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

Non-contrast CT is often normal early, which is why it is used mainly to exclude hemorrhage.

Question 2

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

Accepted Answer

Normal pressure hydrocephalus

Answer

NPH presents with the triad often summarized as wet, wobbly, and wacky.

Question 3

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

Accepted Answer

Mood stabilizers or second-generation antipsychotics

Answer

Acute mania is treated with mood stabilizers (e.g., lithium, valproate) or atypical antipsychotics.

Question 4

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

Accepted Answer

Parkinson disease

Answer

Resting tremor, rigidity, and bradykinesia form the core parkinsonian triad.

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

Brief bedside tools like the MMSE or MoCA are first-line cognitive screens.

American Board of Psychiatry and Neurology Practice Test