidone is experiencing restlessness. What is the likely cause?
• What does the PCL-5 self-report checklist primarily assess in patients?
• A 50-year-old man with a painless white patch on the tongue may be suffering from which condition?
• A woman with a long-standing fear of a significant medical condition despite negative evaluations may have which disorder?
• What is the predominant cause of refeeding syndrome in a patient recovering from anorexia nervosa?
• What is the recommended initial diagnostic study for a patient presenting with symptoms of depression?
• In assessing a patient with conduct disorder, what is a crucial component of the evaluation?
• A woman believes she is being watched by the police. What is the most likely diagnosis?
• A patient exhibiting symptoms of effective treatment for a major depressive disorder may benefit from which type of medication?
• What symptom is likely present in a patient with elevated lithium levels?
• When treating anxiety neurosis, what is a common psychological symptom experienced by patients?
• In a case of social anxiety disorder, which factor distinguishes it from agoraphobia?
• What term describes the belief that people are giving you special messages through media?
• What laboratory abnormality is typically found in patients suffering from bulimia nervosa due to purging behaviors?
• Which physical exam finding suggests a diagnosis of bulimia nervosa rather than anorexia nervosa?
• A patient presents with compulsive checking behaviors and significant distress. What is the most appropriate diagnosis?
• What is the primary risk factor for the development of a substance use disorder in individuals with a history of mental illness?
• Which class of medications is prescribed to those who require immediate symptom relief for anxiety?
• For a patient with a history of schizophrenia on olanzapine, which screening test is most appropriate?
• A 25-year-old male receives haloperidol IM for a violent outburst. After one hour, he develops confusion, inability to open his mouth, and a high fever. What is the initial treatment that should be administered?
• After stopping alprazolam, what is the best next step for a patient experiencing symptoms of anxiety?
• What condition is characterized by repeated panic attacks and a fear of future attacks?
• What is the first-line therapy for males with pedophilic disorder?
• After what duration of treatment can patients develop tardive dyskinesia?
• In diagnosing anorexia nervosa, which scenario is most indicative for a patient with a low BMI and diet restrictions?
• A boy with poor preschool performance and lack of eye contact is most likely diagnosed with what condition?
• A patient developing tolerance to oxycodone for chronic pain should be treated with which medication?
• What should be the initial approach for a young woman exhibiting binge eating and purging behaviors?
• What is a significant feature of somatic symptom disorder as identified in mental health evaluations?
• For a patient with altered mental status and seizures associated with advanced AIDS, what diagnostic study is most helpful?
• In distinguishing PTSD from acute stress disorder, what historical feature is crucial for diagnosis?
• A 45-year-old man shows excessive health-related anxiety and checks his pulse frequently. What diagnosis fits this description?
• Which element of history is most indicative of bipolar I disorder in a patient showing increased irritability and decreased concentration?
• Which mental health condition is characterized by periods of hypomania and depressive episodes lasting at least two years?
• Which treatment option is most effective for a patient requesting help for chronic anxiety and insomnia?
• What is the primary benefit of using benzodiazepines in the treatment of alcohol withdrawal?
• What is the most likely diagnosis for a 16-year-old boy who exhibits defiant behavior and has legal issues for stealing?
• A young man with erratic behavior and nystagmus after taking a pill requires treatment. What is the first-line therapy for his intoxication?
• Which symptom is frequently associated with panic disorder?
• A male patient on fluoxetine for five weeks still feels depressed. What should the next step be?
• What symptom is NOT commonly associated with posttraumatic stress disorder?
• For a patient presenting with depressed mood and significant weight loss, what is the most appropriate first-line treatment?
• What indicates a potential need for hospitalization in a man preoccupied with restoring a vintage Corvette?
• What demographic is considered at highest risk for developing anorexia nervosa?
• Phenothiazines primarily exert their effects by blocking what type of receptors in the brain?
• What is the likely diagnosis for a patient feeling sad and hopeless for three years with chronic sleep and eating issues?
• What is the typical detection time for ketamine in a urine drug screen?
• A man presenting with unusual beliefs about a curse from a neighbor is most likely diagnosed with which disorder?
• For a diagnosis of attention-deficit/hyperactivity disorder, a child's symptoms need to be present for how long across different settings?
• What is an essential component of treatment for a patient with a confirmed diagnosis of PTSD?
• A woman experiencing ongoing distress and flashbacks six months after being mugged is likely diagnosed with which condition?
• What type of medication is primarily indicated for acute alcohol withdrawal symptoms?
• What is the most likely diagnosis for a woman with a BMI of 20 kg/m2 showing signs of parotid gland enlargement and knuckle abrasions?
• In assessing a patient with factitious disorder, which routine assessment is critically important to include?
• What approach is needed in the treatment of adolescent-onset anorexia nervosa?
• A woman with a history of using excessive aspirin and health anxiety may be diagnosed with which disorder?
• Which pharmacologic treatment is most appropriate for a woman presenting with diminished interest in activities and feelings of worthlessness?
• Which symptom is commonly recognized as an early sign of impending delirium tremens?
• What symptom is essential for diagnosing a major depressive episode?
• What factors contribute to the pathogenesis of panic disorder?
• After hospitalization for alcohol use disorder, what is the most appropriate next step in management for a patient on naltrexone?
• What symptom is least likely to be associated with major depressive disorder?
• What best describes the mechanism of action for SSRIs in treating panic disorders?
• What common co-occurring disorder is important to assess in a child suspected of having oppositional defiant disorder?
• What is the most likely diagnosis for a young man experiencing acute auditory hallucinations and apathy that resolve within six weeks?
• What is the best initial treatment for a 24-year-old man experiencing dysphoria and feelings of worthlessness for three years?
• What class of medication is shown to effectively manage somatoform spectrum pain disorder?
• What is the first-line therapy for treating schizophrenia effectively?
• What type of substance is likely associated with false positives for Phencyclidine (PCP) in urine tests?
• A man reports severe anxiety about getting lost while driving and frequently checks his GPS. What is the most likely diagnosis?
• What treatment strategy is least likely to be effective for someone diagnosed with severe alcohol use disorder?
• For a child with oppositional defiant disorder, what behavior typifies the condition?
• A 9-year-old boy has a pattern of angry behavior and irritability without bullying or property destruction. What is the likely diagnosis?
• A 30-year-old woman experiences episodes of increased energy and decreased need for sleep. What is her likely diagnosis?
• Which of the following describes a significant behavioral change often seen in PTSD patients?
• Which medication used for anxiety has a delayed onset of action compared to others?
• Which personality disorder is characterized by excessive emotionality and attention-seeking behavior?
• In a mental status exam, a patient repeats words and phrases out of context. What is this thought disorder called?
• What is a potential risk associated with abrupt discontinuation of an SSRI?
• Before starting a methylphenidate patch, which evaluation should be performed on a 12-year-old boy?
• Which risk factor for depression involves early adverse experiences that may lead to ongoing psychological difficulties?
• After how long should the dose of an antidepressant be maintained before assessing effectiveness?
• A woman experiencing anxiety and nausea at the sight of needles is most likely diagnosed with which condition?
• In the context of drug screening, which substance is primarily detected for marijuana use?
• Which of the following best describes the typical relationship patterns of someone with bulimia?
• What is the next best step in treatment for a patient experiencing unexplained symptoms and a PHQ-15 score of 20?
• What physical examination finding would be expected in a woman with severe anorexia nervosa?
• A 65-year-old patient is showing involuntary movements such as facial tics and lip-smacking. What condition is most likely suggested by these symptoms?
• A woman repeatedly visiting her doctor for health concerns may be displaying symptoms of which condition?
• What condition is characterized by an overwhelming fear of a specific situation, such as driving, often leading to avoidance behavior?
• In a patient with a history of depressed mood and significant weight gain, what should be the next diagnostic step?
• What is the most appropriate management for a patient with narcissistic personality disorder exhibiting mood swings?
• What laboratory finding in bulimia nervosa is often a reflection of electrolyte imbalance due to purging?
• What is the most appropriate treatment for a patient with acute mania who is impulsively engaging in financially irresponsible behavior?
• What avoidance behavior in a patient supports the diagnosis of panic disorder?
• Which antipsychotic is approved for adolescent use in autism treatment?
• A young woman with self-mutilation and unstable relationships may likely be diagnosed with which of the following?
• Which condition is characterized by persistent avoidance of stimuli related to a traumatic event?
• Which condition would warrant the first-line use of electroconvulsive therapy in bipolar I disorder?
• Which class of antidepressants is known for anticholinergic side effects?
• Which substance use is most likely implicated in a case presenting symptoms of agitation, dilated pupils, and increased heart rate?
• What is the most appropriate therapy for a patient experiencing severe anxiety and withdrawal symptoms after misusing benzodiazepines?
• Which laboratory abnormality is most likely found in a patient with severe anorexia nervosa?
• What is the most appropriate initial intervention for a patient suspected of having neuroleptic malignant syndrome?
• When addressing a patient with uncontrollable anger and poor communication, what is the most appropriate next step?
• What is the hallmark of attention deficit hyperactivity disorder in adults?
• What is the false positive risk associated with GHB detection?
• What condition is characterized by patients feeling indifferent to loss of physical function after experiencing trauma?
• A man feeling persistently sad and hopeless for two years with an unremarkable physical exam should undergo which diagnostic test?
• What psychological disorder features a significant focus on distorted beliefs with a duration of less than six months?
• What is a common behavioral manifestation associated with binge-eating episodes?
• A young man experiencing bilateral loss of hand sensation following witnessing a traumatic event is most likely suffering from which condition?
• Which disorder is characterized by instability in interpersonal relationships and impulsive behaviors?
• A woman with a history of difficulty paying attention and impulsiveness is most likely diagnosed with which condition?
• What medical complication can result from purging in eating disorders?
• What is the most likely diagnosis for a patient with abrupt loss of motor function after experiencing significant psychological stress?
• A woman with increased stress due to others' lack of order should first undergo which assessment?
• For a woman with PTSD who has been on paroxetine for two weeks, which next step is most appropriate?
• Low birth weight in neonates is most commonly associated with which maternal behavior?
• For a woman presenting with depressive symptoms, what is the next best diagnostic step?
• What condition typically requires higher doses of SSRIs for effective treatment?
• When is a woman at the highest risk for injury or death related to domestic abuse?
• Which type of disorder is characterized by excessive worry combined with restlessness and fatigue?
• A patient diagnosed with bulimia nervosa often engages in which of the following behaviors?
• A patient with drug dependence mentions experiencing sounds as colors. What is his likely drug of choice?
• What effect from cigarette smoking contributes significantly to atherogenesis?
• Which treatment option is generally avoided in patients diagnosed with PTSD due to its side effects?
• For a patient struggling with anxiety related to academic stress, what lifestyle intervention could be most beneficial?
• A patient is characterized by feelings of envy, entitlement, and a lack of empathy. What diagnosis is likely?
• What is the first-line medication treatment option for bulimia nervosa?
• What is the most likely diagnosis for a patient who experiences an expansive mood and engages in excessive cleaning without sleeping?
• What is the most appropriate intervention for a patient exhibiting symptoms of alcohol withdrawal after six days of abstinence?
• What is the primary goal when treating a patient initially diagnosed with major depression?
• A patient with obsessive-compulsive disorder (OCD) is most likely to exhibit which of the following physical findings?
• What physical exam finding is likely associated with a substance abuse case involving a 19-year-old man?
• What is the most appropriate therapy for a patient with a fear of flying resulting in severe anxiety and panic?
• Which factor is associated with a higher recurrence risk of major depressive disorder after treatment?
• Psychotherapy is most effective for which type of mental health condition?
• A woman exhibits entitlement and hostility when she feels slighted in a restaurant. What is the most likely diagnosis according to DSM-5?
• Which class of medications is considered the first-line treatment for long-term management of panic disorders?
• Based on behavioral symptoms in a classroom, what is the likely diagnosis for a child who is inattentive and excessively fidgety?
• What diagnosis fits a child who avoids eye contact, shows limited social interaction, and plays in a mechanical way?
• Which medication is primarily used to decrease nightmares in patients with post-traumatic stress disorder?
• Which medication is indicated as a first-line treatment for mild to moderate body dysmorphic disorder?
• Which diagnostic study is best to evaluate possible underlying causes for persistent mood symptoms in a middle-aged man?
• What is the most likely diagnosis for a patient with flashbacks and nightmares following traumatic experiences from military service?
• In the context of depression, what is a common cognitive symptom that may be observed?
• How long can cannabis be detected in a person's urine following use?
• A woman who has experienced periodic happiness and prolonged feelings of sadness over years likely suffers from which condition?
• A homeless man who had a seizure shows signs of agitation and confusion. What detail would confirm a likely diagnosis?
• What is the ultimate aim of treatment for patients with specific phobias?
• Which is a key feature in diagnosing conversion disorder?
• What diagnosis is given to a man with a history of excessive alcohol use and recent six months of abstinence?
• In a patient with bulimia nervosa, which medication is contraindicated?
• A woman with increasing anxiety and physical complaints is likely suffering from which condition?
• What is the treatment of choice for benzodiazepine intoxication?
• Which factor likely contributed to a woman's fear of driving, given her cousin's fatal car accident?
• Which group of individuals is more prone to developing anorexia nervosa compared to others?
• What laboratory test should be routinely monitored in patients taking lithium?
• Following exposure to amyl nitrite, a patient is diagnosed with methemoglobinemia. What reaction primarily mediates this condition?
• A patient displaying extreme fear of x-ray radiation leading to avoidance of tests is likely suffering from which condition?
• What is the most common diagnosis for a patient persistently seeking tests for meningitis despite normal evaluations?
• Which medication is an effective treatment for obsessive-compulsive disorder in adults?
• What would be the most helpful screening test for a woman with unexplained physical symptoms and health concerns?
• What is the typical detection time for amphetamines in a urine drug screen?
• Which disorder is characterized by the presence of both mood and psychotic symptoms?
• What is the most appropriate intervention for a patient who has recently overdosed on diazepam?
• What aspect of an individual's behavior is a red flag for potential conduct disorder?
• Which molecule is primarily detected when testing for benzodiazepines?
• In treating patients with uncomplicated bulimia, what is the recommended first-line treatment?
• For a patient with panic disorder unwilling to continue medication, what is the best initial non-pharmacologic treatment option?
• Which behavior is most consistent with a diagnosis of oppositional defiant disorder in a child?
• Persistent depressive disorder is most closely related to which of the following?
• Which behavior might indicate a focus on attention-seeking in a patient presenting with histrionic personality traits?