PRITE 2024: Questions With Correct Answers (100%)
Which psychodynamic theory emphasizes individuals ability to understand
their own and others internal states as explanation for behavior? Right Ans
- Mentalization theory
What occurs when the central nervous system responds to an acute cortical
insult? Right Ans - Microglia processes retract, and the cell body enlarges
What drug can reduce psychotic symptoms in parkinson's disease w/out
worsening motor symptoms Right Ans - Pimavanserin
What diagnosis is associated high hypnotizability potential Right Ans -
Dissociative Disorder
What neurodevelopmental process predominately occurs during adolescence
and young adulthood? Right Ans - Synaptic pruning
How likely is escalation of benzodiazepine dose when prescribed for long
term use? Right Ans - Most patients will maintain a stable dose over time
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? Right Ans - Transient global amnesia
What is the best example of a second stage or "self-conscious" emotion
believed to develop towards the end of 2 years old? Right Ans - Envy
HIPPA limits disclosure of patient health information without patient's
consent except for...? Right Ans - Payment
The validity scales of the Minnesota Multiphasic Personality Inventory II
measures what? Right Ans - Test-taking attitude of the patient
A patient with depression and epilepsy responded well to Bupropion SR. No
seizures have occurred while on bupropion SR.. Insurance wants to switch
antidepressant because of buproprion's side effect of reducing seizure
,threshold. What should the psychiatrist do? Right Ans - Continue
Bupropion SR
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? Right Ans - Inhalants
What sensation is transmitted through the spinothalamic tract? Right Ans -
Pain
Pt's insurance refuses to pay for continued hospitalization for a depressed
patient who is acutely suicidal. The psychiatrist remains concerned about SI
and does not discharge the patient. This best illustrates the ethical principle in
managed care of responsibility to (treat, appeal, disclose, respect autonomy,
cooperate with utilization review) Right Ans - Treat
What finding on a multiple sleep latency test (MSLT) confirms the diagnosis of
narcolepsy? Right Ans - Decreased REM latency
Why does the brain rapidly increase in size from birth to two years old?
Right Ans - Synaptogenesis of neurons
What is the most common reasons stop SSRIs early? Right Ans - GI distress
Which neurological disorder has the highest prevalence of pathological
laughing and crying Right Ans - Amyotrophic lateral sclerosis
Parents of a two year old girl are concerned because she's playing with trucks,
likes to wear boys clothes, and likes to play w/ boys. They've tried to change
her but she has been resistant. When asked by a physician, the child insists
she's a girl. What is the most likely diagnosis? Right Ans - Normal
development
In a likely delirious patient, in addition to orientation questions, which part of
the MMSE is most helpful to confirm the diagnosis? Right Ans - Serial 7s
What neurotransmitter present in the periaqueductal gray matter is involved
in the mediation of pain? Right Ans - Endorphins
, What is a pharmacological effect of lithium? Right Ans - Glycogen synthase
kinase-3 inhibition
What stage of development occurs first in female physical development?
Right Ans - Increase in adrenal androgen production
What type of genetic variation is most commonly investigated in genome wide
association studies? Right Ans - Single nucleotide polymorphisms
What Freudian stage of development is characterized by an intensification of
libidinal drive, separation from one's parents, and achievement of mature
sense of self? Right Ans - Genital
Deep brain stimulation targeting what area of the brain is most studied for
treatment of depression Right Ans - Subcallosal cingulate cortex
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? Right Ans - Orexin
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?
Right Ans - Cluster headache
Patient presents with complain "I think I'm going crazy." Reports that she has
no self and thoughts are not her own. Feels like a robot and is unable to
control her body. States she has feelings and is not able to feel them. Feels
emotionally numb. Feels head is "full of cotton." Recently started having "out
of body experiences." Diagnosis? Right Ans -
Depersonalization/derealization disorder
There are 3 primary components of "meaningful use" of electronic medical
records (EMR). These include certified EMR in a meaningful manner, use of
certified EMR technology to submit clinical quality measures, and which of the
following? Right Ans - Electronic exchange of health information to
improve quality of care
Which psychodynamic theory emphasizes individuals ability to understand
their own and others internal states as explanation for behavior? Right Ans
- Mentalization theory
What occurs when the central nervous system responds to an acute cortical
insult? Right Ans - Microglia processes retract, and the cell body enlarges
What drug can reduce psychotic symptoms in parkinson's disease w/out
worsening motor symptoms Right Ans - Pimavanserin
What diagnosis is associated high hypnotizability potential Right Ans -
Dissociative Disorder
What neurodevelopmental process predominately occurs during adolescence
and young adulthood? Right Ans - Synaptic pruning
How likely is escalation of benzodiazepine dose when prescribed for long
term use? Right Ans - Most patients will maintain a stable dose over time
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? Right Ans - Transient global amnesia
What is the best example of a second stage or "self-conscious" emotion
believed to develop towards the end of 2 years old? Right Ans - Envy
HIPPA limits disclosure of patient health information without patient's
consent except for...? Right Ans - Payment
The validity scales of the Minnesota Multiphasic Personality Inventory II
measures what? Right Ans - Test-taking attitude of the patient
A patient with depression and epilepsy responded well to Bupropion SR. No
seizures have occurred while on bupropion SR.. Insurance wants to switch
antidepressant because of buproprion's side effect of reducing seizure
,threshold. What should the psychiatrist do? Right Ans - Continue
Bupropion SR
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? Right Ans - Inhalants
What sensation is transmitted through the spinothalamic tract? Right Ans -
Pain
Pt's insurance refuses to pay for continued hospitalization for a depressed
patient who is acutely suicidal. The psychiatrist remains concerned about SI
and does not discharge the patient. This best illustrates the ethical principle in
managed care of responsibility to (treat, appeal, disclose, respect autonomy,
cooperate with utilization review) Right Ans - Treat
What finding on a multiple sleep latency test (MSLT) confirms the diagnosis of
narcolepsy? Right Ans - Decreased REM latency
Why does the brain rapidly increase in size from birth to two years old?
Right Ans - Synaptogenesis of neurons
What is the most common reasons stop SSRIs early? Right Ans - GI distress
Which neurological disorder has the highest prevalence of pathological
laughing and crying Right Ans - Amyotrophic lateral sclerosis
Parents of a two year old girl are concerned because she's playing with trucks,
likes to wear boys clothes, and likes to play w/ boys. They've tried to change
her but she has been resistant. When asked by a physician, the child insists
she's a girl. What is the most likely diagnosis? Right Ans - Normal
development
In a likely delirious patient, in addition to orientation questions, which part of
the MMSE is most helpful to confirm the diagnosis? Right Ans - Serial 7s
What neurotransmitter present in the periaqueductal gray matter is involved
in the mediation of pain? Right Ans - Endorphins
, What is a pharmacological effect of lithium? Right Ans - Glycogen synthase
kinase-3 inhibition
What stage of development occurs first in female physical development?
Right Ans - Increase in adrenal androgen production
What type of genetic variation is most commonly investigated in genome wide
association studies? Right Ans - Single nucleotide polymorphisms
What Freudian stage of development is characterized by an intensification of
libidinal drive, separation from one's parents, and achievement of mature
sense of self? Right Ans - Genital
Deep brain stimulation targeting what area of the brain is most studied for
treatment of depression Right Ans - Subcallosal cingulate cortex
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? Right Ans - Orexin
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?
Right Ans - Cluster headache
Patient presents with complain "I think I'm going crazy." Reports that she has
no self and thoughts are not her own. Feels like a robot and is unable to
control her body. States she has feelings and is not able to feel them. Feels
emotionally numb. Feels head is "full of cotton." Recently started having "out
of body experiences." Diagnosis? Right Ans -
Depersonalization/derealization disorder
There are 3 primary components of "meaningful use" of electronic medical
records (EMR). These include certified EMR in a meaningful manner, use of
certified EMR technology to submit clinical quality measures, and which of the
following? Right Ans - Electronic exchange of health information to
improve quality of care
