PRITE Test Questions with 100% Correct
Answers
Which of the following sources of pain is thought to have a primarily central (non-
nociceptive) mechanism?
Fibromyalgia
A patient presents with mild memory impairment, tearfulness, insomnia, and blurry
vision. The patient acts as if blind, cannot locate objects in the visual field, has left-right
disorientation and alexia, and misses objects when instructed to reach for them. The
patient only identifies a single object in a drawing of overlapping objects. Despite
requiring prompts to visually follow objects, cranial nerves, motor function, reflexes,
and movement and color detection are otherwise intact. Which of the following is the
most likely cause of the visual disturbance?
Cerebral infarct
Variable phenotypic expression of 15q13 deletion depends on whether the encoding
gene is derived from the father or the mother. This phenomenon is commonly referred
to as:
genomic imprinting
A patient hospitalized for burns sustained in a house fire one week prior is experiencing
recurrent nightmares and frequent intrusive memories about the fire accompanied by
palpitations, shortness of breath and feeling flushed. The patient's nurse expresses
concern that the patient seems depressed, is sleeping poorly and startles when someone
enters the room without knocking. On exam, the patient is distracted, sometimes
irritable, and has labile affect. Which of the following is the most likely diagnosis?
,Acute stress disorder
Which of the following is an example of epigenetic gene regulation?
Addition of a methyl group to a histone around which DNA is coiled
Which of the following sex hormones is most responsible for sexual differentiation in
fetal brain development?
Testosterone
What psychiatric disorder occurs most frequently with secondary enuresis?
Attention-deficit/hyperactivity disorder
The psychiatrist is concerned about a colleague's behavior and notifies the State's
physician health program, which conducts an intervention. The physician should be
referred for professional evaluation/treatment in which of the following scenarios?
Is observed to be aggressive toward patients on three different occasions during shifts in the
emergency department
Abnormalities in which of the following components of the neurological examination
would indicate cerebellar dysfunction?
Rapid alternating movements
Excessive activation of which of the following receptors is thought to contribute to cell
death in Alzheimer disease?
NMDA
In behavior mastery training, which of the following techniques teaches individuals with
sexual addiction to identify factors that increase the likelihood of symptomatic sexual
behavior?
,Risk management
A patient has been prescribed a second-generation antipsychotic for just over a year.
Since starting the medication, her libido is markedly lower, and she has experienced
irregular menstrual cycles. Which of the following lab tests would have the greatest
diagnostic value at this point?
Prolactin
A 58 year old patient develops progressive weakness and tingling two weeks after
receiving a vaccination. Examination reveals weakness and decreased sensation in the
legs, as well as absent deep tendon reflexes in arms and legs. Imaging of the brain and
spine is normal. Which of the following tests will confirm the most likely diagnosis?
Nerve conduction studies
Which of the following is among the first steps taken by a public school to address a
student's difficulty being successful academically?
Initiate a response to intervention plan
Which of the following nuclei of the hypothalamus is the major site for Neuropeptide Y
synthesis?
Arcuate nucleus
Which of the following types of group therapy encourages high intragroup dependence
and less group leader dependence?
Transactional
Which mechanism is the most likely cause of anosmia in patients infected with COVID-
19?
, Direct viral involvement of the nasal epithelium
Which of the following is the most consistently described neurochemical abnormality in
Alzheimer disease of moderate severity?
Decreased choline acetyltransferase activity
An argumentative ten-year-old who displays persistent anger outbursts, vindictiveness,
and deliberately annoys adults most likely has which of the following disorders?
Oppositional defiant disorder
Which of the following outcomes has been demonstrated to improve as a result of peer
support services in the treatment of people with mental illness?
Quality of life, Empowerment, Social functioning, Satisfaction with service
Electroconvulsive therapy is indicated for which of the following conditions:
Neuroleptic malignant syndrome
Which of the following white matter tracts connects the temporal and orbitofrontal
cortices?
Uncinate fasciculus
The Clinical Pharmacogenetics Implementation Consortium dosing guideline for
antidepressants are based on genetic variations in:
CYP450 Enzymes
Which of the following molecular mechanisms is best supported as a possible
explanation for how early life stress could lead to the development of psychiatric
disorders in adulthood?
Answers
Which of the following sources of pain is thought to have a primarily central (non-
nociceptive) mechanism?
Fibromyalgia
A patient presents with mild memory impairment, tearfulness, insomnia, and blurry
vision. The patient acts as if blind, cannot locate objects in the visual field, has left-right
disorientation and alexia, and misses objects when instructed to reach for them. The
patient only identifies a single object in a drawing of overlapping objects. Despite
requiring prompts to visually follow objects, cranial nerves, motor function, reflexes,
and movement and color detection are otherwise intact. Which of the following is the
most likely cause of the visual disturbance?
Cerebral infarct
Variable phenotypic expression of 15q13 deletion depends on whether the encoding
gene is derived from the father or the mother. This phenomenon is commonly referred
to as:
genomic imprinting
A patient hospitalized for burns sustained in a house fire one week prior is experiencing
recurrent nightmares and frequent intrusive memories about the fire accompanied by
palpitations, shortness of breath and feeling flushed. The patient's nurse expresses
concern that the patient seems depressed, is sleeping poorly and startles when someone
enters the room without knocking. On exam, the patient is distracted, sometimes
irritable, and has labile affect. Which of the following is the most likely diagnosis?
,Acute stress disorder
Which of the following is an example of epigenetic gene regulation?
Addition of a methyl group to a histone around which DNA is coiled
Which of the following sex hormones is most responsible for sexual differentiation in
fetal brain development?
Testosterone
What psychiatric disorder occurs most frequently with secondary enuresis?
Attention-deficit/hyperactivity disorder
The psychiatrist is concerned about a colleague's behavior and notifies the State's
physician health program, which conducts an intervention. The physician should be
referred for professional evaluation/treatment in which of the following scenarios?
Is observed to be aggressive toward patients on three different occasions during shifts in the
emergency department
Abnormalities in which of the following components of the neurological examination
would indicate cerebellar dysfunction?
Rapid alternating movements
Excessive activation of which of the following receptors is thought to contribute to cell
death in Alzheimer disease?
NMDA
In behavior mastery training, which of the following techniques teaches individuals with
sexual addiction to identify factors that increase the likelihood of symptomatic sexual
behavior?
,Risk management
A patient has been prescribed a second-generation antipsychotic for just over a year.
Since starting the medication, her libido is markedly lower, and she has experienced
irregular menstrual cycles. Which of the following lab tests would have the greatest
diagnostic value at this point?
Prolactin
A 58 year old patient develops progressive weakness and tingling two weeks after
receiving a vaccination. Examination reveals weakness and decreased sensation in the
legs, as well as absent deep tendon reflexes in arms and legs. Imaging of the brain and
spine is normal. Which of the following tests will confirm the most likely diagnosis?
Nerve conduction studies
Which of the following is among the first steps taken by a public school to address a
student's difficulty being successful academically?
Initiate a response to intervention plan
Which of the following nuclei of the hypothalamus is the major site for Neuropeptide Y
synthesis?
Arcuate nucleus
Which of the following types of group therapy encourages high intragroup dependence
and less group leader dependence?
Transactional
Which mechanism is the most likely cause of anosmia in patients infected with COVID-
19?
, Direct viral involvement of the nasal epithelium
Which of the following is the most consistently described neurochemical abnormality in
Alzheimer disease of moderate severity?
Decreased choline acetyltransferase activity
An argumentative ten-year-old who displays persistent anger outbursts, vindictiveness,
and deliberately annoys adults most likely has which of the following disorders?
Oppositional defiant disorder
Which of the following outcomes has been demonstrated to improve as a result of peer
support services in the treatment of people with mental illness?
Quality of life, Empowerment, Social functioning, Satisfaction with service
Electroconvulsive therapy is indicated for which of the following conditions:
Neuroleptic malignant syndrome
Which of the following white matter tracts connects the temporal and orbitofrontal
cortices?
Uncinate fasciculus
The Clinical Pharmacogenetics Implementation Consortium dosing guideline for
antidepressants are based on genetic variations in:
CYP450 Enzymes
Which of the following molecular mechanisms is best supported as a possible
explanation for how early life stress could lead to the development of psychiatric
disorders in adulthood?
