Our Questions

Just like you’ll see on the actual exam. Based on the American Board of Psychiatry and Neurology (ABPN) format

No “negatively phrased” questions, no “all of the following except”, no “A and B”…you know what we mean. In order for a test question to be high quality, it must satisfy two basic criteria:

  1. Must address important content
  2. Must be well structured
Question » Stem » Lead in click-05

A 60-year-old man presents to establish psychiatric care. On exam you notice frequent puckering movements of the lips as well as chewing movements. He states that these movements have been present for years. Which of the following medications most likely resulted in the observed hyperkinetic movements?

Our Answer Choices

Building difficulty into the question. Meet the Challenge.

A question’s difficulty is defined by the choice of distractors. Good distractors determine the difficulty level of a question. Therefore, good distractors are one of the most important features of a high quality question.


Understanding why an answer choice is incorrect is just as important as knowing why it is correct

Our Explanations

Synthesized for optimized learning and recall & created with a purpose

Every question contains a detailed explanation for the correct and incorrect answer choices and integrated media for those that learn best by visual stimuli. Understanding a topic cannot be learned in isolation. You require context. We take deliberate steps to deliver a comprehensive explanation linking the most important components to master a topic.

Haloperidol is a first-generation antipsychotic medication that has the potential to cause tardive dyskinesia. Tardive dyskinesia is a hyperkinetic movement disorder that appears as a result of prolonged use of dopamine receptor blocking agents. Most commonly, tardive dyskinesia is related to antipsychotic medications or to metoclopramide. The onset of movements occur insidiously as early as one to six months following drug exposure. This condition impacts the face, mouth, tongue, trunk, or extremities and can include a mixture of orofacial dyskinesia, dystonia, athetosis, chorea, facial grimacing and tics. Patients with limited insight often do not report difficulties with tardive dyskinesia. In contrast, psychiatrically stable patients who are cognitively intact typically are aware of the manifestations of this disorder.Numerous studies have evaluated various pharmacologic treatments of tardive dyskinesia, but few therapies have produced more than slight to moderate benefit in clinical practice. Thus, prevention, early detection, and management of potentially reversible cases are the cornerstones of modern treatment. Although once considered a persistent or permanent condition, tardive dyskinesia is often reversible. Prognosis of tardive dyskinesia in patients who require continued antipsychotic drug treatment is not well established, but in most cases, tardive dyskinesia either remains unchanged or is suppressed by the hypokinetic effects of an antipsychotic drug if continued or reintroduced at a higher dose.

Enhanced learning

Explanations contain integrated audio and visual content to further clarify meaning of the core concept. By representing information using audio cues and spatially with images, you are able to focus on meaning, reorganize and group similar ideas easily and make better use of your audio and visual memory.

More than just a question

Advanced reinforcement

To optimize recall and understanding of a topic we link concepts to help you express knowledge, thoughts and ideas and build relationships between them.


Taking Your Learning One Step Further

After each question explanation is a straightforward factoid-based question with a simple, memorizable answer that serves as reinforcement for the corresponding topic.

(Q) Which antipsychotic has the lowest risk of tardive dyskinesia?

(A) Clozapine is a second-generation antipsychotic. It has a particularly low risk of tardive dyskinesia due to its weak affinity for dopamine receptors.


Break it down, Keep it simple.

Boiling it down to the most high yield concepts

Tardive Dyskinesia

  • Patient with a history of taking typical (1st generation) antipsychotic medication
  • PE will show repetitive facial movements (chewing, lip smacking)
  • Treatment is stopping the offending drug

Powerful Analytics

Progress, performance, predictions

“If you can’t measure it, you can’t manage it.” Rosh Review provides you with key statistics and robust analytics to create an efficient and effective learning strategy.


Focus your learning on what matters

Identify your strengths and weaknesses based on the ABPNs Exam Blueprint.

Peer comparison

Compare your answer choices to the answers provided by other medical students, Psychiatry residents, and practicing Psychiatrists around the country.

Probability of Passing Your Exam

Using data generated by our previous users, we can predict your probability of passing the ABPN Certification Exam.

“We have had awesome results with the ROSH review. Using since 2013. Residents love it and have seen a nice increase in In-service exam scores.”

Dr. Robert Strony, Program Director

Psychiatry Question Topics

ABPN publishes a content blueprint for the material that will appear on your exam.

This blueprint is how we determine which material appears in your Qbank.

Dimension 1: Psychiatry Disorders and Topics

Developmental processes and development through the life cycle 2-4%
Neurodevelopmental disorders 3-5%
Substance-related and addictive disorders 7-11%
Schizophrenia spectrum and other psychotic disorders 8-12%
Depressive disorders 8-12%
Bipolar and related disorders 4-6%
Anxiety disorders 7-9%
Obsessive-compulsive and related disorders 2-4%
Trauma- and stressor-related disorders 4-6%
Dissociative disorders 1-2%
Somatic symptom and related disorders 2-4%
Eating disorders 2-4%
Elimination disorders 1-2%
Sleep-wake disorders 3-5%
Sexual dysfunctions 1-3%
Gender dysphoria 1-2%
Disruptive, impulse-control, and conduct disorders 1-3%
Personality disorders 5-7%
Paraphilic disorders 1-2%
Other conditions that may be a focus of clinical attention 1-3%
Neurocognitive disorders 6-8%
Neurologic disorders 4-6%
Dimension 2 topics without a corresponding Dimension 1 topic 4-6%
Total 100%

Dimension 2: Physician Competencies and Mechanisms

Neuroscience and mechanisms of disease 17-23%
Behavioral/social sciences and psychosocial mech of diseases 4-6%
Clinical aspects of psychiatric and neuropsychiatric disorders 17-23%
Diagnostic procedures 8-12%
Treatment 25-35%
Interpersonal and communication skills 2-4%
Professionalism, ethics, and the law 3-5%
Practice-based learning and improvement 3-5%
Systems-based practice 3-5%
Total 100%



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