PRITE Psychiatric Evaluation and
Psychiatric Testing
25 y/o M scores in MMPI are all normal except for elevated scores on the depression
and psychasthenia scales. This suggests: - ANSWER-HAS DEPRESSION WITH
ANXIETY AND OTHER NEUROTIC SYMPTOMS
4 y/o child is administered the "false beliefs task" in which two dolls act out a scene,
whereby one doll switches the location of a marble from one site to another, while the
other doll leaves the scene of the action. When the other doll returns to look for the
marble, the child correctly points out that it will look in the original location. This
response demonstrates the child is showing evidence of (x2): - ANSWER-THEORY OF
MIND
5 days after CABG a 47 y/o M is disoriented to time and place. He identifies his right
and left but not that of the examiners. Can draw square and circle but not a clock. This
is: - ANSWER-DYSPRAXIA
75 y/o pt presents with symptoms of dementia. Especially poor performance on which of
the following neuropsychological tests might suggest a Dx of vascular dementia rather
than Alzheimer's dementia? - ANSWER-WISCONSIN CARD SORTING TEST (WCST)
8 yo child recently had Wechsler Intelligence Scale for Children (WISC-IV) and received
full scale IQ of 60. Which additional tests would determine if child meets criteria for
intellectual disability (mental retardation)? - ANSWER-VINELAND ADAPTIVE
BEHAVIOR SCALES, 2ND EDITION (VABS-II)
A 62 yo pt is referred for complaints of memory problems. The patient reports feeling
more forgetful and gives examples of "losing my keys, handbag, or forgetting the names
of aquaintances." The pt denies any other neurocognitive symptoms. Family members
confirm the patient's report, and feel that this has been a gradual change over the last
year. Family members report that the pt is a former hx professor who continues to enjoy
intellectual activities and they need to prepare if the patient is going to lose these
capabilities as a result of dementia. The standard MMSE would be a relatively
insensitive instrument for this patient because it: - ANSWER-HAS A CEILING EFFECT
FOR WELL-EDUCATED PERSONS
A broad-based rating scale for psychiatric symptoms in children? (2x) - ANSWER-
CHILD BEHAVIOR CHECKLIST (CBCL)
A disorder of content of thought - ANSWER-PARANOIA
, A known limitation of the Minnesota Multiphasic Personality Inventory? - ANSWER-
NORMS DO NOT ACCOUNT FOR OUTCOMES BASED ON RELIGION AND RACE
A psychological test that demonstrates high reliability: - ANSWER-WECHSLER ADULT
INTELLIGENCE SCALE (WAIS)
A pt reports, "undercover agents are all there, and they're gonna kill me." Pt's comment
is best described as: - ANSWER-A DELUSION
An appropriate purpose for projective testing is: (3x) - ANSWER-DETECTING THE
PRESENCE OF SUBTLE PSYCHOTIC THOUGHT PROCESSES
Asking a patient to interpret the phrase "Don't cry over spilled milk" tests what? -
ANSWER-ABSTRACT THINKING
Asking a patient to recite a series of numbers in reverse order is a standard test of: -
ANSWER-CONCENTRATION
Asking a pt, "which one does not belong in the following group: 13 pennies, a piggy
bank, and a cow?" is a test of which domain: - ANSWER-ABSTRACT REASONING
Asking pt what they would do in a hypothetical situation is testing what? - ANSWER-
JUDGMENT
Asking the patient "how are an apple and an orange alike?" assesses which of the
following cognitive functions? - ANSWER-ABSTRACT REASONING
Awareness of own symptoms rated by: - ANSWER-GLOBAL ASSESSMENT SCALE
Bender-Gestalt diagrams assesses: - ANSWER-NEUROPSYCHOLOGICAL
IMPAIRMENT
Communication d/o assoc w/ neurological and psych d/o - ANSWER-MUTISM
Compared to "treatment as usual", how does the IMPACT model of integrated care
(which recommends screening for depression of at least 75% of primary care patients
and following through with psych eval/mgmt) differ? - ANSWER-DOUBLES THE
EFFECTIVENESS OF DEPRESSION TREATMENT
Computer assisted continuous performance testing is used to assess what? -
ANSWER-ATTENTION
Disorder of what element of MSE is evidenced by patient repeatedly referring back to
the answer to a previous question? - ANSWER-THOUGHT PROCESS
Psychiatric Testing
25 y/o M scores in MMPI are all normal except for elevated scores on the depression
and psychasthenia scales. This suggests: - ANSWER-HAS DEPRESSION WITH
ANXIETY AND OTHER NEUROTIC SYMPTOMS
4 y/o child is administered the "false beliefs task" in which two dolls act out a scene,
whereby one doll switches the location of a marble from one site to another, while the
other doll leaves the scene of the action. When the other doll returns to look for the
marble, the child correctly points out that it will look in the original location. This
response demonstrates the child is showing evidence of (x2): - ANSWER-THEORY OF
MIND
5 days after CABG a 47 y/o M is disoriented to time and place. He identifies his right
and left but not that of the examiners. Can draw square and circle but not a clock. This
is: - ANSWER-DYSPRAXIA
75 y/o pt presents with symptoms of dementia. Especially poor performance on which of
the following neuropsychological tests might suggest a Dx of vascular dementia rather
than Alzheimer's dementia? - ANSWER-WISCONSIN CARD SORTING TEST (WCST)
8 yo child recently had Wechsler Intelligence Scale for Children (WISC-IV) and received
full scale IQ of 60. Which additional tests would determine if child meets criteria for
intellectual disability (mental retardation)? - ANSWER-VINELAND ADAPTIVE
BEHAVIOR SCALES, 2ND EDITION (VABS-II)
A 62 yo pt is referred for complaints of memory problems. The patient reports feeling
more forgetful and gives examples of "losing my keys, handbag, or forgetting the names
of aquaintances." The pt denies any other neurocognitive symptoms. Family members
confirm the patient's report, and feel that this has been a gradual change over the last
year. Family members report that the pt is a former hx professor who continues to enjoy
intellectual activities and they need to prepare if the patient is going to lose these
capabilities as a result of dementia. The standard MMSE would be a relatively
insensitive instrument for this patient because it: - ANSWER-HAS A CEILING EFFECT
FOR WELL-EDUCATED PERSONS
A broad-based rating scale for psychiatric symptoms in children? (2x) - ANSWER-
CHILD BEHAVIOR CHECKLIST (CBCL)
A disorder of content of thought - ANSWER-PARANOIA
, A known limitation of the Minnesota Multiphasic Personality Inventory? - ANSWER-
NORMS DO NOT ACCOUNT FOR OUTCOMES BASED ON RELIGION AND RACE
A psychological test that demonstrates high reliability: - ANSWER-WECHSLER ADULT
INTELLIGENCE SCALE (WAIS)
A pt reports, "undercover agents are all there, and they're gonna kill me." Pt's comment
is best described as: - ANSWER-A DELUSION
An appropriate purpose for projective testing is: (3x) - ANSWER-DETECTING THE
PRESENCE OF SUBTLE PSYCHOTIC THOUGHT PROCESSES
Asking a patient to interpret the phrase "Don't cry over spilled milk" tests what? -
ANSWER-ABSTRACT THINKING
Asking a patient to recite a series of numbers in reverse order is a standard test of: -
ANSWER-CONCENTRATION
Asking a pt, "which one does not belong in the following group: 13 pennies, a piggy
bank, and a cow?" is a test of which domain: - ANSWER-ABSTRACT REASONING
Asking pt what they would do in a hypothetical situation is testing what? - ANSWER-
JUDGMENT
Asking the patient "how are an apple and an orange alike?" assesses which of the
following cognitive functions? - ANSWER-ABSTRACT REASONING
Awareness of own symptoms rated by: - ANSWER-GLOBAL ASSESSMENT SCALE
Bender-Gestalt diagrams assesses: - ANSWER-NEUROPSYCHOLOGICAL
IMPAIRMENT
Communication d/o assoc w/ neurological and psych d/o - ANSWER-MUTISM
Compared to "treatment as usual", how does the IMPACT model of integrated care
(which recommends screening for depression of at least 75% of primary care patients
and following through with psych eval/mgmt) differ? - ANSWER-DOUBLES THE
EFFECTIVENESS OF DEPRESSION TREATMENT
Computer assisted continuous performance testing is used to assess what? -
ANSWER-ATTENTION
Disorder of what element of MSE is evidenced by patient repeatedly referring back to
the answer to a previous question? - ANSWER-THOUGHT PROCESS
