PANCE Psychiatry and Behavioral Medicine Practice Test

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• In OCD, which pharmacologic option is commonly used when SSRIs are ineffective?
• Hospitalization is indicated for anorexia nervosa when weight is less than what percentage of expected body weight?
• In catatonia, electroconvulsive therapy may be considered if benzodiazepines are ineffective.
• Which of the following is a Cluster C personality disorder?
• Which statement best defines bipolar I disorder?
• Which of the following is a typical antipsychotic?
• Panic disorder is defined as recurrent, unexpected panic attacks with what minimum frequency, plus at least one of three additional features?
• Which gender is more likely to complete suicide?
• How is mania distinguished from hypomania in bipolar disorders?
• How many symptoms must be present for at least two weeks to diagnose Major Depressive Disorder?
• Pupils in opioid overdose are typically:
• What is the role of safety planning and involuntary hospitalization in psychiatry?
• Which personality disorder is associated with conduct disorder in adults?
• Which duration best represents a normal grief course?
• Postpartum mood management should include safety planning; which action is appropriate?
• Cyclothymic disorder is characterized as what, and what is a common treatment?
• Which of the following best characterizes the typical course of grief after a loss?
• Which sensory modality is most commonly involved in hallucinations in schizophrenia?
• Which adverse effect is most characteristic of second-generation antipsychotics compared with first-generation?
• Which medication is commonly used as an adjunct in the acute management of bipolar manic episodes?
• Which statement best describes the duration criterion for schizophrenia?
• When evaluating violence risk in psychiatric patients, which factor is most important to assess?
• Which statement differentiates schizophreniform disorder from schizophrenia?
• Which personality disorder is characterized by dependent, submissive behavior?
• Which statement best distinguishes Substance-Induced Mood Disorder from a primary mood disorder?
• Which conditions commonly accompany PTSD and require integrated treatment?
• Which statement about ADHD diagnostic criteria is true?
• Which of the following is NOT a typical antipsychotic?
• Which is not part of the four key elements in assessing a patient’s decision-making capacity?
• What is the strongest risk factor for bipolar I disorder?
• Which of the following best defines Brief Psychotic Disorder?
• Which statement about treatment for social anxiety disorder is most accurate?
• In acute psychosis, which factor most strongly indicates the need for inpatient management?
• Which of the following is a common etiology of delirium in hospitalized patients?
• In distinguishing Oppositional Defiant Disorder from Conduct Disorder, which characteristic is typical of Oppositional Defiant Disorder?
• Which of the following is a symptom commonly described in functional neurological symptom disorder?
• Which statement best distinguishes Delusional Disorder from schizophrenia?
• Which personality disorder describes desire for relationships but avoids relationships due to inferiority complex?
• Somatic symptom disorder manifestations commonly include which of the following?
• Conduct disorder in youth can progress into which personality disorder in adulthood?
• Which statement is a DSM-5 criterion for Anorexia Nervosa?
• Dissociative disorders such as identity disturbance, depersonalization, and amnesia are primarily treated with
• What is the minimum duration of continuous signs required for schizophrenia diagnosis?
• Bulimia nervosa treatment includes pharmacotherapy. Which medication has evidence to reduce the binge-purge cycle?
• What constitutes Panic Disorder criteria?
• A grief reaction lasting 30 months is outside the normal period. Which option reflects this?
• In alcohol withdrawal, seizures typically occur within how many hours after last drink?
• Which criterion is part of the DSM-5 criteria for adult Attention-Deficit/Hyperactivity Disorder (ADHD)?
• Physical symptoms but no cause can be found describes which disorder?
• Which personality disorder is best described as anxious, worried, fearful and belongs to Cluster C?
• Which disorder involves intentional production of symptoms for external incentives?
• OCD treatment commonly includes which of the following?
• Which scenario is an indication for Electroconvulsive Therapy (ECT)?
• Which of the following are used for tobacco cessation?
• Which statement accurately describes dysthymia?
• For PTSD, what is the required duration of symptoms after trauma exposure?
• Which is the stated opioid dependency treatment option?
• Delusional Disorder features which of the following most supports its diagnosis?
• Normal grief lasts less than 1 year. Which option explicitly states this?
• In OCD management, what does ERP stand for?
• Autism spectrum disorder is characterized by which core symptom domains?
• For major depressive disorder, which is first-line treatment for mild to moderate cases?
• Which monitoring parameters are recommended for second-generation antipsychotics due to metabolic risk?
• What is a first-line nonpharmacologic approach to insomnia in psychiatric patients?
• Which statement is a DSM-5 criterion for Bulimia Nervosa?
• Which statement best describes the role of clomipramine in OCD?
• In suicidality risk assessment, which item is NOT typically considered a risk factor?
• Which option best captures the core features of Autism Spectrum Disorder?
• Which statement best describes schizophreniform disorder?
• Which of the following is a symptom of inattentiveness in ADD/ADHD diagnostic criteria?
• Which of the following is a stimulant medication used to treat ADD/ADHD?
• Acute Stress Disorder is diagnosed how many days after trauma?
• Which of the following is a dopamine receptor antagonist used to treat schizophrenia?
• Which neuromuscular finding is commonly associated with serotonin syndrome?
• Malingering is characterized by intentional falsification of signs or symptoms for secondary gain.
• Phobia treatment is which approach?
• What is postpartum psychosis and why is it urgent?
• Which statement best captures the schizophrenia diagnostic criteria?
• Factitious disorder types include which of the following?
• Which statement best describes cyclothymic disorder and its treatment?
• Which disorder is characterized by physical symptoms with no identifiable medical cause and high utilization of healthcare services?
• What is the treatment of all personality disorders?
• Which of the following is a potential cardiac risk associated with some second-generation antipsychotics?
• In adult ADHD, impairment must occur in how many settings?
• Which of the following is a Cluster B personality disorder?
• What is the recommended initial treatment for agitation or overdose due to cocaine or amphetamine use?
• What defines Binge Eating Disorder?
• Which of the following best describes Substance Use Disorder specifiers?
• What is the immediate treatment for acute opioid overdose?
• Functional neurological symptom disorder is most effectively treated with which approach?
• Abnormal grief can present with which of the following symptoms?
• Which statement is NOT a Panic Disorder criterion?
• A grief reaction lasting 22 months is outside the normal period. Which option reflects this?
• Bulimia nervosa typically presents with which weight status?
• Serotonin syndrome risk increases when an SNRI is taken with which supplement?
• Pupils in cocaine or methamphetamine overdose are typically:
• Schizophreniform disorder duration is typically:
• Which treatment is described for alcohol withdrawal management?
• Which mineral is commonly administered during alcohol withdrawal according to the material?
• Which screening tool is commonly used in primary care to screen for anxiety disorders?
• Which of the following are classic signs of neuroleptic malignant syndrome?
• Panic attack is defined as an episode of intense fear or discomfort with how many of the following symptoms?
• What are the hallmark features of Borderline Personality Disorder?
• Seasonal affective disorder is characterized by depressive symptoms that recur at a predictable time of year. Which statement best describes this pattern?
• Which statement best defines dysthymia in adults?
• Which of the following is characteristic of opioid intoxication?
• Which of the following is not listed among common depressive symptoms for major depressive disorder?
• Abnormal grief includes which of the following symptoms?
• Which disorder involves grandiose sense of self-importance and needs praise?
• Dissociative Identity Disorder involves how many distinct identities?
• On the CAGE alcohol screening tool, a positive result is indicated by how many affirmative answers?
• A grief reaction lasting 14 months is outside the normal period. Which option reflects that statement most directly?
• Illness Anxiety Disorder vs Somatic Symptom Disorder: Which statement differentiates IAD from SSD?
• Which personality disorder is characterized by eccentric behavior and odd thoughts without psychosis?
• Risperidone and olanzapine are examples of which class of antipsychotics?
• Which SSRI is commonly considered to have a favorable safety profile during pregnancy and postpartum mood management?
• Which statement best differentiates grief from Major Depressive Disorder in presentation and duration?
• Which of the following is a cluster A personality disorder?
• Opioid withdrawal symptoms include which of the following?
• What is the strongest risk factor for suicide?
• Functional neurological symptom disorder is defined as which of the following?
• Which description best characterizes uncomplicated alcohol withdrawal?
• Which personality disorder features pervasive distrust and suspiciousness of others?
• Which statement best describes management of sleep disturbance in mood disorders?
• Which of the following is a common feature of serotonin syndrome?
• Which description best characterizes schizoid personality disorder?
• Which disorder involves preoccupation with a perceived minor bodily flaw that is not observable to others?
• Lamotrigine is associated with rash risk requiring slow titration.
• Preoccupation that one body part is deformed or an over-exaggeration of minor flaw describes which disorder?
• What is the recommended treatment approach for Obsessive-Compulsive Disorder?
• Adjustment disorder treatment is described as which approach?
• Which personality disorder is associated with perfectionism and a need for order and control?
• Which laboratory parameters should be monitored with carbamazepine therapy?
• Dissociative Identity Disorder is defined by which phrase?
• A grief reaction lasting 13 months is outside the normal period. Which option reflects this?
• Lamotrigine requires slow titration due to the risk of rash.
• Schizoaffective disorder is best described as which?
• Acute Stress Disorder and Posttraumatic Stress Disorder differ in timing how?
• Which treatment is recommended for dissociative disorders such as identity disturbance, depersonalization, and amnesia?
• Which combination is considered effective treatment for panic disorder, including options for acute management?
• During alcohol withdrawal, which time frame best describes when hallucinations typically occur?
• Which medication is considered a classic mood stabilizer used in bipolar disorder?
• In adults with Major Depressive Disorder, what is commonly recommended in addition to pharmacotherapy?
• Which parameter is NOT routinely monitored in patients on lithium therapy?
• Which description best characterizes social anxiety disorder?
• Acute stress disorder is best described as...
• Panic disorder diagnosis requires at least how many panic attacks?
• Which of the following is a DSM-5 criterion for schizophrenia?
• Social anxiety disorder is defined by persistent, intense fear of social or performance situations for more than how many months?
• What is an appropriate pharmacologic option for a panic attack?
• Recurrent or persistent thoughts and repetitive behaviors describe which disorder?
• Which antidepressant class is described as first-line pharmacotherapy for major depressive disorder in the material?
• What psychotherapy is considered evidence-based for treating functional neurological symptom disorder?
• How is alcohol withdrawal medically managed?
• Which vitamin is routinely administered during alcohol withdrawal to prevent Wernicke's encephalopathy?
• Atypical depression is distinguished from major depressive disorder by mood reactivity to positive events.
• What is the recommended behavior-based treatment for ADD/ADHD?
• A grief reaction lasting 16 months is outside the normal period. Which option reflects this?
• In mood stabilization therapy, which laboratory tests should be monitored when a patient is on valproate?
• Somatic symptom disorder is commonly managed with which approach?
• Normal grief reaction lasts how long?
• Preoccupation with having or developing a serious undiagnosed disease describes which disorder?
• Phobia is defined as which description?
• Which statement accurately describes schizoaffective disorder criteria?
• Which disorder is characterized by persistent, excessive fear of negative evaluation in social or performance situations?
• Which statement about abnormal grief symptoms is most accurate?
• Depersonalization disorder is defined as which statement?
• What are common evaluation steps for psychiatric presentations in a primary care setting?
• Which of the following describes extrapyramidal symptoms?
• In bipolar II disorder, hypomanic episodes are characterized by what level of impairment?
• Which of the following is a non-stimulant medication used for ADD/ADHD?
• Which personality disorder is characterized by an excessive need to be cared for and fear of separation?
• Which disorder is characterized by a pervasive pattern of preoccupation with orderliness and perfectionism?
• Which word is part of the CAGE screening acronym?
• In comorbidity of anxiety and mood disorders, what is true?
• Which disorder is described by distressing memories, avoidance, negative mood, and arousal after trauma?
• Which is a criterion for Somatic Symptom Disorder?
• Factitious disorder is characterized by intentional falsification of signs and symptoms for primary gain (such as sympathy). Which diagnosis matches this description?
• Which of the following best defines delusional disorder?
• Which signs may indicate lithium toxicity?
• A grief reaction lasting less than 1 year is typically considered what in terms of normalcy?
• In OCD, how are obsessions and compulsions defined and what is their impact?
• In OCD pharmacotherapy, which strategy is most effective?
• Which of the following is a DSM-5 criterion for Substance Use Disorder?
• What are evidence-based psychotherapies for PTSD and their general approach?
• What antidote is indicated for benzodiazepine overdose?
• Bipolar II disorder is defined by which combination of episodes?
• Posttraumatic Stress Disorder is defined as exposure to actual or threatened death plus which of the following?
• Which medication class is especially associated with delirium in hospitalized patients?
• Abnormal grief includes which of the following symptoms?
• Which disorder is described as dramatic, emotional, attention-seeking behavior, often requiring constant validation?
• Dissociative amnesia is characterized by
• Dysthymia is most commonly treated with which type of medication?
• Which pharmacotherapy is commonly used in PTSD in combination with psychotherapy?
• Delirium tremens generally develops within what time frame after the last drink?
• The term functional neurological symptom disorder is also known as which condition?
• Anorexia nervosa is defined by which criterion?
• Adjustment disorder is defined as...
• What are DSM-5 criteria for Generalized Anxiety Disorder?
• Which of the following is a common long-term complication of eating disorders?
• Generalized anxiety disorder is defined by excessive anxiety or worry occurring for what duration?
• What is considered a first-line psychotherapy for bulimia nervosa?
• Which personality disorder is marked by unstable, unpredictable mood and relationships?
• Which statement best describes the difference between typical and atypical antipsychotics?
• Adjustment Disorder treatment is described as which approach?
• The cluster that includes Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders is which?
• Which of the following is a known risk factor for schizophrenia?
• Which feature distinguishes delirium from dementia in the acute setting?
• Which treatment is recommended for dissociative disorders such as identity disturbance, depersonalization, and amnesia? (alternative phrasing)
• Which duration indicates a normal grief course in a typical case?
• Which of the following represents tardive dyskinesia movements?
• Which pharmacologic class is listed as a treatment for social anxiety disorder?
• What is first-line pharmacotherapy for Major Depressive Disorder in adults?
• Which of the following is an appropriate treatment approach for generalized anxiety disorder?
• Which disorder is characterized by overly dramatic, emotional, attention-seeking behavior?
• Which medication class is described as a treatment option for PTSD and social anxiety disorder?
• Which of the following is a DSM-5 criterion for Major Depressive Disorder?
• Which of the following defines delusional disorder?
• Catatonia: which medication is commonly used to treat catatonia?
• Which of the following is a common stimulant used for ADHD?
• Which diagnosis is most consistent with a pattern of social detachment and limited emotional expression?
• Which statement is NOT a PTSD diagnostic criterion?
• Which statement best describes a normal grief duration?
• PTSD treatment is listed as which combination?
• Which set represents the Cluster A personality disorders?