OCD: ABFM practice questions

4 board-style questions on ocd in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 32-year-old man is diagnosed with obsessive-compulsive disorder characterized by intrusive symmetry obsessions and counting rituals. You decide to initiate fluoxetine. Compared to the typical dose used for major depressive disorder, what dosing strategy is most appropriate for OCD?

1. Target higher doses than those used for depression
2. Start at a lower dose and titrate more slowly than for depression
3. Use the same target dose as for depression
4. Use as-needed dosing rather than daily administration

Sample question 2

A 25-year-old woman with OCD involving contamination fears and washing rituals asks about the most effective psychotherapy for her condition. She is already taking sertraline 200 mg daily with partial improvement. Which psychotherapy has the strongest evidence for OCD?

1. Psychodynamic psychotherapy
2. Exposure and response prevention (ERP)
3. Interpersonal psychotherapy (IPT)
4. Nondirective supportive counseling

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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