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What are the 2023 Consultation-Liaison Psychiatry Board Pass Rates?
The ABPN 2023 Consultation-Liaison Psychiatry Pass Rate for the Certification exam is 95%.
The ABPN 2023 Consultation-Liaison Psychiatry Pass Rate for the Maintenance of Certification exam is 100%.
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What do I do if I fail the Consultation-Liaison Psychiatry Examination?
The first thing you should do is just take it easy, sleep on it. Give yourself a few days, a week or two to come to terms with what has happened. Your next exam is six months to a year away. Dr. Jack has more advice in this video, What Do You Do If You Fail Your Medical Board Exam?
ABPN Consultation-Liaison Psychiatry Examination Scoring
There is no predefined passing rate for Consultation-Liaison Psychiatry examinees. Each examinee should have some degree of familiarity with the subject matter of each question. Even though the examinee may be in doubt about the correct answer to a particular question, they should answer every question. This will increase the likelihood that the examinee’s examination score will reflect the breadth of their knowledge of the field. There is no penalty for guessing.
ABPN Board Examination Format
The computer-delivered Consultation-Liaison Psychiatry Continuing Certification Examination primarily consists of 170 test questions to be completed within 170 minutes (2 hours and 50 minutes).
The Consultation-Liaison Psychiatry Continuing Certification Examination consists of single-best-answer multiple-choice questions.
Example of a single-best-answer multiple-choice question format:
A 40-year-old woman, with a history of hypothyroidism, is brought to the emergency department with complaints of weakness in the left lower extremity after suffering a witnessed focal seizure involving the left side of the body. Her son explained that she had been in an altered mental status for 3-4 hours and then started seizing 50 minutes ago. On examination, blood pressure is 100/70 mmHg, pulse is 92/min, and respiratory rate is 18/min. Her laboratory investigations revealed that TSH was 3.5 mIU/L, T4 was 7 micrograms/dL, and T3 was 124ng/dL. High anti-thyroid antibodies were detected in the serum. Which of the following is the best management option for this patient?
◯ A. Give intravenous immunoglobulin
◯ B. Supplement thyroxine at a higher dose
◯ C. Continue the same dose of thyroxine with anti-seizure medication
◯ D. Start liothyronine
◯ E. Start corticosteroids
The correct answer is:
E. Start corticosteroids
This is a case of Hashimoto’s encephalopathy; it usually affects women around 40 years of age. It may present as a delirium with psychosis, focal neurological signs, and seizures. It is an autoimmune condition and is characterized by high serum anti-thyroid antibodies. This usually occurs when the patient is euthyroid but may also occur in hypothyroid patients. This condition is best managed with corticosteroids.
There is no role of intravenous immunoglobulins in a patient having Hashimoto’s encephalopathy. Supplementing thyroxine at a higher dose is not going to be helpful as the patient is euthyroid.
Anti-seizure medication can help in controlling the seizures temporarily but the main cause is the autoantibodies and they are going to persist despite anti-seizure drugs.
Liothyronine is T3 and the patient is euthyroid, so supplementation of thyroid hormone is not going to help in this case.
Source
Levenson J. The American Psychiatric Association Publishing Textbook Of Psychosomatic Medicine And Consultation-Liaison Psychiatry. 3rd ed. Washington, D.C.: American Psychiatric Association Publishing; 2019:457. Li J, Li F. Hashimoto’s Encephalopathy and Seizure Disorders. https://www.frontiersin.org/articles/10.3389/fneur.2019.00440/full. Published 2019. Accessed April 11, 2020.