COMLEX-USA Behavioral Sciences and Psychiatry 2

Question 1

Which antidepressant class is associated with hypertensive crisis when combined with tyramine-rich foods?

Accepted Answer

MAOIs

Answer

MAOIs prevent tyramine breakdown in the gut; consuming tyramine-rich foods (aged cheese, cured meats) causes massive sympathetic activation and hypertensive crisis.

Question 2

A 7-year-old boy cannot sit still in class, interrupts others, and forgets homework daily. Which diagnosis is most likely?

Accepted Answer

ADHD combined type

Answer

ADHD combined type presents with both inattention (forgetfulness) and hyperactivity-impulsivity (can't sit still, interrupting) in multiple settings.

Question 3

Cognitive behavioral therapy (CBT) for depression is based primarily on which theoretical framework?

Accepted Answer

Cognitive triad (Beck's model)

Answer

Beck's cognitive triad (negative views of self, world, and future) underpins CBT, which aims to identify and restructure maladaptive thought patterns.

Question 4

A patient in alcohol withdrawal develops confusion, ophthalmoplegia, and ataxia. Which vitamin deficiency causes this triad?

Accepted Answer

Vitamin B1 (thiamine)

Answer

Wernicke's encephalopathy is caused by thiamine (B1) deficiency and presents with the classic triad of confusion, ophthalmoplegia, and ataxia.

Question 5

Which personality disorder is characterized by a pervasive pattern of instability in relationships, self-image, and affect, along with impulsivity and fear of abandonment?

Accepted Answer

Borderline personality disorder

Answer

Borderline personality disorder features identity disturbance, unstable intense relationships, impulsivity, affective instability, and frantic efforts to avoid abandonment.

COMLEX-USA Practice Test

COMLEX-USA Practice Test

COMLEX-USA Behavioral Sciences and Psychiatry 2