ABPN American Board of Psychiatry and Neurology 4

Question 1

Which demyelinating disease shows oligoclonal bands in the CSF and periventricular white-matter lesions?

Accepted Answer

Multiple sclerosis

Answer

Amyotrophic lateral sclerosis

Answer

Myasthenia gravis

Answer

Parkinson disease

Question 2

Fluctuating muscle weakness that worsens with activity and improves with rest suggests:

Accepted Answer

Myasthenia gravis

Answer

Guillain-Barré syndrome

Answer

Multiple sclerosis

Answer

Bell palsy

Question 3

Which is a first-line treatment for obsessive-compulsive disorder?

Accepted Answer

SSRIs with exposure and response prevention

Answer

Benzodiazepines alone

Answer

Lithium monotherapy

Answer

Electroconvulsive therapy

Question 4

Broca aphasia is best characterized by:

Accepted Answer

Nonfluent speech with preserved comprehension

Answer

Fluent speech with poor comprehension

Answer

Intact repetition with word-finding pauses

Answer

Complete mutism with no comprehension

Question 5

Which side effect is most specifically associated with valproate use in pregnancy?

Accepted Answer

Neural tube defects

Answer

Cleft palate only

Answer

Cardiac septal defects only

Answer

Limb shortening

Question 6

The most common cause of dementia in older adults is:

Accepted Answer

Alzheimer disease

Answer

Vascular dementia

Answer

Lewy body dementia

Answer

Frontotemporal dementia

Question 7

Serotonin syndrome is best distinguished from NMS by the presence of:

Accepted Answer

Hyperreflexia and clonus

Answer

Lead-pipe rigidity

Answer

Slow onset over days

Answer

Normal deep tendon reflexes