PRITE 2017 1 EXAM SCRIPT 2026 COMPLETE
QUESTIONS AND SOLUTIONS
◉ Central nervous system responses to fear provoking stimuli are
mediated chiefly through which of
the following structures?
A Substantia nigra
B Lateral hypothalamus
C Posterior hippocampus
D Periaqueductal gray matter
E Central nucleus of the amygdala. Answer: E
Neurosciences
◉ A 28-year-old female patient is referred to a psychiatrist by her
prima.ry care physician due to a recent onset of episodes of altered
behavior which last about one to two minutes at most. The patient's
spouse notes that when these episodes occur while the patient is
cooking, she will place all the clean silverware back in the dishwasher.
During the episodes the spouse has observed the patient making chewing
movements, and indicates that he is unable to interrupt the patient's
behavior. After the episode, the patient has no recollection of the events.
A magnetic resonance imaging scan is normal. Which of the following is
the most likely diagnosis?
A Fugue states
,B Dissociative states
C Peduncularhallucinosis
D Transient global amnesia
E Complex partial seizures. Answer: E
Clinical neurology
◉ A psychiatrist meets a new patient for an intake. Early in the session
the patient says, "You're going to be just like the others - no doctors ever
listen to me," Which of the following would be the best statement for the
psychiatrist to make next?
A "Are you always this accusatory with your treatment providers?"
B "l'm sorry you felt unheard in the past. Can you describe that
experience?"
C "Tell me about your childhood. Did you feel misunderstood by your
parents as well?"
D "We will come back to this, but first I need to know more about your
psychiatric history."
E "l doubt that. I have been in practice for many years, so it shouldn't be
a problem.". Answer: B
Clinical Psychiatry
Treatment
◉ Animal literature has established that maternal licking and grooming
behavior has a profound effect on the stress reactivity of offspring.
,Which of the following evidence exists regarding the mechanism of this
effect?
A ls due to heritable changes in oxytocin gene
B ls not reversible by environmental interventions
C ls heritable because the genetic code has been altered
D ls due to DNA methylation affecting glucocorticoid receptor
expression
E ls due to female offspring being more susceptible to these changes
than male offspring. Answer: D
Neurosciences
◉ A 23-year-old patient with severe borderline personality disorder and
more than 20 past suicide attempts presents for dialectical behavior
therapy (DBT), The therapist asks the patient for a commitment to
refrain from self-harm behaviors for one year. The patient replies, "Oh,
sure, that won't be a problem at all, believe me," Which of the following
responses by the therapist would be
most consistent with principles of DBT?
A lnsist that the patient endorse the agreement in writing
B Suggest that the patient increase the duration,of the commitment to
two years
C Draw the patient's attention to the fact that this commitment would be
extremely difficult to abide by
D Inform the patient that treatment will be terminated if any acts of self-
harm occur within the next year
, E Praise the patient for the decision and emphasize that the therapist
does indeed believe that the patient will refrain from self-harm ".
Answer: C
Clinical Psychiatry
Treatment
◉ A 47-year-old patient with epilepsy has seizures that are well-
controlled on antiepileptic drug monotherapy, but the patient develops
nausea, ataxia and diplopia when treated with erythromycin for a sinus
infection. This patient is most likely taking which of the following
antiepileptic medícations?
A Valproate
B Gabapentin
C Topiramate
D Levetiracetam
E Carbamazepine. Answer: E
Clinical neurology
◉ A recently retired woman begins outpatient psychotherapy to help
cope with several recent transitions in her life. She mentions regret that
she did not pursue a graduate degree and instead "settled" for her ten-
year job as an administrative assistant. She worries about her grown
children, a son who lives with her and is not financially independent,
and a daughter whom "l could have set on a better path." She would like
to do something meaningful, in the last few decades of her life, but is
QUESTIONS AND SOLUTIONS
◉ Central nervous system responses to fear provoking stimuli are
mediated chiefly through which of
the following structures?
A Substantia nigra
B Lateral hypothalamus
C Posterior hippocampus
D Periaqueductal gray matter
E Central nucleus of the amygdala. Answer: E
Neurosciences
◉ A 28-year-old female patient is referred to a psychiatrist by her
prima.ry care physician due to a recent onset of episodes of altered
behavior which last about one to two minutes at most. The patient's
spouse notes that when these episodes occur while the patient is
cooking, she will place all the clean silverware back in the dishwasher.
During the episodes the spouse has observed the patient making chewing
movements, and indicates that he is unable to interrupt the patient's
behavior. After the episode, the patient has no recollection of the events.
A magnetic resonance imaging scan is normal. Which of the following is
the most likely diagnosis?
A Fugue states
,B Dissociative states
C Peduncularhallucinosis
D Transient global amnesia
E Complex partial seizures. Answer: E
Clinical neurology
◉ A psychiatrist meets a new patient for an intake. Early in the session
the patient says, "You're going to be just like the others - no doctors ever
listen to me," Which of the following would be the best statement for the
psychiatrist to make next?
A "Are you always this accusatory with your treatment providers?"
B "l'm sorry you felt unheard in the past. Can you describe that
experience?"
C "Tell me about your childhood. Did you feel misunderstood by your
parents as well?"
D "We will come back to this, but first I need to know more about your
psychiatric history."
E "l doubt that. I have been in practice for many years, so it shouldn't be
a problem.". Answer: B
Clinical Psychiatry
Treatment
◉ Animal literature has established that maternal licking and grooming
behavior has a profound effect on the stress reactivity of offspring.
,Which of the following evidence exists regarding the mechanism of this
effect?
A ls due to heritable changes in oxytocin gene
B ls not reversible by environmental interventions
C ls heritable because the genetic code has been altered
D ls due to DNA methylation affecting glucocorticoid receptor
expression
E ls due to female offspring being more susceptible to these changes
than male offspring. Answer: D
Neurosciences
◉ A 23-year-old patient with severe borderline personality disorder and
more than 20 past suicide attempts presents for dialectical behavior
therapy (DBT), The therapist asks the patient for a commitment to
refrain from self-harm behaviors for one year. The patient replies, "Oh,
sure, that won't be a problem at all, believe me," Which of the following
responses by the therapist would be
most consistent with principles of DBT?
A lnsist that the patient endorse the agreement in writing
B Suggest that the patient increase the duration,of the commitment to
two years
C Draw the patient's attention to the fact that this commitment would be
extremely difficult to abide by
D Inform the patient that treatment will be terminated if any acts of self-
harm occur within the next year
, E Praise the patient for the decision and emphasize that the therapist
does indeed believe that the patient will refrain from self-harm ".
Answer: C
Clinical Psychiatry
Treatment
◉ A 47-year-old patient with epilepsy has seizures that are well-
controlled on antiepileptic drug monotherapy, but the patient develops
nausea, ataxia and diplopia when treated with erythromycin for a sinus
infection. This patient is most likely taking which of the following
antiepileptic medícations?
A Valproate
B Gabapentin
C Topiramate
D Levetiracetam
E Carbamazepine. Answer: E
Clinical neurology
◉ A recently retired woman begins outpatient psychotherapy to help
cope with several recent transitions in her life. She mentions regret that
she did not pursue a graduate degree and instead "settled" for her ten-
year job as an administrative assistant. She worries about her grown
children, a son who lives with her and is not financially independent,
and a daughter whom "l could have set on a better path." She would like
to do something meaningful, in the last few decades of her life, but is
