ABPN American Board of Psychiatry and Neurology 5

Question 1

Which imaging finding is most characteristic of an acute ischemic stroke on early non-contrast CT?

Accepted Answer

Often normal in the first hours

Answer

Immediate hyperdense parenchyma

Answer

Ring-enhancing lesion

Answer

Diffuse cerebral edema within minutes

Question 2

Which condition classically presents with the triad of dementia, gait apraxia, and urinary incontinence?

Accepted Answer

Normal pressure hydrocephalus

Answer

Alzheimer disease

Answer

Parkinson disease

Answer

Creutzfeldt-Jakob disease

Question 3

Which class of medication is first-line for acute mania?

Accepted Answer

Mood stabilizers or second-generation antipsychotics

Answer

SSRIs

Answer

Stimulants

Answer

Benzodiazepines alone

Question 4

A patient with a resting tremor, cogwheel rigidity, and bradykinesia most likely has:

Accepted Answer

Parkinson disease

Answer

Essential tremor

Answer

Cerebellar degeneration

Answer

Huntington disease

Question 5

Which is the most appropriate initial screening tool for cognitive impairment in a clinic setting?

Accepted Answer

Mini-Mental State Examination or MoCA

Answer

Lumbar puncture

Answer

PET scan

Answer

EEG

Question 6

Huntington disease is inherited in which pattern?

Accepted Answer

Autosomal dominant

Answer

Autosomal recessive

Answer

X-linked recessive

Answer

Mitochondrial

Question 7

Which drug is used to reverse acute benzodiazepine overdose?

Accepted Answer

Flumazenil

Answer

Naloxone

Answer

Physostigmine

Answer

Atropine