PRITE EXAM 2024 QUESTIONS &
ANSWERS 100% CORRECT!!
Pt with fear of driving and panic attacks and avoidance associated to it. No sxs in any other settings.
Diagnosis? - ANSWERSpecific phobia
- Tx: Behavioral Therapy (exposure)
Central premise of object relations theory? - ANSWERThe mind is inhabited by mental
representations of the self and others
Dr asks pt about manic sxs. Pt responds "that sounds just like my cousin" and goes off talking about
cousin never returning to answering the question. Example of: - ANSWERTangentiality
70 yo with confusion, lethargy and grand mal seizure. Na of 95 mEq/L. Most likely complication of
excessively rapid correction of the metabolic problem? - ANSWERCentral pontine myelinolysis
Pretend play in pre-school children is dependent on the child's ability for: - ANSWERUse of one
object to represent another (symbolic representation)
SSRI with greatest potential for discontinuation syndrome?
(Options: fluoxetine, sertraline, citalopram, paroxetine, escitalopram) - ANSWERParoxetine
Pt on fluoxetine 20mg daily for 3 wks reports med is not working and has mild depressive sxs.
Intervention? - ANSWERContinue fluoxetine 20 mg daily and reassess in 2 wks
3 yo is expected to be able to? - ANSWERHave a sense of herself as a female
Children with tic d/o are less likely than adolescents or adults w/ tic d/o to have comorbid: -
ANSWERMDD
Researcher studies daily cannabis use during adolescence in 200 adults w/ schizophrenia and 200
adults w/o psych dx. Study design? - ANSWERCase-control study
-Cases have Dz: Exposure/Non Exposed
-Controls don't have Dz: Exposure/Non Exposed
Pt w/ sleep problems and jerking movements of both legs during sleep. Polysomnography shows 5
sec-long bursts of energy on EEG every 20-40 sec. Diagnosis? - ANSWERPeriodic limb movement d/o
Pt w/ Parkinson dz develops frequent, compulsive gambling. Medication contributing to this change
in behavior? - ANSWERPramipexole
SALAD tx parkinsons:
Selegiline
,Anticholinenergics (trihexyphenidyl, benzhexol, ophenadrine)
L-Dopa + peripheral decarboxylase inhibitor (carbidopa, benserazide)
Amantadine
Dopamine postsynaptic receptor agonists (bromocriptine, lisuride, pergolide, pramipexole,
ropinirole)
Characteristic of persons dx with REM sleep behavior disorder? - ANSWERPolysomnography is
notable for REM sleep without atonia
-acting out dreams: kicking, punching, yelling
Pt being evaluated for "worst HA of my life", CT brain is normal. Next step to eval for subarachnoid
hemorrhage? - ANSWERLumbar puncture: looking for blood
Appropriate therapy for pt with poor reality testing, primitive and inmature defenses, and poor affect
regulation/impulse control? - ANSWERSupportive
Pattern observed in pts w/ lesions involving one of the cerebellar hemispheres? - ANSWERSkilled
movements of the extremities ipsilateral to the lesion are disturbed.
Factors that would argue against a dx of female orgasmic disorder in a pt seeking tx? -
ANSWERIntimate partner violence in current relationship
Psych eval of a pt with "a lump i my throat", headache, bloating back pain, diarrhea, chest pain,
painful urination and sexual indiference.No objective findings on physical exam or dignostic work-up.
Recommendation to PCP? - ANSWERSchedule regular visits with a physical examination
Pan + symptomology
How does global mental health most differs from other areas of global medicine? - ANSWERCultural
beliefs have a greater influence on diagnostic understandings
Observation that depressed adolescents have difficulty with flexible problem-solving and studies
demonstrated associated deficits in the Trails Making Test B. This suggests that for adolescents, MDD
causes deficits in which domain of cognitive functioning? - ANSWERExecutive functioning
1-A, 2-B, 3-C, 4-D...
What can help determine if a tonic-clonic seizure-like episode is non-epileptic vs epileptic? -
ANSWERLack of elevation in prolactin
Characteristics most expected of infants who are hyppersensitive and less able to tolerate
environmental stimuli? - ANSWEREasily startled and more frequent crying
To meet criteria A for schizophrenia, a pt must have at least 1 of 3 core symptoms: delusions,
hallucinations or: - ANSWERDisorganized speech
Prostaglandin D2 helps regulate the sleep-wake cycle by increasing extracellular levels of which
chemical? - ANSWERAdenosine
Decrease in which physiologic parameter in people >70 leads to increased risk of EPS during tx with
antipsychotics? - ANSWERNumber of available dopamine receptors
-old people have less
, 65 yo brought to ED with memory problems and confusion for 2 days. Disoriented, no focal motor
deficits. MRI shows increased signal in bilateral medial temporal and orbitofrontal and EEG shows
periodic discharges over L temporal lobe. Likely tx? - ANSWERAcyclovir
Pt with memory problems, ending up somewhere w/o memory of getting there, forgets how to
perform job functions, occasional depersonalization and periods of being overcome by unexpected
emotions. Recently began hearing a child's voice. DX? - ANSWERDissociative identity disorder
dissociative fuge
Core feature of facticious disorder? - ANSWERIntentional falsification of medical or psychological
symptoms
Interpersonal psychodynamic group w/ people of heterogeneous diagnoses and levels of functioning.
a pt with which diagnosis would be a relative contraindication for this group? - ANSWERAntisocial
personality disorder
Example of retrograde neurotransmitter?
(options: GABA, glutamate, dopamine, NE, endocannabinoids) - ANSWEREndocannabinoids
Role of the physician in recovery-oriented care? - ANSWERCollaborating in partnership with the
consumers to support their goals
Intervention with most robust evidence to prevent suicide? - ANSWERRestricting access to lethal
methods
Pt's partner has been offered a job in a different city and pt feels angry about the possibility of having
to move and feeling a loss of control. Pt is struggling to navigate which Eriksonian stage? -
ANSWERIntimacy vs isolation
Psych med that should be discontinued prior to ECT?
(options: olanzapine, fluoxetine, memantine, lorazepam, zolpidem) - ANSWERLorazepam
Outcome that best reflects efficacy of case management in tx of substance use d/o? -
ANSWERRetention in treatment
Small insertions, deletions and duplications within the DNA molec are referred to as: - ANSWERPoint
mutations
Hearing impairment is a feature of which chromosomal d/o? - ANSWERNF2:
2 ears - bilateral schwanoma (acoustic neuroma)
Pt requesting evaluation for dementia due to family hx of dementia. No current symptoms. Pt has
diabetes, HTN and HLD. Psychiatrist recommends to f/u with PCP to optimize tx for those conditions.
Type of prevention/intervention? - ANSWERPrimary prevention
Pt presents for eval of multiple physical/psychological symptoms, arrive from China 6 mo ago. Most
appropriate question? - ANSWERWhat do you think is causing your symptoms?
What explains phenotypic differences between identical twins caused by environmental effects on
genetic expression? - ANSWEREpigenetic changes
ANSWERS 100% CORRECT!!
Pt with fear of driving and panic attacks and avoidance associated to it. No sxs in any other settings.
Diagnosis? - ANSWERSpecific phobia
- Tx: Behavioral Therapy (exposure)
Central premise of object relations theory? - ANSWERThe mind is inhabited by mental
representations of the self and others
Dr asks pt about manic sxs. Pt responds "that sounds just like my cousin" and goes off talking about
cousin never returning to answering the question. Example of: - ANSWERTangentiality
70 yo with confusion, lethargy and grand mal seizure. Na of 95 mEq/L. Most likely complication of
excessively rapid correction of the metabolic problem? - ANSWERCentral pontine myelinolysis
Pretend play in pre-school children is dependent on the child's ability for: - ANSWERUse of one
object to represent another (symbolic representation)
SSRI with greatest potential for discontinuation syndrome?
(Options: fluoxetine, sertraline, citalopram, paroxetine, escitalopram) - ANSWERParoxetine
Pt on fluoxetine 20mg daily for 3 wks reports med is not working and has mild depressive sxs.
Intervention? - ANSWERContinue fluoxetine 20 mg daily and reassess in 2 wks
3 yo is expected to be able to? - ANSWERHave a sense of herself as a female
Children with tic d/o are less likely than adolescents or adults w/ tic d/o to have comorbid: -
ANSWERMDD
Researcher studies daily cannabis use during adolescence in 200 adults w/ schizophrenia and 200
adults w/o psych dx. Study design? - ANSWERCase-control study
-Cases have Dz: Exposure/Non Exposed
-Controls don't have Dz: Exposure/Non Exposed
Pt w/ sleep problems and jerking movements of both legs during sleep. Polysomnography shows 5
sec-long bursts of energy on EEG every 20-40 sec. Diagnosis? - ANSWERPeriodic limb movement d/o
Pt w/ Parkinson dz develops frequent, compulsive gambling. Medication contributing to this change
in behavior? - ANSWERPramipexole
SALAD tx parkinsons:
Selegiline
,Anticholinenergics (trihexyphenidyl, benzhexol, ophenadrine)
L-Dopa + peripheral decarboxylase inhibitor (carbidopa, benserazide)
Amantadine
Dopamine postsynaptic receptor agonists (bromocriptine, lisuride, pergolide, pramipexole,
ropinirole)
Characteristic of persons dx with REM sleep behavior disorder? - ANSWERPolysomnography is
notable for REM sleep without atonia
-acting out dreams: kicking, punching, yelling
Pt being evaluated for "worst HA of my life", CT brain is normal. Next step to eval for subarachnoid
hemorrhage? - ANSWERLumbar puncture: looking for blood
Appropriate therapy for pt with poor reality testing, primitive and inmature defenses, and poor affect
regulation/impulse control? - ANSWERSupportive
Pattern observed in pts w/ lesions involving one of the cerebellar hemispheres? - ANSWERSkilled
movements of the extremities ipsilateral to the lesion are disturbed.
Factors that would argue against a dx of female orgasmic disorder in a pt seeking tx? -
ANSWERIntimate partner violence in current relationship
Psych eval of a pt with "a lump i my throat", headache, bloating back pain, diarrhea, chest pain,
painful urination and sexual indiference.No objective findings on physical exam or dignostic work-up.
Recommendation to PCP? - ANSWERSchedule regular visits with a physical examination
Pan + symptomology
How does global mental health most differs from other areas of global medicine? - ANSWERCultural
beliefs have a greater influence on diagnostic understandings
Observation that depressed adolescents have difficulty with flexible problem-solving and studies
demonstrated associated deficits in the Trails Making Test B. This suggests that for adolescents, MDD
causes deficits in which domain of cognitive functioning? - ANSWERExecutive functioning
1-A, 2-B, 3-C, 4-D...
What can help determine if a tonic-clonic seizure-like episode is non-epileptic vs epileptic? -
ANSWERLack of elevation in prolactin
Characteristics most expected of infants who are hyppersensitive and less able to tolerate
environmental stimuli? - ANSWEREasily startled and more frequent crying
To meet criteria A for schizophrenia, a pt must have at least 1 of 3 core symptoms: delusions,
hallucinations or: - ANSWERDisorganized speech
Prostaglandin D2 helps regulate the sleep-wake cycle by increasing extracellular levels of which
chemical? - ANSWERAdenosine
Decrease in which physiologic parameter in people >70 leads to increased risk of EPS during tx with
antipsychotics? - ANSWERNumber of available dopamine receptors
-old people have less
, 65 yo brought to ED with memory problems and confusion for 2 days. Disoriented, no focal motor
deficits. MRI shows increased signal in bilateral medial temporal and orbitofrontal and EEG shows
periodic discharges over L temporal lobe. Likely tx? - ANSWERAcyclovir
Pt with memory problems, ending up somewhere w/o memory of getting there, forgets how to
perform job functions, occasional depersonalization and periods of being overcome by unexpected
emotions. Recently began hearing a child's voice. DX? - ANSWERDissociative identity disorder
dissociative fuge
Core feature of facticious disorder? - ANSWERIntentional falsification of medical or psychological
symptoms
Interpersonal psychodynamic group w/ people of heterogeneous diagnoses and levels of functioning.
a pt with which diagnosis would be a relative contraindication for this group? - ANSWERAntisocial
personality disorder
Example of retrograde neurotransmitter?
(options: GABA, glutamate, dopamine, NE, endocannabinoids) - ANSWEREndocannabinoids
Role of the physician in recovery-oriented care? - ANSWERCollaborating in partnership with the
consumers to support their goals
Intervention with most robust evidence to prevent suicide? - ANSWERRestricting access to lethal
methods
Pt's partner has been offered a job in a different city and pt feels angry about the possibility of having
to move and feeling a loss of control. Pt is struggling to navigate which Eriksonian stage? -
ANSWERIntimacy vs isolation
Psych med that should be discontinued prior to ECT?
(options: olanzapine, fluoxetine, memantine, lorazepam, zolpidem) - ANSWERLorazepam
Outcome that best reflects efficacy of case management in tx of substance use d/o? -
ANSWERRetention in treatment
Small insertions, deletions and duplications within the DNA molec are referred to as: - ANSWERPoint
mutations
Hearing impairment is a feature of which chromosomal d/o? - ANSWERNF2:
2 ears - bilateral schwanoma (acoustic neuroma)
Pt requesting evaluation for dementia due to family hx of dementia. No current symptoms. Pt has
diabetes, HTN and HLD. Psychiatrist recommends to f/u with PCP to optimize tx for those conditions.
Type of prevention/intervention? - ANSWERPrimary prevention
Pt presents for eval of multiple physical/psychological symptoms, arrive from China 6 mo ago. Most
appropriate question? - ANSWERWhat do you think is causing your symptoms?
What explains phenotypic differences between identical twins caused by environmental effects on
genetic expression? - ANSWEREpigenetic changes
