This selection of practice questions is designed to help third-year medical students studying for their psychiatry shelf exam. An easy-to-read review, it contains over a hundred questions that span the range of subjects covered on the exam. There are many books available for content review, but very few provide numerous practice questions for exam prep. This text should be used as an adjunct during a psychiatric clerkship. These are the most up-to-date high-yield questions, written by third-year medical students from Rutgers New Jersey Medical School during their own time on the wards. The questions and answers were reviewed by fourth-year medical students, psychiatry residents, and attending psychiatrists to ensure completeness, accuracy, and relevance to the exam. Each question follows a short vignette about a situation the student might face, followed by multiple choices. On subsequent pages, explanations are provided to show why the answer is correct as well as how the alternative answers are not the best choices. While the entire class of 2020 submitted questions, overarching credit for this learning supplement goes to Meriam Naqvi, MD; Philip Bonanno, MD; Greta Fowlie, MD; Michael Hughes, MD; Erin Zerbo, MD; and Petros Levounis, MD, MA.