PRITE 2024/25 - Part II: Questions With Solutions (A+)
The impaired physician who fails to obtain or benefit from treatment may
require the services of an administrative psychiatrist skilled in performing
fitness-for-duty evaluations. In these situations, the administrative
psychiatrist:
A serves as a patient advocate
B has the authority to administer necessary treatment
C may assist the physician with professional obligations
D is not bound by the usual parameters of confidentiality
E may not respond to the physician's questions concerning diagnosis or
treatment Right Ans - D
Contralateral leg weakness with sparing of the face and arm associated with
urinary incontinence and abulia are typical for stroke in the territory of which
of the following arteries?
A Basilar
B Carotid
C Middle cerebral
D Anterior cerebral
E Posterior cerebral Right Ans - D
Which of the following is the most common comorbidity in a pt with an
anxiety disorder?
A a mood disorder
B a personality disorder
C another anxiety disorder
D a substance use disorder
E an impulse control disorder Right Ans - C
A 55-year-old woman undergoes gastric bypass surgery and, several weeks
later, develops gait imbalance and numbness in the feet. Neurological exam is
remarkable for hyperreflexia, spasticity in the legs and absent vibration
sensation at the toes. Serum B12 level is normal. Deficiency of which of the
following is most likely to cause these symptoms.
A Iron
B Folate
C Copper
D Thiamine
,E Pyridoxine Right Ans - C
Which of the following statistics measures the magnitude of difference
between two intervention groups?
A p-value
B odds ratio
C effect size
D power analysis
E number needed to treat Right Ans - C
A 24-year-old is seen on the consult service for worsening disorientation and
suspected delirium. The patient's initial presentation was notable for the
development of severe headaches after starting on a high protein, low
carbohydrate diet. There is no prior psychiatric history, but the patient
reports slow growth as a child. Which of the following is the most definitive
way to establish the diagnosis in this individual?
A Muscle biopsy
B chromosome microarray
C MECP2 gene sequencing
D Plasma amino acid analysis
E Ornithine transcarbamylase sequencing Right Ans - E
A consulting psychiatrist suspects schizotypal personality disorder in a pt
with odd speech patterns, eccentric appearance and constricted affect. Which
of the following additional features would support this diagnosis?
A Anhedonia
B Paranoid ideation
C Lack of social anxiety
D Auditory hallucinations
E Delusions of reference Right Ans - B
Which of the following distinguishes empathy from identification?
A Establishing rapport
B Retaining objectivity in the relationship
C Experiencing what the patient is feeling
D Understanding what the patient is feeling
E Being able to put oneself in the patient's place Right Ans - B
,Which of the following neuropsychological tests examines both executive and
visuospatial functioning?
A Clock drawing
B Facial recognition
C Verbal fluency test
D Digit span backward
E Wisconsin card sorting test Right Ans - A
The number of new events in proportion to the population at risk for the
event is referred to as:
A Point prevalence
B Incidence density
C Period prevalence
D Lifetime prevelance
E Cumulative incidence Right Ans - E
An insurance company pays a physician a single, standardized sum for a
patient's care during a one-year period. This is known as what type of
payment?
A per diem
B capitation
C global budget
D fee-for-service
E episode of illness Right Ans - B
Which of the following risk factors is most strongly associated with prolonged
or complicated bereavement?
A Male gender
B Acceptance of the loss
C Higher socioeconomic status
D Higher levels or prior relationship satisfaction
E Absence of significant mood symptoms in the first month after the loss
Right Ans - A
Which of the following antiepileptic medications reduces the efficacy of oral
contraceptives?
A Valproate
B Gabapentin
C Zonisamide
, D Levetiracetam
E Carbamazepine Right Ans - E
The genetic syndrome characterized by developmental delay, cardiac
abnormalities, palate defects, immune deficiency, and an increased risk of
schizophrenia is caused by which of the following types of chromosome
mutations?
A Deletion
B Insertion
C Inversion
D Duplication
E Translocation Right Ans - A
Which of the following findings on EEG, when seen during REM sleep, would
be most diagnostic of a REM sleep behavior disorder?
A Excess muscle tone
B Increased fasiculations
C Reduced recruitment of muscle fibers
D Shortened firing duration of muscle units
E Increased spontaneous muscle fiber discharges Right Ans - A
A 13-year-old pt is evaluated by the psychiatrist. The pt's parents report that
the pt is "sleepy" during the day, and often seems dazed and "out of it."
Additionally, the pt is often not hungry and sometimes complains of nausea.
On exam, the pt has red eyes, a runny nose and red sores around the mouth.
Which of the following is mos likely?
A Cannabis
B Heroin
C Aerosols
D Opiates
E Stimulants Right Ans - C
Which of the following is a feature of the Medicare system?
A Part A covers outpatient
B Part B covers subsidy payments for prescription drugs
C Part B is an optional purchasable benefit for senior citizens
D Medicare also provides healthcare coverage to indigent children
E Medicare covers costs of long-term institutional care in nursing homes
Right Ans - C
The impaired physician who fails to obtain or benefit from treatment may
require the services of an administrative psychiatrist skilled in performing
fitness-for-duty evaluations. In these situations, the administrative
psychiatrist:
A serves as a patient advocate
B has the authority to administer necessary treatment
C may assist the physician with professional obligations
D is not bound by the usual parameters of confidentiality
E may not respond to the physician's questions concerning diagnosis or
treatment Right Ans - D
Contralateral leg weakness with sparing of the face and arm associated with
urinary incontinence and abulia are typical for stroke in the territory of which
of the following arteries?
A Basilar
B Carotid
C Middle cerebral
D Anterior cerebral
E Posterior cerebral Right Ans - D
Which of the following is the most common comorbidity in a pt with an
anxiety disorder?
A a mood disorder
B a personality disorder
C another anxiety disorder
D a substance use disorder
E an impulse control disorder Right Ans - C
A 55-year-old woman undergoes gastric bypass surgery and, several weeks
later, develops gait imbalance and numbness in the feet. Neurological exam is
remarkable for hyperreflexia, spasticity in the legs and absent vibration
sensation at the toes. Serum B12 level is normal. Deficiency of which of the
following is most likely to cause these symptoms.
A Iron
B Folate
C Copper
D Thiamine
,E Pyridoxine Right Ans - C
Which of the following statistics measures the magnitude of difference
between two intervention groups?
A p-value
B odds ratio
C effect size
D power analysis
E number needed to treat Right Ans - C
A 24-year-old is seen on the consult service for worsening disorientation and
suspected delirium. The patient's initial presentation was notable for the
development of severe headaches after starting on a high protein, low
carbohydrate diet. There is no prior psychiatric history, but the patient
reports slow growth as a child. Which of the following is the most definitive
way to establish the diagnosis in this individual?
A Muscle biopsy
B chromosome microarray
C MECP2 gene sequencing
D Plasma amino acid analysis
E Ornithine transcarbamylase sequencing Right Ans - E
A consulting psychiatrist suspects schizotypal personality disorder in a pt
with odd speech patterns, eccentric appearance and constricted affect. Which
of the following additional features would support this diagnosis?
A Anhedonia
B Paranoid ideation
C Lack of social anxiety
D Auditory hallucinations
E Delusions of reference Right Ans - B
Which of the following distinguishes empathy from identification?
A Establishing rapport
B Retaining objectivity in the relationship
C Experiencing what the patient is feeling
D Understanding what the patient is feeling
E Being able to put oneself in the patient's place Right Ans - B
,Which of the following neuropsychological tests examines both executive and
visuospatial functioning?
A Clock drawing
B Facial recognition
C Verbal fluency test
D Digit span backward
E Wisconsin card sorting test Right Ans - A
The number of new events in proportion to the population at risk for the
event is referred to as:
A Point prevalence
B Incidence density
C Period prevalence
D Lifetime prevelance
E Cumulative incidence Right Ans - E
An insurance company pays a physician a single, standardized sum for a
patient's care during a one-year period. This is known as what type of
payment?
A per diem
B capitation
C global budget
D fee-for-service
E episode of illness Right Ans - B
Which of the following risk factors is most strongly associated with prolonged
or complicated bereavement?
A Male gender
B Acceptance of the loss
C Higher socioeconomic status
D Higher levels or prior relationship satisfaction
E Absence of significant mood symptoms in the first month after the loss
Right Ans - A
Which of the following antiepileptic medications reduces the efficacy of oral
contraceptives?
A Valproate
B Gabapentin
C Zonisamide
, D Levetiracetam
E Carbamazepine Right Ans - E
The genetic syndrome characterized by developmental delay, cardiac
abnormalities, palate defects, immune deficiency, and an increased risk of
schizophrenia is caused by which of the following types of chromosome
mutations?
A Deletion
B Insertion
C Inversion
D Duplication
E Translocation Right Ans - A
Which of the following findings on EEG, when seen during REM sleep, would
be most diagnostic of a REM sleep behavior disorder?
A Excess muscle tone
B Increased fasiculations
C Reduced recruitment of muscle fibers
D Shortened firing duration of muscle units
E Increased spontaneous muscle fiber discharges Right Ans - A
A 13-year-old pt is evaluated by the psychiatrist. The pt's parents report that
the pt is "sleepy" during the day, and often seems dazed and "out of it."
Additionally, the pt is often not hungry and sometimes complains of nausea.
On exam, the pt has red eyes, a runny nose and red sores around the mouth.
Which of the following is mos likely?
A Cannabis
B Heroin
C Aerosols
D Opiates
E Stimulants Right Ans - C
Which of the following is a feature of the Medicare system?
A Part A covers outpatient
B Part B covers subsidy payments for prescription drugs
C Part B is an optional purchasable benefit for senior citizens
D Medicare also provides healthcare coverage to indigent children
E Medicare covers costs of long-term institutional care in nursing homes
Right Ans - C
