ABPN American Board of Psychiatry and Neurology 2

Question 1

Which neurotransmitter is most implicated in the pathophysiology of Parkinson disease?

Accepted Answer

Dopamine

Answer

Serotonin

Answer

Glutamate

Answer

Acetylcholine

Question 2

A patient presents with sudden right-sided weakness and expressive aphasia. Which arterial territory is most likely involved?

Accepted Answer

Left middle cerebral artery

Answer

Right posterior cerebral artery

Answer

Basilar artery

Answer

Anterior spinal artery

Question 3

First-line pharmacotherapy for generalized anxiety disorder is typically which class?

Accepted Answer

SSRIs

Answer

Benzodiazepines

Answer

Antipsychotics

Answer

Beta-blockers

Question 4

Which finding is characteristic of neuroleptic malignant syndrome?

Accepted Answer

Lead-pipe rigidity and hyperthermia

Answer

Flaccid paralysis and hypothermia

Answer

Ataxia and nystagmus

Answer

Resting tremor and bradykinesia

Question 5

The EEG hallmark of absence seizures is:

Accepted Answer

3-Hz generalized spike-and-wave

Answer

Focal temporal spikes

Answer

Burst suppression

Answer

Triphasic waves

Question 6

Which medication requires regular white blood cell monitoring due to agranulocytosis risk?

Accepted Answer

Clozapine

Answer

Risperidone

Answer

Olanzapine

Answer

Quetiapine

Question 7

A positive Babinski sign in an adult indicates a lesion of which pathway?

Accepted Answer

Corticospinal tract

Answer

Dorsal columns

Answer

Spinothalamic tract

Answer

Cerebellar peduncles