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What are the 2023 Geriatric Psychiatry Board Pass Rates?
Note: There was no ABPN 2023 Geriatric Psychiatry Certification exam.
The ABPN 2023 Geriatric Psychiatry Pass Rate for the Maintenance of Certification exam is 100%.
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What do I do if I fail the Geriatric 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 Geriatric Psychiatry Examination Scoring
There is no predefined passing rate for Geriatric 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 Geriatric Psychiatry Continuing Certification Examination primarily consists of 170 test questions to be completed within 170 minutes (2 hours and 50 minutes).
The Geriatric Psychiatry Continuing Certification Examination consists of single-best-answer multiple-choice questions.
Example of a single-best-answer multiple-choice question format:
A 68-year-old woman complains of experiencing visual and auditory hallucinations for several months. She has no previous psychiatric illnesses; however, her aunt was diagnosed with schizophrenia in her 50s. Her medical history shows that she has a history of epilepsy for which she takes carbamazepine. Which of the following is the most appropriate antipsychotic medication that can be prescribed to this patient?
◯ A. Quetiapine
◯ B. Lurasidone
◯ C. Aripiprazole
◯ D. Clozapine
◯ E. Asenapine
The correct answer is:
E. Asenapine
Asenapine is the correct option because it is a 1A2 substrate and will not interact as strongly with carbamazepine as carbamazepine is not a well-defined inducer of 1A2 drugs. However, monitoring should be carried out.
This patient most likely has very late-onset schizophrenia. Very late-onset schizophrenia is an uncommon diagnosis and tends to occur more in females, who generally have a later onset of schizophrenia compared to males. Antipsychotic medication is often avoided in the elderly due to its side effects. It is primarily indicated in patients of schizophrenia and bipolar disorder. Carbamazepine is a strong inducer of 3A drugs. Quetiapine is not the correct option because it is a sensitive 3A4 substrate. Therefore, it will most likely be strongly induced by carbamazepine and is not the ideal drug to be given in this patient.
Lurasidone is not the correct option because it is a sensitive 3A4 substrate while carbamazepine is a strong inducer of 3A drugs. Therefore, lurasidone will most likely be strongly induced by carbamazepine and is not the ideal drug to be given in this patient.
Aripiprazole is not the correct option because it is a sensitive 3A4 substrate while carbamazepine is a strong inducer of 3A drugs. Therefore, aripiprazole will most likely be strongly induced by carbamazepine and is not the ideal drug to be given in this patient.
Clozapine is not the correct option because it lowers the seizure threshold and should be avoided in patients with epilepsy.
Source
Fenn HH, Hategan A, Bourgeois JA. Inpatient Geriatric Psychiatry: Optimum Care, Emerging Limitations, and Realistic Goals. Cham: Springer International Publishing; 2019. 55-8. Karim S, Harrison K. Psychosis in the elderly. In: Mental Health and Older People. Springer, Cham. 2016; 181-194.
American Physician
