PRITE STANDARD EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔The psychiatrist's use of coercion invalidated informed consent - ✔✔An agitated
patient with bipolar disorder, manic, was evaluated in the emergency department and
resisted voluntary psychiatric hospitalization. The frustrated psychiatrist said to the
patient "You can come in voluntarily and choose when you will be discharged, or I will
involuntarily hospitalize you so that you have no say in how long you stay in the
hospital." The patient had made no threat of suicide or violence towards others. Which
of the following best explains why the psychiatrist's decision does not meet the standard
of care?
✔✔Frequency of channel opening in response to GABA - ✔✔The primary mechanism of
action of benzodiazepines at GABA-A receptors is to increase which of the following?
✔✔Selective serotonin reuptake inhibitors - ✔✔A meta-analysis of multiple clinical trials
found a modest increased risk of suicidality when adolescents were treated with which
of the following classes of agents?
✔✔Serum electrolytes - ✔✔A 65-year-old patient is prescribed sertraline for depression
and within weeks develops waxing and waning impairment of alertness, attention and
memory. Vital signs and physical examination are within normal limits. Which of the
following tests would be most helpful in clarifying the etiology of the change in patient's
mental status?
✔✔Intellectual disability - ✔✔Which of the following is seen most frequently as a
comorbid condition in children with autism spectrum disorder?
✔✔Psychiatrist will win because a doctor-patient relationship was not established -
✔✔A celebrity radio psychiatrist tells the listening audience that medications like
alprazolam are often prescribed for insomnia. A radio listener obtains alprazolam 1 mg
tablets from a friend. The listener takes four tablets, falls, and sustains a sprained wrist
and a concussion. The listener is now suing the psychiatrist for malpractice. Which of
the following is the most likely outcome of this case?
, ✔✔Single nucleotide polymorphisms - ✔✔Which of the following variants is most
commonly identified in the human genome?
✔✔Smiling preferentially to caregiver's voice - ✔✔Which of the following attachment
behaviors typically presents in the first month of life?
✔✔Duration of post traumatic amnesia - ✔✔The intensity of cognitive deficits
associated with severe head trauma most closely correlates with:
✔✔Lithium - ✔✔Which of the following medications can contribute to prolonged post-
ictal delirium and severe cognitive side effects during a course of ECT treatment?
✔✔Influenza - ✔✔Prenatal infection with which of the following has the most evidence
for the risk of developing schizophrenia?
✔✔Tetrabenazine - ✔✔A 36-year-old is becoming increasingly more aggressive and
has begun to develop withing movements of the arms and legs. The patients parent had
similar symptoms before passing away at a young age. Which of the following would be
the most effective in treating the abnormal movements?
✔✔psychiatric hospitalization - ✔✔Randomized controlled trials involving assertive
community treatment have most consistently shown improvements in:
✔✔Formation of breast buds - ✔✔Which one of the following changes is usually the first
pubertal sign in genetic females?
✔✔Posterior column - ✔✔A patient is seen for evaluation of gait imbalance. The patient
cannot discern the direction of toe movement when the examiner moves the toe by
grasping either side with fingers and moves up or down. This finding on examination
can be caused by a lesion in which of the following tracts?
✔✔Weekly - ✔✔A patient with schizophrenia is newly initiated on clozapine therapy
after failing two other antipsychotic trials. The patient's initial absolute neutrophil count is
2200/mm3.How frequently should the psychiatrist order a CBC with differential for this
patient?
✔✔Dorsolateral prefrontal cortex - ✔✔Which of the following brain regions is most
commonly targeted with rTMS to treat Major Depressive Disorder?
✔✔Cultural conceptualization of distress - ✔✔Shorty after discharge from a psychiatric
unit, a patient is brought back to the emergency room for recurrence of manic
symptoms. The patient states that their symptoms were a punishment from God for
having thoughts of sexual impropriety and that their family's urging had stopped their
medications and began attending religious services to pray for forgiveness. According to
QUESTIONS SET A+
✔✔The psychiatrist's use of coercion invalidated informed consent - ✔✔An agitated
patient with bipolar disorder, manic, was evaluated in the emergency department and
resisted voluntary psychiatric hospitalization. The frustrated psychiatrist said to the
patient "You can come in voluntarily and choose when you will be discharged, or I will
involuntarily hospitalize you so that you have no say in how long you stay in the
hospital." The patient had made no threat of suicide or violence towards others. Which
of the following best explains why the psychiatrist's decision does not meet the standard
of care?
✔✔Frequency of channel opening in response to GABA - ✔✔The primary mechanism of
action of benzodiazepines at GABA-A receptors is to increase which of the following?
✔✔Selective serotonin reuptake inhibitors - ✔✔A meta-analysis of multiple clinical trials
found a modest increased risk of suicidality when adolescents were treated with which
of the following classes of agents?
✔✔Serum electrolytes - ✔✔A 65-year-old patient is prescribed sertraline for depression
and within weeks develops waxing and waning impairment of alertness, attention and
memory. Vital signs and physical examination are within normal limits. Which of the
following tests would be most helpful in clarifying the etiology of the change in patient's
mental status?
✔✔Intellectual disability - ✔✔Which of the following is seen most frequently as a
comorbid condition in children with autism spectrum disorder?
✔✔Psychiatrist will win because a doctor-patient relationship was not established -
✔✔A celebrity radio psychiatrist tells the listening audience that medications like
alprazolam are often prescribed for insomnia. A radio listener obtains alprazolam 1 mg
tablets from a friend. The listener takes four tablets, falls, and sustains a sprained wrist
and a concussion. The listener is now suing the psychiatrist for malpractice. Which of
the following is the most likely outcome of this case?
, ✔✔Single nucleotide polymorphisms - ✔✔Which of the following variants is most
commonly identified in the human genome?
✔✔Smiling preferentially to caregiver's voice - ✔✔Which of the following attachment
behaviors typically presents in the first month of life?
✔✔Duration of post traumatic amnesia - ✔✔The intensity of cognitive deficits
associated with severe head trauma most closely correlates with:
✔✔Lithium - ✔✔Which of the following medications can contribute to prolonged post-
ictal delirium and severe cognitive side effects during a course of ECT treatment?
✔✔Influenza - ✔✔Prenatal infection with which of the following has the most evidence
for the risk of developing schizophrenia?
✔✔Tetrabenazine - ✔✔A 36-year-old is becoming increasingly more aggressive and
has begun to develop withing movements of the arms and legs. The patients parent had
similar symptoms before passing away at a young age. Which of the following would be
the most effective in treating the abnormal movements?
✔✔psychiatric hospitalization - ✔✔Randomized controlled trials involving assertive
community treatment have most consistently shown improvements in:
✔✔Formation of breast buds - ✔✔Which one of the following changes is usually the first
pubertal sign in genetic females?
✔✔Posterior column - ✔✔A patient is seen for evaluation of gait imbalance. The patient
cannot discern the direction of toe movement when the examiner moves the toe by
grasping either side with fingers and moves up or down. This finding on examination
can be caused by a lesion in which of the following tracts?
✔✔Weekly - ✔✔A patient with schizophrenia is newly initiated on clozapine therapy
after failing two other antipsychotic trials. The patient's initial absolute neutrophil count is
2200/mm3.How frequently should the psychiatrist order a CBC with differential for this
patient?
✔✔Dorsolateral prefrontal cortex - ✔✔Which of the following brain regions is most
commonly targeted with rTMS to treat Major Depressive Disorder?
✔✔Cultural conceptualization of distress - ✔✔Shorty after discharge from a psychiatric
unit, a patient is brought back to the emergency room for recurrence of manic
symptoms. The patient states that their symptoms were a punishment from God for
having thoughts of sexual impropriety and that their family's urging had stopped their
medications and began attending religious services to pray for forgiveness. According to
