PANRE Psychiatry 2

Question 1

A 35-year-old with bipolar I disorder is stable on lithium but develops polyuria and polydipsia. What is the most appropriate next step?

Accepted Answer

Check serum lithium level and renal function

Answer

Nephrogenic diabetes insipidus is a common lithium side effect; checking levels and renal function guides management.

Question 2

Which medication augmentation strategy is FDA-approved for treatment-resistant major depressive disorder in adults?

Accepted Answer

Aripiprazole

Answer

Aripiprazole is FDA-approved as an adjunct to antidepressants for treatment-resistant MDD.

Question 3

A patient on clozapine develops a WBC of 2,800/mm³. What is the correct action?

Accepted Answer

Discontinue clozapine immediately

Answer

A WBC below 3,000/mm³ requires immediate discontinuation of clozapine due to agranulocytosis risk.

Question 4

Which of the following is the first-line pharmacotherapy for panic disorder?

Accepted Answer

SSRIs

Answer

SSRIs are first-line for panic disorder due to efficacy and favorable side-effect profile.

Question 5

A 28-year-old presents with 2 weeks of depressed mood, insomnia, poor concentration, and passive suicidal ideation after a romantic breakup. She denies psychosis. What is the diagnosis?

Accepted Answer

Major depressive episode

Answer

Five or more DSM-5 depressive symptoms for ≥2 weeks including depressed mood qualifies as a major depressive episode.

PANRE Test Practice Test

PANRE Test Practice Test

PANRE Psychiatry 2