100+ Free TEP Psiquiatria Practice Questions

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Practice Questions100 questions

2026 Statistics

Key Facts: TEP Psiquiatria Exam

100 Items

Multiple-choice questions on the official TEP theoretical examination

Edital TEP — ABP / AMB

5 Hours

Standard examination duration for the theoretical paper

Edital TEP — ABP / AMB

R$ 2.450,00

Registration Fee for ABP/AMB Affiliated Members (R$ 4.900 for Non-Members)

Edital ABP / AMB

70%

Minimum Passing Grade Benchmark (7.0 / 10.0 Scale) on Theoretical Stage

Regulamento Oficial TEP / ABP

RQE Psiquiatria

Specialist Registration Credential Conferred with CFM

Conselho Federal de Medicina (CFM) / AMB

Annual / Semi-Annual

Official Examination Frequency Conducted by ABP

Associação Brasileira de Psiquiatria (ABP)

The TEP (Título de Especialista em Psiquiatria) is the premier Brazilian psychiatric board certification examination administered periodically by ABP and AMB. It consists of a 100-question theoretical phase testing psychopathology, clinical guidelines, and psychopharmacology, alongside a practical clinical formulation phase and curricular analysis.

Sample TEP Psiquiatria Practice Questions

Try these sample questions to test your TEP Psiquiatria exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 42-year-old man with a history of temporal lobe epilepsy is brought to the emergency department following a cluster of seizures. On examination, he performs complex, coordinated, but purposeless motor acts (such as wandering aimlessly and continuously buttoning and unbuttoning his shirt). He does not respond appropriately to questions, shows severe narrowing of consciousness with profound disorientation to time and place, and subsequently has total amnesia for the episode. According to classical psychiatric psychopathology (Jaspers, Dalgalarrondo), which qualitative disturbance of consciousness is characterized by this focused, narrowed field of awareness with preserved automated motor actions?

A.Twilight state (Estado crepuscular)

B.Obnubilation / Clouding of consciousness (Obnubilação da consciência)

C.Stupor (Estupor)

D.Coma (Coma profundo)

Explanation: A twilight state (estado crepuscular) is a qualitative alteration of consciousness characterized by a narrowing of the conscious field, where awareness is restricted to a limited focus while motor automatisms and complex behavior may persist. It is characteristically seen in post-ictal epileptic states, dissociative disorders, and acute head trauma, typically ending abruptly with complete amnesia for the event.

2A 28-year-old woman diagnosed with schizophrenia describes hearing a voice criticizing her thoughts. When questioned about the nature of the voice, she explains that she hears it 'inside her brain without using her physical ears,' lacking true acoustic sensory qualities, yet she feels entirely convinced that an external agency is planting the voice in her mind. According to the descriptive psychopathology of Karl Jaspers and the Kandinsky-Clérambault syndrome, how is this perceptual phenomenon correctly classified?

A.True auditory hallucination (Alucinação verdadeira)

B.Pseudohallucination (Pseudoalucinação)

C.Illusion (Ilusão sensorial)

D.Pareidolia (Pareidolia)

Explanation: Pseudohallucinations are sensory-like experiences that occur within the internal subjective space (e.g., inside the head or mind) rather than the external objective physical space, lacking the corporeal vividness (sensory spatial localization) of true hallucinations while retaining a subjective sense of external imposition. True hallucinations, in contrast, are experienced in external objective space and possess full sensory vividness indistinguishable from real perception.

3While walking through a dark, foggy park at night, an anxious 23-year-old medical student catches a glimpse of a windblown tree branch and momentarily screams, believing it is an attacker holding a knife. Upon shining his phone flashlight on the tree, he immediately realizes it is only a branch and calms down. In psychiatric semiology, what type of perceptual disturbance does this scenario represent?

A.Affective or emotional illusion (Ilusão catatímica ou afetiva)

B.Hypnagogic hallucination (Alucinação hipnagógica)

C.Delusional perception (Percepção delirante)

D.Extracampine hallucination (Alucinação extracampina)

Explanation: An affective (catathymic) illusion is the misperception or distortion of an actual, real sensory stimulus driven by intense underlying emotion (such as fear, anxiety, or grief). Once the stimulus is clearly observed or illuminated, the individual readily corrects the error of perception.

4During a psychiatric evaluation, a 31-year-old patient speaks rapidly with intense pressure of speech. While transitions between topics are swift and frequently triggered by external environmental distractors or phonetic associations (clang associations, rhyming), the underlying logical thread between successive ideas remains discernible. Which formal thought process disturbance is being described?

A.Flight of ideas (Fuga de ideias)

B.Loose associations / Derailment (Afrouxamento de associações / Desarrilamento)

C.Incoherence / Word salad (Esquizofasia / Incoerência de pensamento)

D.Circumstantiality (Circunstancialidade / Prolixidade)

Explanation: Flight of ideas (fuga de ideias) is a formal thought disorder typical of manic states, characterized by accelerated thought production where ideas shift rapidly from one topic to another based on superficial, phonetic (rhyming), or environmental associations, while the individual links between consecutive thoughts remain logically traceable. Derailment or loose associations, characteristic of schizophrenia, lacks this continuous associative link, resulting in disjointed leaps between unrelated concepts.

5A 24-year-old man with no prior psychiatric history sees a red traffic light turn green while waiting at an intersection. He immediately concludes with absolute certainty: 'The traffic light turned green, which proves that the President of the Republic has appointed me Supreme Commander of the Armed Forces.' The perception of the traffic light was visually normal, but an apocalyptic, unshakeable personal significance was instantaneously attached to it. According to Klaus Conrad and Karl Jaspers, this psychopathological phenomenon is a classic example of:

A.Delusional perception (Wahnwahrnehmung / Percepção delirante)

B.Delusional intuition (Wahnfall / Intuição delirante)

C.Overvalued idea (Ideia prevalente ou sobrevalorada)

D.Delusion-like idea (Ideia deliróide)

Explanation: A delusional perception (Wahnwahrnehmung) is a primary delusional phenomenon (a Schneiderian first-rank symptom) wherein a real, correctly perceived sensory stimulus is instantaneously interpreted with an abnormal, self-referential, unshakeable delusional meaning that cannot be derived from the patient's mood or cultural background. In contrast, a delusional intuition arises spontaneously out of the blue without an explicit triggering sensory percept.

6A 56-year-old man with chronic severe alcohol dependence is admitted with profound anterograde amnesia. When asked what he did yesterday morning, he confidently describes in rich detail having attended an executive meeting with the governor and having lunch at a downtown restaurant, despite having been continuously hospitalized in the medical ward for two weeks. He displays no intention to deceive and genuinely believes his fabricated account. What memory disturbance is being demonstrated?

A.Confabulation (Confabulação)

B.Pseudologia fantastica (Mitomania / Pseudologia fantástica)

C.Cryptomnesia (Criptomnésia)

D.Hypermnesia (Hipermnésia)

Explanation: Confabulation is a paramnesia commonly seen in Korsakoff syndrome and frontal-subcortical amnestic disorders where memory gaps are unconsciously filled with fabricated, spontaneous, or provoked narratives that the patient believes to be true. Pseudologia fantastica, by contrast, involves elaborate, grandiose fabrications driven by personality pathology or a desire for attention rather than organic neurological memory voids.

7A 68-year-old patient with progressive neurocognitive disorder exhibits memory loss that begins with recent personal events (such as what he ate for breakfast) while older childhood memories remain relatively preserved until advanced stages. Which classical principle of memory dissolution describes this temporal gradient of memory decay?

A.Ribot's Law (Lei de Ribot)

B.Yerkes-Dodson Law (Lei de Yerkes-Dodson)

C.Weber-Fechner Law (Lei de Weber-Fechner)

D.Ebbinghaus Law (Curva de Ebbinghaus)

Explanation: Ribot's Law of retrograde amnesia states that memory dissolution in brain disease progresses in reverse chronological order: recently acquired memories are destroyed first, whereas older, more consolidated, and emotionally ingrained memories (such as childhood memories and habits) are preserved the longest.

8In the psychopathological examination of attention, attention is classically divided into two main components: tenacity (the ability to sustain focus on a specific object) and vigilance (the capacity to shift and direct focus to new external stimuli). A patient with acute mania who is constantly distracted by every background noise, visual movement, or passerby, unable to finish a single test item, demonstrates which attentional profile?

A.Hypervigilance with hypotenacity (Hipervigilância com hipotenacidade / Distraibilidade)

B.Hypovigilance with hypertenacity (Hipovigilância com hipertenacidade)

C.Aprosexia (Aprosexia completa)

D.Hypervigilance with hypertenacity (Hiperprosexia global)

Explanation: In manic states, patients characteristically exhibit distractibility (distraibilidade), which is defined psychopathologically as hypervigilance (exaggerated sensitivity and spontaneous orientation to new external stimuli) coupled with marked hypotenacity (inability to sustain concentrated voluntary attention on a single task).

9A 35-year-old man with a 10-year history of schizophrenia is interviewed. Throughout the examination, he relates the tragic news of his mother's recent death with a cheerful grin and inappropriate giggling. His facial expressions, tone of voice, and body posture are completely contradictory to the emotional significance of the topic. Which psychopathological alteration of affectivity is present?

A.Affective incongruence / Inadequacy (Incongruência ou inadequação afetiva / Paratimia)

B.Affective blunting (Embotamento afetivo)

C.Affective lability (Labilidade afetiva)

D.Anhedonia (Anedonia)

Explanation: Affective incongruence or inadequacy (parathymia / paramimia) is a qualitative disturbance of affect where emotional expression is discordant with the ideational content being expressed or the social context, such as smiling when discussing personal tragedy. Affective blunting refers to a severe reduction in the intensity of emotional expression.

10In classical German descriptive psychopathology, delusions are classified based on their relationship to the patient's underlying affective state. When a severely depressed patient develops delusions of guilt, ruin, and bodily decay (Cotard syndrome) that perfectly align with and emanate from the profound depressive mood, these delusions are termed:

A.Holothymic delusions (Ideias delirantes holotímicas)

B.Catathymic delusions (Ideias delirantes catatímicas)

C.Heterothymic delusions (Ideias delirantes heterotímicas)

D.Primary delusions (Ideias delirantes primárias autóctones)

Explanation: Holothymic delusions (delírios holotímicos) are secondary delusions whose themes and content are fully congruent with and derive directly from the dominant baseline mood state, such as delusions of ruin and guilt in severe depression or grandiose delusions in mania. Heterothymic delusions are incongruent with the prevailing affective state, while catathymic ideas arise from isolated, highly emotionally charged complexes.

About the TEP Psiquiatria Exam

The Título de Especialista em Psiquiatria (TEP) is the official board certification for psychiatrists in Brazil, awarded by the Associação Brasileira de Psiquiatria (ABP) in joint partnership with the Associação Médica Brasileira (AMB) and recognized by the Conselho Federal de Medicina (CFM). The examination evaluates comprehensive competency across descriptive psychopathology, clinical psychiatric diagnosis (DSM-5-TR and ICD-11), evidence-based psychopharmacology, psychiatric emergencies, child and adolescent psychiatry, geriatric psychiatry, substance use disorders, and Brazilian mental health jurisprudence. Earning the TEP title is the definitive requirement for Brazilian physicians to obtain their Registro de Qualificação de Especialista (RQE) in Psychiatry.

Assessment

Multi-phase evaluation administered by the Comissão do Exame de Título de Especialista da ABP/AMB. Stage 1 (Prova Teórica / Objetiva): 100 multiple-choice questions covering general psychiatry, psychopathology, psychopharmacology, subspecialties, and Brazilian mental health legislation. Stage 2 (Prova Prática): clinical case vignettes, interview, psychiatric formulation, and diagnostic defense. Stage 3 (Análise Curricular): scoring of residency training, clinical experience, academic output, and CME credits.

Time Limit

4 to 5 hours for the theoretical examination (Prova Teórica)

Passing Score

Minimum score of 70% (7.0 / 10.0) on the theoretical multiple-choice examination, followed by passing the practical exam / interview and curricular evaluation

Exam Fee

Escalonada por data e categoria (TEP 2026.1): associados psiquiatras ABP/AMB de R$ 1.705,00 a R$ 2.138,80; associados não psiquiatras ABP/AMB de R$ 2.213,70 a R$ 2.776,90; não associados de R$ 4.356,00 a R$ 5.464,20 (Associação Brasileira de Psiquiatria (ABP) — Associação Médica Brasileira (AMB))

TEP Psiquiatria Exam Content Outline

15%

Psicopatologia e Semiologia Psiquiátrica

Consciousness, orientation, attention, memory, thought process/form/content, perception (hallucinations vs illusions vs pseudohallucinations), affect, mood, volition, psychomotor activity, and insight into illness.

18%

Transtornos do Humor

Major Depressive Disorder, specifiers, Treatment-Resistant Depression (esketamine, ECT, rTMS), Bipolar I and II, acute mania/hypomania protocols, bipolar depression algorithms, lithium monitoring and toxicity, valproate, lamotrigine, and atypical antipsychotics.

15%

Esquizofrenia e Psicoses

Schizophrenia diagnostic criteria, positive/negative/cognitive domains, first-episode psychosis, schizoaffective disorder, delusional disorder, first- vs second-generation antipsychotics, clozapine ANC monitoring protocols, extrapyramidal symptoms, NMS, and tardive dyskinesia.

12%

Ansiedade, TOC e Trauma

Panic Disorder, Agoraphobia, Generalized Anxiety Disorder (GAD), Social Anxiety Disorder, Obsessive-Compulsive Disorder (high-dose SSRIs, clomipramine, CBT/ERP), Post-Traumatic Stress Disorder (PTSD), and Acute Stress Disorder.

12%

Dependência Química

Alcohol Use Disorder, CIWA-Ar withdrawal protocols, delirium tremens, Wernicke encephalopathy, acamprosate, naltrexone, disulfiram, opioid use disorder (methadone, buprenorphine), cocaine and crack stimulant addiction, cannabis, and dual diagnosis.

10%

Infância e Psicogeriatria

ADHD (methylphenidate, lisdexamfetamine, atomoxetine), Autism Spectrum Disorder (ASD), Oppositional Defiant Disorder (ODD), Delirium (CAM criteria and non-pharmacological management), Alzheimer's disease, Lewy Body dementia, Frontotemporal lobar degeneration, and BPSD.

Personalidade, Alimentares e Sono

Cluster A, B, and C personality disorders (Borderline PD and DBT, Antisocial PD), Anorexia Nervosa (refeeding syndrome), Bulimia Nervosa, Binge Eating Disorder (lisdexamfetamine), Insomnia Disorder, and Somatic Symptom / Functional Neurological Disorders.

10%

Psicofarmacologia, Emergências e Forense

CYP450 metabolism and drug interactions, Serotonin Syndrome (Hunter criteria), Neuroleptic Malignant Syndrome, rapid tranquilization in acute agitation, suicide risk stratification, Brazilian Mental Health Law (Lei nº 10.216/2001), and forensic assessment of penal responsibility.

How to Pass the TEP Psiquiatria Exam

What You Need to Know

Passing score: Minimum score of 70% (7.0 / 10.0) on the theoretical multiple-choice examination, followed by passing the practical exam / interview and curricular evaluation
Assessment: Multi-phase evaluation administered by the Comissão do Exame de Título de Especialista da ABP/AMB. Stage 1 (Prova Teórica / Objetiva): 100 multiple-choice questions covering general psychiatry, psychopathology, psychopharmacology, subspecialties, and Brazilian mental health legislation. Stage 2 (Prova Prática): clinical case vignettes, interview, psychiatric formulation, and diagnostic defense. Stage 3 (Análise Curricular): scoring of residency training, clinical experience, academic output, and CME credits.
Time limit: 4 to 5 hours for the theoretical examination (Prova Teórica)
Exam fee: Escalonada por data e categoria (TEP 2026.1): associados psiquiatras ABP/AMB de R$ 1.705,00 a R$ 2.138,80; associados não psiquiatras ABP/AMB de R$ 2.213,70 a R$ 2.776,90; não associados de R$ 4.356,00 a R$ 5.464,20

Keys to Passing

Work through all 100 available questions
Review every answer and explanation
Track weak areas and revisit them
Use our AI tutor for tough concepts

TEP Psiquiatria Study Tips from Top Performers

1Master Classical Psychopathology and Semiology: Thoroughly review sensory-perceptual alterations (true hallucinations vs illusions vs pseudo-hallucinations), thought alterations (formal thought disorder vs delusional content vs overvalued ideas), consciousness disturbances (delirium vs twilight states), and affective/volitional semiology.

2Internalize Bipolar and Depressive Treatment Algorithms: Master acute mania first-line combinations (lithium/valproate + atypical antipsychotic), bipolar depression treatment options (quetiapine, lurasidone, olanzapine-fluoxetine), lithium serum level monitoring (0.6–1.2 mEq/L) and toxicity signs, and treatment-resistant depression protocols (esketamine, ECT, rTMS).

3Memorize Clozapine and Antipsychotic Safety Protocols: Know the exact Absolute Neutrophil Count (ANC) cutoff values for clozapine initiation (≥1,500/μL in general population, ≥1,000/μL in BEN), mandatory monitoring schedules (weekly for first 6 months, every 2 weeks for months 6–12, then monthly), myocarditis signs, and management of NMS, acute dystonia, akathisia, and tardive dyskinesia (VMAT2 inhibitors).

4Understand Substance Withdrawal and Craving Management: Memorize CIWA-Ar scoring and symptom-triggered benzodiazepine protocols, high-dose IV thiamine prophylaxis prior to glucose in Wernicke encephalopathy, and pharmacological mechanisms of anticraving agents (naltrexone, acamprosate, disulfiram, buprenorphine, methadone).

5Master Child, Adolescent and Geriatric Subspecialties: Focus on ADHD stimulant titration and cardiovascular precautions, ASD behavioral and pharmacological interventions, Delirium CAM diagnostic algorithm and non-pharmacological first-line management, and differential diagnosis between Alzheimer's, Lewy Body dementia (visual hallucinations and severe neuroleptic sensitivity), and Frontotemporal dementia.

6Know Brazilian Mental Health Legislation & Forensic Principles: Memorize the three legal categories of psychiatric admission under Lei Federal nº 10.216/2001 (Voluntária, Involuntária with 72-hour Public Prosecutor notification, and Compulsória determined by judicial order) and forensic concepts of penal imputability (Art. 26 do Código Penal Brasileiro).

Frequently Asked Questions

What is the TEP and why is it essential for psychiatrists in Brazil?

The Título de Especialista em Psiquiatria (TEP) is the official medical specialist certification awarded by the Associação Brasileira de Psiquiatria (ABP) and the Associação Médica Brasileira (AMB). Achieving the TEP allows physicians to register their specialist qualification (Registro de Qualificação de Especialista - RQE) in Psychiatry with the Regional Medical Councils (CRMs) and Federal Council of Medicine (CFM), which is legally required to advertise and practice formally as a medical psychiatrist in Brazil.

What are the eligibility requirements to sit for the TEP examination?

Candidates must be licensed physicians with active registration in a Regional Medical Council (CRM) in Brazil and fulfill one of three pathways: (1) Completion of an accredited Medical Residency Program (CNRM/MEC) in Psychiatry; (2) Completion of an ABP-accredited Psychiatry Training Course; or (3) Proven clinical practice in Psychiatry for at least 6 years (double the residency duration), substantiated by formal institutional documentation and meeting curricular evaluation criteria as specified in the official ABP Edital.

How is the TEP examination structured across its stages?

The examination comprises three key stages: (1) Prova Teórica / Objetiva, consisting of 100 multiple-choice questions on psychopathology, diagnostic criteria (DSM-5-TR, ICD-11), psychopharmacology, clinical algorithms, and Brazilian legislation; (2) Prova Prática / Teórico-Prática, evaluating clinical psychiatric interview, psychopathological description, diagnostic hypothesis formulation, differential diagnosis, and therapeutic planning; and (3) Análise Curricular, evaluating academic achievements, residency training, publications, and continuous medical education.

What is the passing score and grading criteria for the TEP?

Candidates typically must attain a minimum grade of 7.0 out of 10.0 (70%) on the theoretical multiple-choice examination to proceed and qualify, alongside achieving passing scores on the practical examination and curricular scoring as outlined in the annual edital published by ABP and AMB.

Which clinical guidelines and diagnostic classifications are primarily tested?

The examination tests official consensus guidelines and guidelines published by the Associação Brasileira de Psiquiatria (ABP) and Revista Brasileira de Psiquiatria (RBP), the DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders), the ICD-11 (International Classification of Diseases), classical descriptive psychopathology (e.g., Karl Jaspers, Dalgalarrondo), evidence-based psychopharmacology (Stahl, Schatzberg), and Brazilian Mental Health Legislation (Lei Federal nº 10.216/2001).

Why is this OpenExamPrep practice bank presented in English?

This practice bank is an English-language MCQ study adaptation, not a replica of the official Portuguese paper. It is created to assist international psychiatric trainees, Brazilian candidates who prefer studying in English, and global clinicians. All authentic Brazilian terminology, ABP clinical consensus guidelines, statutory legal references (Lei 10.216), and pharmacological dosages are faithfully preserved inline.