Psychiatry Clerkship

General Information

Exams

The written exam is between 50-60 multiple choice and matching questions. The questions are both direct knowledge and case based application of knowledge. The exam emphasizes information from the lecture series found on the website. If you get less than the 5th percentile on the written exam you get to do an oral exam with Course Chair.

Sample Exam Questions

The correct answers are denoted by "*"

A 35 year-old Japanese American woman who works as a real-estate agent presents with complaints of worsening anxiety. She reports that she experiences sudden onset of tachycardia, diaphoresis, and tremor when she presenting to groups of her clients causing her difficulty in completing sales at work. She finds these episodes embarrassing and states that she avoids these situations, in addition to other group situations as much as possible. The following would be appropriate long-term pharmacologic treatment strategies except:

  1. Duloxetine (Cymbalta)
  2. Mirtazapine (Remeron)
  3. Citalopram (Celexa)
  4. Gabapentin (Neurontin)
  5. Alprazolam (Xanax)*

Signs and symptoms of opiate withdrawal typically include each of the following except:

  1. Decreased respiratory rate*
  2. Dilated pupils
  3. Lacrimation
  4. Rhinorrhea
  5. Yawning

A 35 year old woman is brought to the emergency room after self-inflicting wrist lacerations to her arms bilaterally. The wounds required cleaning and dressing but no sutures. She reports her boyfriend of two weeks recently told her he was going to move out of the apartment they both live in and this triggered her needing to cut her arms. She initially denied any symptoms, however became more irritable on further questioning and noted when she is really upset she hears a voice saying “He is going to leave you” and she has an intense fear of being left. She denied other psychotic symptoms. What is the prevalence of this disorder in the US population?

  1. 1-2%*
  2. 3-4%
  3. 5-6%
  4. 7-8%
  5. 9-10%

A 25 year old obese male was recently diagnosed with Schizophrenia. His fasting baseline labs reveal the following:

  • Total cholesterol: 288
  • LDL: 185
  • HDL: 22
  • Glucose: 108

Select which antipsychotic you would use for him as a first choice.

  1. Olanzapine (Zyprexa)
  2. Quetiapine (Seroquel)
  3. Clozapine (Clozaril)
  4. Haloperidol (Haldol)
  5. Ziprasidone (Geodon)*

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