ABPN ABPN Basic 4

Question 1

Which medication is first-line for acute mania in bipolar disorder along with mood stabilizers?

Accepted Answer

An atypical antipsychotic

Answer

Atypical antipsychotics, often with lithium or valproate, are first-line for acute mania.

Question 2

Loss of pain and temperature sensation with preserved proprioception suggests a lesion of which tract?

Accepted Answer

Spinothalamic tract

Answer

The spinothalamic tract carries pain and temperature, so its lesion spares proprioception.

Question 3

Which agent is used to reverse acute benzodiazepine overdose?

Accepted Answer

Flumazenil

Answer

Flumazenil is a benzodiazepine receptor antagonist used to reverse overdose.

Question 4

A sudden severe headache described as the 'worst of my life' most warrants evaluation for what?

Accepted Answer

Subarachnoid hemorrhage

Answer

A thunderclap 'worst headache of life' raises concern for subarachnoid hemorrhage.

Question 5

Which cognitive symptom is a core feature of major depressive disorder rather than normal grief?

Accepted Answer

Persistent worthlessness and guilt

Answer

Pervasive worthlessness and excessive guilt point to major depression rather than uncomplicated grief.

American Board of Psychiatry and Neurology Practice Test