PRITE UPDATED MAIN ANSWERS AND QUESTIONS
SET A+
✔✔A 70-year-old woman who is evaluated for cognitive impairment reports a 15-month
history of decline in function and ability to perform daily activities. She becomes
confused at time sand appears to have a "slowness" to her movements and thinking.
She complains of memory problems, but that is not apparent on examination. Her gait is
impaired with imbalance and shortened "shuffling" steps with leaning forward and
stooped posture. There is no tremor or cogwheeling appreciated on exam. More
recently she has developed episodes of urinary incontinence and is indifferent to these
lapses. The most likely disorder to consider is ___________. - ✔✔normal pressure
hydrocephalus
✔✔Which of the following best represents secondary prevention?
A) using helmets to prevent head injuries
B) Relapse prevention in alcohol use disorders
C) Encouraging healthy eating to prevent obesity
D) Testing for HIV in patients with IV drug abuse
E) Cognitive remediation therapy in patients with schizophrenia - ✔✔D) Testing for HIV
in patients with IV drug abuse
✔✔According to learning theory, the alarm in the bell-and-pad method of treating
enuresis serves as _______________. - ✔✔Unconditioned stimulus (stimulus that leads
to automatic response)
✔✔On neurological examination, a patient demonstrates loss of cutaneous sensation in
a stocking-glove distribution. Dysfunction of what is most likely to cause these
symptoms? - ✔✔Peripheral nerves
✔✔CT scan of the brain shows acute hemorrhage. What is the most likely cause based
on the location of the bleed? - ✔✔Hypertension
, ✔✔What cognitive ability tends to increase or remain preserved with age? -
✔✔Semantic memory
✔✔Best describe the difference between "sanity" and "competency to stand trial." -
✔✔Sanity refers to the defendant's mental state at the time of the crime, while
competency refers to the defendants current mental state.
✔✔The Trail Making Test primarily assesses which of the following cognitive
capacities? - ✔✔Visual attention
✔✔What is the strongest protective factor for child development following prenatal
substance exposure? - ✔✔Attuned primary caregiver after birth
✔✔What is a term, phrase, or way of talking used by people of the same culture to
express suffering and concern? - ✔✔Cultural idiom of distress
✔✔What is the most appropriate label for the cognitive error made by a patient reaching
a conclusion that 'nobody likes me' despite amble contradictory evidence? -
✔✔Arbitrary inference
✔✔Which of the following is most likely to reduce the analgesic efficacy of tramadol?
A) Bupropion
B) Fluvoxamine
C) Buprenorphine
D) Smoking cigarettes
E) Drinking grapefruit juice - ✔✔A) Bupropion
✔✔A patient has recently begun to see a new psychiatrist for combined medication
management and interpersonal psychotherapy. How should the psychiatrist record the
information about these sessions? - ✔✔Sensitive information exclusively relevant to the
treating provider should go in process notes; other information about medication and
therapy goes in the medical record.
✔✔Through which structure does a direct connection between pre-frontal cortical
regions, thalamus, and brainstem pass in a specific regionally oriented fiber bundles. -
✔✔Internal capsule
✔✔An otherwise healthy woman who is two weeks postpartum is brought to the
emergency department by her husband for evaluation. She is hyperverbal and shares
concerns about cameras monitoring her, and her husband reports taht she jumped out
of the care while he was driving her to the hospital. Urine tox is negative. The husband
advocates for her to be discharged to get home to their breastfeeding two two old child.
SET A+
✔✔A 70-year-old woman who is evaluated for cognitive impairment reports a 15-month
history of decline in function and ability to perform daily activities. She becomes
confused at time sand appears to have a "slowness" to her movements and thinking.
She complains of memory problems, but that is not apparent on examination. Her gait is
impaired with imbalance and shortened "shuffling" steps with leaning forward and
stooped posture. There is no tremor or cogwheeling appreciated on exam. More
recently she has developed episodes of urinary incontinence and is indifferent to these
lapses. The most likely disorder to consider is ___________. - ✔✔normal pressure
hydrocephalus
✔✔Which of the following best represents secondary prevention?
A) using helmets to prevent head injuries
B) Relapse prevention in alcohol use disorders
C) Encouraging healthy eating to prevent obesity
D) Testing for HIV in patients with IV drug abuse
E) Cognitive remediation therapy in patients with schizophrenia - ✔✔D) Testing for HIV
in patients with IV drug abuse
✔✔According to learning theory, the alarm in the bell-and-pad method of treating
enuresis serves as _______________. - ✔✔Unconditioned stimulus (stimulus that leads
to automatic response)
✔✔On neurological examination, a patient demonstrates loss of cutaneous sensation in
a stocking-glove distribution. Dysfunction of what is most likely to cause these
symptoms? - ✔✔Peripheral nerves
✔✔CT scan of the brain shows acute hemorrhage. What is the most likely cause based
on the location of the bleed? - ✔✔Hypertension
, ✔✔What cognitive ability tends to increase or remain preserved with age? -
✔✔Semantic memory
✔✔Best describe the difference between "sanity" and "competency to stand trial." -
✔✔Sanity refers to the defendant's mental state at the time of the crime, while
competency refers to the defendants current mental state.
✔✔The Trail Making Test primarily assesses which of the following cognitive
capacities? - ✔✔Visual attention
✔✔What is the strongest protective factor for child development following prenatal
substance exposure? - ✔✔Attuned primary caregiver after birth
✔✔What is a term, phrase, or way of talking used by people of the same culture to
express suffering and concern? - ✔✔Cultural idiom of distress
✔✔What is the most appropriate label for the cognitive error made by a patient reaching
a conclusion that 'nobody likes me' despite amble contradictory evidence? -
✔✔Arbitrary inference
✔✔Which of the following is most likely to reduce the analgesic efficacy of tramadol?
A) Bupropion
B) Fluvoxamine
C) Buprenorphine
D) Smoking cigarettes
E) Drinking grapefruit juice - ✔✔A) Bupropion
✔✔A patient has recently begun to see a new psychiatrist for combined medication
management and interpersonal psychotherapy. How should the psychiatrist record the
information about these sessions? - ✔✔Sensitive information exclusively relevant to the
treating provider should go in process notes; other information about medication and
therapy goes in the medical record.
✔✔Through which structure does a direct connection between pre-frontal cortical
regions, thalamus, and brainstem pass in a specific regionally oriented fiber bundles. -
✔✔Internal capsule
✔✔An otherwise healthy woman who is two weeks postpartum is brought to the
emergency department by her husband for evaluation. She is hyperverbal and shares
concerns about cameras monitoring her, and her husband reports taht she jumped out
of the care while he was driving her to the hospital. Urine tox is negative. The husband
advocates for her to be discharged to get home to their breastfeeding two two old child.
