PRITE 2024 Questions and Answers
"I always have to work harder than everyone else to succeed" is an example of what
kind of statement in cognitive theory - ANSWER-a schema
10 year old child sad and angry about parents' divorce, no longer believes he is
responsible. Which principle of cognitive change is this an example of? - ANSWER-
Decentration
10yo son is "girly boy," has female friends, prefers playing house and w/ dolls, no
distress or impairment, what is dx? - ANSWER-nonconformity to gender role
18 yo f avoiding food for 4 months with low BMI, regular menstruation, obsessing about
being fat, trying to lose weight, sometimes vomits after large meals. Diagnosis? -
ANSWER-Anorexia nervosa
21 year old has episode of nausea, sweating and hematemesis. Pt reports having
recent severe headaches and numbness in extremities. CT shows generalized brain
atrophy and labs show renal tubular acidosis and CPK of 3120 mcg/L. This is likely due
to chronic use of what? - ANSWER-Inhalants
22-month old shows which type of play when moving a block back and forth on train
tracks? - ANSWER-Symbolic
23 year old started therapy due to feeling inadequate, depression in context of working
in coffee shop, since graduating from college and deferring medical school acceptance.
Conflicts with parents over ambivalence of being physician. Which developmental task
is patient struggling with? - ANSWER-Identity
25 yo m with no psych history has new preoccupation and excessive concern with
imagined defects in appearance, no other symptoms. Which is best med (Quetiapine,
Mirtazapinne, Olanzapine, Bupropion, Fluoxetine)? - ANSWER-Fluoxetine
26 year old with headache and clumsiness of R hand for weeks, difficulty with rapid
alternating movements, intention tremor on finger-to-nose testing, with mildly dysmetric
finger-tapping, damage seen on MRI in which structures - ANSWER-Cerebellum
26yo obese female, severe headaches, bilateral papilledema on exam. Diagnosis? -
ANSWER-Idiopathic Intracranial Hypertension
,27 year old normal patient with intermittent muscle twitching. EMG findings showing
spontaneous discharges, fairly constant, representing motor unit firing are typical of? -
ANSWER-fasciculations
32 yo has a new onset headache with unilateral stabbing eye pain, also experiences
runny nose and conjunctival injection on same side as headache occurring every
evening after falling asleep and last 2 hours. Diagnosis? - ANSWER-Cluster headache
32 yo with episodes of severe sleepiness and falls asleep while driving, reporting
episodes of paralysis and hallucinations while awakening. Symptoms are best explained
by a deficiency of what? - ANSWER-Orexin
35 hospitalized w/ concussion following MVC with only minor lacerations and bruises.
One week later has generalized pain, dizziness, difficulty sleeping and recurrent
nightmares. Now fears driving. What is most likely explanation? - ANSWER-Acute
Stress Disorder
37 yo m with recent uneventful bone marrow transplant to treat leukemia now exhibits
increased anxiety, fearfulness, and difficulty sleeping, He is fearful to leave hospital.
MSE unremarkable. Most appropriate diagnosis? - ANSWER-Adjustment disorder with
anxiety
46 year old male with no past psychiatric history becoming labile, irritable,
inappropriately laughing, and fear of contamination. Patient has preserved memory but
impaired language and attention - ANSWER-Frontotemporal Dementia
54 y/o wakes up with weakness or R hand. he has been drinking at a bar and fell asleep
on right arm over the armrest of chair. exam shows weakness of wrist and finger
extension with normal grip strength. Which nerve is affected? - ANSWER-Radial nerve
55yo pt w/ schizophrenia stabilized on clozapine p/w impending signs of psychotic
relapse 2 weeks after d/c. Pt is compliant and UDS is neg. What explains relapse? -
ANSWER-Resumption of heavy smoking
65 year old presents is prescribed sertraline for depression and within weeks develops
waxing and waning impairment of alertness, attention and memory, what should be next
test to determine alteration in mental status - ANSWER-serum electrolytes
6yo has difficulty taking turns in conversations, monopolizes conversations with topics
nobody cares about, doesn't follow social norms, doesn't understand jokes, and
interprets them as being literal. Child wants to make friends. On exam makes good eye
contact and speaks formally. Diagnosis?. - ANSWER-Social (pragmatic) communication
disorder
, 71 year old patient with thunderclap headache, unilateral eye pain, blurred vision,
dilated pupils, conjunctival injection. Which dx test is best to reveal cause of patient's
headache - ANSWER-Intraocular pressure measurement
71yo pt w/ Parkinson's x3yrs p/w difficulties getting up, is not motivated to do anything,
has no interest in social events, and has "slowness" in thinking; although motor sx well
controlled on Sinemet, sx stable throughout day and no sadness, worthlessness, or SI.
Cognitive eval shows slow processing. What is most likely explanation? - ANSWER-
Apathy
75yo p/w new onset "confusion" trouble speaking, cannot think of word he wants,
nonsensical sentences and phrases such as "the snoodle linkered in the yard,' is unable
to repeat "no ifs, ands, or buts." Pt is able to follow commands and understands. What
is this type of aphasia? - ANSWER-Broca's aphasia
8 year old child has IQ of 60 on Weschsler Intelligence Scale for children. Which test
would help determine if meets criteria for intellectual disability - ANSWER-Vineland
Adaptive Behavior Scales
80yo pt is unable to blow out match although motor and sensory function are normal.
What is this called? - ANSWER-Apraxia
82 year old with progressive dementia, myoclonus over 3 months. EEG shows periodic
sharp waves with 1hz over both hemispheres. Dx? - ANSWER-Creutzfeldt--Jakob
disease
9 year old with ADHD not responding to methylphenidate, next medication? - ANSWER-
dextroamphetamine
A 21 year old hospitalized for a first episode of psychosis. Parents want to be involved
in care but pt does not want the team to speak to his parents due to his delusions.
According to HIPAA, how much information can be shared? - ANSWER-Provide
information given the lack of capacity and likely benefit
A 72 year old develops sudden onset memory loss. She didn't know how she and
spouse arrived at supermarket. The spouse noted that she could drive without issues
but appeared anxious. The patient was able to appropriately answer questions but
forgot the conversation and then returned to baseline. What is the most likely
diagnosis? - ANSWER-Transient global amnesia
A cross sectional study shows less depressive disorders in people who use a natural
pill. They then observe people from the same population for a year and find that
prevalence of depression is lower in those who regularly used the pill. They then recruit
a sample from the same population and randomly assign people to pill or placebo for
one year. This didn't show any difference. Assuming no major flaws in design or
"I always have to work harder than everyone else to succeed" is an example of what
kind of statement in cognitive theory - ANSWER-a schema
10 year old child sad and angry about parents' divorce, no longer believes he is
responsible. Which principle of cognitive change is this an example of? - ANSWER-
Decentration
10yo son is "girly boy," has female friends, prefers playing house and w/ dolls, no
distress or impairment, what is dx? - ANSWER-nonconformity to gender role
18 yo f avoiding food for 4 months with low BMI, regular menstruation, obsessing about
being fat, trying to lose weight, sometimes vomits after large meals. Diagnosis? -
ANSWER-Anorexia nervosa
21 year old has episode of nausea, sweating and hematemesis. Pt reports having
recent severe headaches and numbness in extremities. CT shows generalized brain
atrophy and labs show renal tubular acidosis and CPK of 3120 mcg/L. This is likely due
to chronic use of what? - ANSWER-Inhalants
22-month old shows which type of play when moving a block back and forth on train
tracks? - ANSWER-Symbolic
23 year old started therapy due to feeling inadequate, depression in context of working
in coffee shop, since graduating from college and deferring medical school acceptance.
Conflicts with parents over ambivalence of being physician. Which developmental task
is patient struggling with? - ANSWER-Identity
25 yo m with no psych history has new preoccupation and excessive concern with
imagined defects in appearance, no other symptoms. Which is best med (Quetiapine,
Mirtazapinne, Olanzapine, Bupropion, Fluoxetine)? - ANSWER-Fluoxetine
26 year old with headache and clumsiness of R hand for weeks, difficulty with rapid
alternating movements, intention tremor on finger-to-nose testing, with mildly dysmetric
finger-tapping, damage seen on MRI in which structures - ANSWER-Cerebellum
26yo obese female, severe headaches, bilateral papilledema on exam. Diagnosis? -
ANSWER-Idiopathic Intracranial Hypertension
,27 year old normal patient with intermittent muscle twitching. EMG findings showing
spontaneous discharges, fairly constant, representing motor unit firing are typical of? -
ANSWER-fasciculations
32 yo has a new onset headache with unilateral stabbing eye pain, also experiences
runny nose and conjunctival injection on same side as headache occurring every
evening after falling asleep and last 2 hours. Diagnosis? - ANSWER-Cluster headache
32 yo with episodes of severe sleepiness and falls asleep while driving, reporting
episodes of paralysis and hallucinations while awakening. Symptoms are best explained
by a deficiency of what? - ANSWER-Orexin
35 hospitalized w/ concussion following MVC with only minor lacerations and bruises.
One week later has generalized pain, dizziness, difficulty sleeping and recurrent
nightmares. Now fears driving. What is most likely explanation? - ANSWER-Acute
Stress Disorder
37 yo m with recent uneventful bone marrow transplant to treat leukemia now exhibits
increased anxiety, fearfulness, and difficulty sleeping, He is fearful to leave hospital.
MSE unremarkable. Most appropriate diagnosis? - ANSWER-Adjustment disorder with
anxiety
46 year old male with no past psychiatric history becoming labile, irritable,
inappropriately laughing, and fear of contamination. Patient has preserved memory but
impaired language and attention - ANSWER-Frontotemporal Dementia
54 y/o wakes up with weakness or R hand. he has been drinking at a bar and fell asleep
on right arm over the armrest of chair. exam shows weakness of wrist and finger
extension with normal grip strength. Which nerve is affected? - ANSWER-Radial nerve
55yo pt w/ schizophrenia stabilized on clozapine p/w impending signs of psychotic
relapse 2 weeks after d/c. Pt is compliant and UDS is neg. What explains relapse? -
ANSWER-Resumption of heavy smoking
65 year old presents is prescribed sertraline for depression and within weeks develops
waxing and waning impairment of alertness, attention and memory, what should be next
test to determine alteration in mental status - ANSWER-serum electrolytes
6yo has difficulty taking turns in conversations, monopolizes conversations with topics
nobody cares about, doesn't follow social norms, doesn't understand jokes, and
interprets them as being literal. Child wants to make friends. On exam makes good eye
contact and speaks formally. Diagnosis?. - ANSWER-Social (pragmatic) communication
disorder
, 71 year old patient with thunderclap headache, unilateral eye pain, blurred vision,
dilated pupils, conjunctival injection. Which dx test is best to reveal cause of patient's
headache - ANSWER-Intraocular pressure measurement
71yo pt w/ Parkinson's x3yrs p/w difficulties getting up, is not motivated to do anything,
has no interest in social events, and has "slowness" in thinking; although motor sx well
controlled on Sinemet, sx stable throughout day and no sadness, worthlessness, or SI.
Cognitive eval shows slow processing. What is most likely explanation? - ANSWER-
Apathy
75yo p/w new onset "confusion" trouble speaking, cannot think of word he wants,
nonsensical sentences and phrases such as "the snoodle linkered in the yard,' is unable
to repeat "no ifs, ands, or buts." Pt is able to follow commands and understands. What
is this type of aphasia? - ANSWER-Broca's aphasia
8 year old child has IQ of 60 on Weschsler Intelligence Scale for children. Which test
would help determine if meets criteria for intellectual disability - ANSWER-Vineland
Adaptive Behavior Scales
80yo pt is unable to blow out match although motor and sensory function are normal.
What is this called? - ANSWER-Apraxia
82 year old with progressive dementia, myoclonus over 3 months. EEG shows periodic
sharp waves with 1hz over both hemispheres. Dx? - ANSWER-Creutzfeldt--Jakob
disease
9 year old with ADHD not responding to methylphenidate, next medication? - ANSWER-
dextroamphetamine
A 21 year old hospitalized for a first episode of psychosis. Parents want to be involved
in care but pt does not want the team to speak to his parents due to his delusions.
According to HIPAA, how much information can be shared? - ANSWER-Provide
information given the lack of capacity and likely benefit
A 72 year old develops sudden onset memory loss. She didn't know how she and
spouse arrived at supermarket. The spouse noted that she could drive without issues
but appeared anxious. The patient was able to appropriately answer questions but
forgot the conversation and then returned to baseline. What is the most likely
diagnosis? - ANSWER-Transient global amnesia
A cross sectional study shows less depressive disorders in people who use a natural
pill. They then observe people from the same population for a year and find that
prevalence of depression is lower in those who regularly used the pill. They then recruit
a sample from the same population and randomly assign people to pill or placebo for
one year. This didn't show any difference. Assuming no major flaws in design or
