PANRE Psychiatry 3

Question 1

A 50-year-old male with alcohol use disorder has a last drink 36 hours ago and now has tremors, diaphoresis, and a seizure. What is the most appropriate pharmacotherapy?

Accepted Answer

Lorazepam

Answer

Benzodiazepines (lorazepam) are first-line for alcohol withdrawal seizures due to cross-tolerance with GABA receptors.

Question 2

Which cognitive distortion is most characteristic of generalized anxiety disorder?

Accepted Answer

Catastrophizing

Answer

Catastrophizing—assuming worst-case outcomes—is a hallmark cognitive distortion in generalized anxiety disorder.

Question 3

A patient reports recurrent intrusive thoughts about harming her infant, accompanied by significant distress and avoidance. She does not want to act on these thoughts. What is the most likely diagnosis?

Accepted Answer

Obsessive-compulsive disorder, postpartum onset

Answer

Ego-dystonic, intrusive, and distressing thoughts with avoidance and no intent are characteristic of OCD, not psychosis.

Question 4

Which finding best differentiates delirium from dementia?

Accepted Answer

Acute fluctuating course

Answer

Delirium is distinguished by its acute onset and fluctuating level of consciousness, unlike the gradual decline in dementia.

Question 5

A 22-year-old college student has recurrent binge eating followed by self-induced vomiting twice weekly for 4 months. She is normal weight. What is the diagnosis?

Accepted Answer

Bulimia nervosa

Answer

Bulimia nervosa is defined by recurrent binge-purge cycles at least once weekly for 3 months in a person of normal or above-normal weight.

PANRE Test Practice Test

PANRE Test Practice Test

PANRE Psychiatry 3