PRITE Study Guide – Complete With Solutions
Common malformation caused by Valproate use in pregnancy: Right Ans -
Neural tube defects
Symptom most commonly experienced with onset of psychotic depression at
old age? Right Ans - Nihilistic delusions
Tic severity begins to improve at which age period: Right Ans -
Adolescence
Factor that consistently predicts positive therapy outcome in most psych
disorders: Right Ans - Therapeutic alliance
Med associated with reduction in completed suicides in schizophrenia?
Right Ans - Clozapine
Medication class that can lead to relative increase in beta frequency in an
awake EEG? Right Ans - Sedatives
First DSM without homosexuality listed as a disorder? Right Ans - DSM-III-
R (1987)
Best use of hypnosis in pt with chronic PTSD with severe dissociative
symptoms due to childhood abuse? Right Ans - Learning to gain volitional
control over dissociation
Consult Liason psych evaluating a pt with altered mental status, persecutory
delusions, RIS, poor recall, malar rash, proteinuria, fever, pancytopenia and
bilateral pleural effusions. Diagnosis? Right Ans - Lupus cerebritis
20yo female without periods for past 4 months convinced she is pregnant
despite negative test/US. Diagnosis? Right Ans - Pseudocyesis
What feature would point to alcohol hallucinosis instead of DT in a pt with
alcohol withdrawal with hallucinations? Right Ans - clear sensorium
"First do no harm" ethical principle Right Ans - Nonmaleficence
,Extensive inability to recall personal info, Diagnosis? Right Ans -
Dissociative identity disorder
Pt with significant caffeine use, having side effects. Best approach to address
caffeine addiction: Right Ans - Cut caffeine by 25% weekly
E in CAGE: Right Ans - Eye opener
Pt with suicidal ideation because he has always identified as a woman but is
unable to become a woman. Diagnosis: Right Ans - Gender dysphoria
Couple recieving psychotherapy for sexual dysfunction are encouraged to
explore each other's bodies as homework. Technique? Right Ans - Sensate
focusing
75 yo pt with no psych hx, becoming more hostile, suspicious and withdrawn
for 1 yr, develops delusions. MOCA 28/30, MRI normal for age. Diagnosis?
Right Ans - Schizophrenia
Which pts require maintenance antidepressant therapy? Right Ans - Pts
with multiple major depressive episodes
Freud's most salient feature of normal psychosexual development between 1-
3yo? Right Ans - Child-parent struggles about the need to delay
gratification of desires
Pharmacologic action of imipramine explaining cardiac toxicity in OD, is
blockade of: Right Ans - Voltage-gated NA channels
Medication most appropriate for addressing craving in alcohol use recovery?
Right Ans - Naltrexone
Race vs ethnicity? Right Ans - Race is mainly based on physical
characteristics whereas ethnicity incorporates multiple factors
REM sleep disorder is associated with inclusions containing: Right Ans -
Synuclein
, Medication most associated with prolonged seizures after ECT? Right Ans -
Lithium
Bipolar pt admitted for VRE bacteremia with fast HR, high BP, 100.9 F fever,
tremors on BUE, hyperreflexia, AMS, myoclonic jerks and visual
hallucinations. Meds include linezolid, sertraline, lithium and risperidone.
Diagnosis? Right Ans - Serotonin syndrome
Pt believes the TV is sending him special messages. Term? Right Ans -
Delusion of reference
what factor substantially increases the rate of sustained abstinence associated
with disulfiram use? Right Ans - Involving the pt's partner in administering
the med
Most common comorbidity to Autism? Right Ans - Intellectual dissability
Pt is asked "what do you do in your job" and pt talks about his coworkers,
describes the work place and finally what he does. Thought process? Right
Ans - Circumstantial
Pt 1 yr post bariatric surgery presents with BLE parestesias, spasticity,
hyperreflexia with ankle clonus and + Babinski. Most likely deficiency?
Right Ans - Cobalamin
Disoder most frequently comorbid in school-aged children with ADHD
combined type? Right Ans - Anxiety
EEG biofeedback training is an efficacious tx for: Right Ans - GAD
Concomittant use of which medication warrants a lower starting dose of
Lamictal? Right Ans - Valproate
Normal 15 yo boy is most likely to fantasize about what, when masturbating?
Right Ans - Explicit sexual acts
Distinguishing aspect between general psych eval and forensic psych eval?
Right Ans - Maintenance of confidentiality
Common malformation caused by Valproate use in pregnancy: Right Ans -
Neural tube defects
Symptom most commonly experienced with onset of psychotic depression at
old age? Right Ans - Nihilistic delusions
Tic severity begins to improve at which age period: Right Ans -
Adolescence
Factor that consistently predicts positive therapy outcome in most psych
disorders: Right Ans - Therapeutic alliance
Med associated with reduction in completed suicides in schizophrenia?
Right Ans - Clozapine
Medication class that can lead to relative increase in beta frequency in an
awake EEG? Right Ans - Sedatives
First DSM without homosexuality listed as a disorder? Right Ans - DSM-III-
R (1987)
Best use of hypnosis in pt with chronic PTSD with severe dissociative
symptoms due to childhood abuse? Right Ans - Learning to gain volitional
control over dissociation
Consult Liason psych evaluating a pt with altered mental status, persecutory
delusions, RIS, poor recall, malar rash, proteinuria, fever, pancytopenia and
bilateral pleural effusions. Diagnosis? Right Ans - Lupus cerebritis
20yo female without periods for past 4 months convinced she is pregnant
despite negative test/US. Diagnosis? Right Ans - Pseudocyesis
What feature would point to alcohol hallucinosis instead of DT in a pt with
alcohol withdrawal with hallucinations? Right Ans - clear sensorium
"First do no harm" ethical principle Right Ans - Nonmaleficence
,Extensive inability to recall personal info, Diagnosis? Right Ans -
Dissociative identity disorder
Pt with significant caffeine use, having side effects. Best approach to address
caffeine addiction: Right Ans - Cut caffeine by 25% weekly
E in CAGE: Right Ans - Eye opener
Pt with suicidal ideation because he has always identified as a woman but is
unable to become a woman. Diagnosis: Right Ans - Gender dysphoria
Couple recieving psychotherapy for sexual dysfunction are encouraged to
explore each other's bodies as homework. Technique? Right Ans - Sensate
focusing
75 yo pt with no psych hx, becoming more hostile, suspicious and withdrawn
for 1 yr, develops delusions. MOCA 28/30, MRI normal for age. Diagnosis?
Right Ans - Schizophrenia
Which pts require maintenance antidepressant therapy? Right Ans - Pts
with multiple major depressive episodes
Freud's most salient feature of normal psychosexual development between 1-
3yo? Right Ans - Child-parent struggles about the need to delay
gratification of desires
Pharmacologic action of imipramine explaining cardiac toxicity in OD, is
blockade of: Right Ans - Voltage-gated NA channels
Medication most appropriate for addressing craving in alcohol use recovery?
Right Ans - Naltrexone
Race vs ethnicity? Right Ans - Race is mainly based on physical
characteristics whereas ethnicity incorporates multiple factors
REM sleep disorder is associated with inclusions containing: Right Ans -
Synuclein
, Medication most associated with prolonged seizures after ECT? Right Ans -
Lithium
Bipolar pt admitted for VRE bacteremia with fast HR, high BP, 100.9 F fever,
tremors on BUE, hyperreflexia, AMS, myoclonic jerks and visual
hallucinations. Meds include linezolid, sertraline, lithium and risperidone.
Diagnosis? Right Ans - Serotonin syndrome
Pt believes the TV is sending him special messages. Term? Right Ans -
Delusion of reference
what factor substantially increases the rate of sustained abstinence associated
with disulfiram use? Right Ans - Involving the pt's partner in administering
the med
Most common comorbidity to Autism? Right Ans - Intellectual dissability
Pt is asked "what do you do in your job" and pt talks about his coworkers,
describes the work place and finally what he does. Thought process? Right
Ans - Circumstantial
Pt 1 yr post bariatric surgery presents with BLE parestesias, spasticity,
hyperreflexia with ankle clonus and + Babinski. Most likely deficiency?
Right Ans - Cobalamin
Disoder most frequently comorbid in school-aged children with ADHD
combined type? Right Ans - Anxiety
EEG biofeedback training is an efficacious tx for: Right Ans - GAD
Concomittant use of which medication warrants a lower starting dose of
Lamictal? Right Ans - Valproate
Normal 15 yo boy is most likely to fantasize about what, when masturbating?
Right Ans - Explicit sexual acts
Distinguishing aspect between general psych eval and forensic psych eval?
Right Ans - Maintenance of confidentiality
