American Board of Psychiatry and Neurology Consultation Liaison Psychiatry Certification Prep

The Consult Liaison Psychiatry exam is a computer based test of 150 questions that covers multiples dimensions of care. Test takers are expected to showcase their competency in medical and surgical domains, psychiatric disorders, and the mechanisms that link these conditions together. To take this exam, one must be ABPN board certified with at least a one year ACGME fellowship completed. This exam can feel daunting.

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ABPN Consultation Liaison Psychiatry

Question Banks

Realistic Case Study Style Questions- Your Consult Confidence Starts Here

Our Question Bank is comprised of realistic video vignettes, case study multiset vignettes, and complex multiple choice questions, which will help prepare you for your Consult Liaison Psychiatry examination by addressing each of the necessary dimensions needed to succeed in the field.

New questions are continually being added to the question banks, ensuring the most current and up to date information is being made available to you as you progress in your studies.

Master the Mind-Body Interface

The Consult Liaison Psychiatry question bank is made up of questions that interweave the dimensions of physical and psychiatric medicine. We ensure the questions we provide are double coded, just like the certification exam, so you feel confidence when you sit for the real thing.

The categories cover specialty-focused, case-based questions emphasizing medically complex patients, hospital-based psychiatry, and high-yield psychopharmacology

Click to see Sample Questions from our ABPN-CL Bank

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Example Single Response Multiple Choice Question

Emily, a 24-year-old female, presents for a psychiatric outpatient appointment. She consistently fears situations where she may be exposed to negative evaluation from others. Medical work such as labs and imaging are within normal limit. EKG shows tachycardia. Which of these are considered a risk factor for the development of Emily’s condition?

A Social support

B Behavioral inhibition

C Greater internalizing symptoms

D Physical activity

E Negative affectivity

Example Single Response Multiple Choice Answer

Correct Answer – B Behavioral inhibition

Explanation:
Behavioral inhibition (choice B) is considered a risk factor for the development of social anxiety disorder. Social support (choice A) and physical activity (choice D) are considered protective factors for anxiety disorders. Greater internalizing symptoms (choice C) and negative affectivity (choice E) are risk factors for Obsessive Compulsive Disorder and Generalized Anxiety Disorder, respectively.

REF:
1-American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision. Arlington, VA: American Psychiatric Association, 2022
2-Zimmermann, M., Chong, A. K., Vechiu, C., & Papa, A. (2020). Modifiable risk and protective factors for anxiety disorders among adults: A systematic review. Psychiatry research, 285, 112705.

Example Single Response Multiple Choice

A 34-year-old female presents 2 months postpartum with symptoms of depression. She states that she has been feeling low, tired, tearful, generally not feeling happy about having the newborn, or wanting to socialize with the rest of her family. The psychiatrist prescribes an antidepressant. After 3 weeks she reports she feels better; however, after the 4th week, she is back with hot flashes. What was the medication prescribed?

A Paroxetine

B Venlafaxine

C Brexanolone

D Amitriptyline

E Tadalafil

Example Single Response Multiple Choice Answer

Correct Answer- C Brexanolone

Explanation:

This postpartum depression patient is suffering from hot flashes as a side effect from the Brexanolone (choice C). Hot flashes are defined as fleeting sensations of heat, sweating, flushing, anxiety, and chills that last 1-5 minutes. Brexanolone is an aqueous formulation of allopregnanolone whose mechanism of action is not fully known. The most common side effects are somnolence, dizziness, loss of consciousness, xerostomia, and hot flashes. Paroxetine (choice A) is a SSRI and Venlafaxine (choice B) is a SNRI that are both used for the treatment of hot flashes. Amitriptyline (choice D) is a tricyclic antidepressant that inhibits the reuptake of serotonin and norepinephrine. Its most common side effects are orthostatic hypotension, prolonged QT interval, respiratory depression, hyperpyrexia, tremors, and anticholinergic symptoms (e.g. urinary retention and confusion). Tadalafil (choice E) is a phosphodiesterase type 5 inhibitor that is used for erectile dysfunction, pulmonary hypertension, and benign prostatic hyperplasia. It may cause hot flashes, but it is not used for treating depression.

REF:
1-Azhar Y, Din AU. Brexanolone. [Updated 2020 Jun 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing
2-Bansal, R., & Aggarwal, N. (2019). Menopausal hot flashes: a concise review. Journal of mid-life health, 10(1), 6.

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