Prite 2019 - Part II Questions And
Answers A+graded
The impaired physician who fails to obtain or benefit from treatment may require the ser
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vices of an administrative psychiatrist skilled in performing fitness-for-
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duty evaluations. In these situations, the administrative psychiatrist:
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A serves as a patient advocate
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B has the authority to administer necessary treatment
m m m m m m m
C may assist the physician with professional obligations
m m m m m m m
D is not bound by the usual parameters of confidentiality
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E may not respond to the physician's questions concerning diagnosis or treatment -
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mcorrect answer...✔✔D m
Contralateral leg weakness with sparing of the face and arm associated with urinary inc
m m m m m m m m m m m m m
ontinence and abulia are typical for stroke in the territory of which of the following arterie
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s?
A Basilar
m
B Carotid
m
C Middle cerebral
m m
D Anterior cerebral
m m
E Posterior cerebral - correct answer...✔✔D
m m m m m
Which of the following is the most common comorbidity in a pt with an anxiety disorder?
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A a mood disorder
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B a personality disorder
m m m
C another anxiety disorder
m m m
D a substance use disorder
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E an impulse control disorder - correct answer...✔✔C
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A 55-year-
m
old woman undergoes gastric bypass surgery and, several weeks later, develops gait im
m m m m m m m m m m m m
balance and numbness in the feet. Neurological exam is remarkable for hyperreflexia, s
m m m m m m m m m m m m
pasticity in the legs and absent vibration sensation at the toes. Serum B12 level is norm
m m m m m m m m m m m m m m m
al. Deficiency of which of the following is most likely to cause these symptoms.
m m m m m m m m m m m m m m
A Iron
m
B Folate
m
C Copper
m
D Thiamine
m
E Pyridoxine - correct answer...✔✔C
m m m m
Which of the following statistics measures the magnitude of difference between two inte
m m m m m m m m m m m m
rvention groups? m
A p-value
m
B odds ratio
m m
AGRADESOLUTIONS
,C effect size
m m
D power analysis
m m
E number needed to treat - correct answer...✔✔C
m m m m m m m
A 24-year-
m
old is seen on the consult service for worsening disorientation and suspected delirium. T
m m m m m m m m m m m m m
he patient's initial presentation was notable for the development of severe headaches af
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ter starting on a high protein, low carbohydrate diet. There is no prior psychiatric history,
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mbut the patient reports slow growth as a child. Which of the following is the most definiti
m m m m m m m m m m m m m m m m
ve way to establish the diagnosis in this individual?
m m m m m m m m
A Muscle biopsy
m m
B chromosome microarray
m m
C MECP2 gene sequencing
m m m
D Plasma amino acid analysis
m m m m
E Ornithine transcarbamylase sequencing - correct answer...✔✔E
m m m m m m
A consulting psychiatrist suspects schizotypal personality disorder in a pt with odd spee
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ch patterns, eccentric appearance and constricted affect. Which of the following addition
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al features would support this diagnosis?
m m m m m
A Anhedonia
m
B Paranoid ideation
m m
C Lack of social anxiety
m m m m
D Auditory hallucinations
m m
E Delusions of reference - correct answer...✔✔B
m m m m m m
Which of the following distinguishes empathy from identification?
m m m m m m m
A Establishing rapport
m m
B Retaining objectivity in the relationship
m m m m m
C Experiencing what the patient is feeling
m m m m m m
D Understanding what the patient is feeling
m m m m m m
E Being able to put oneself in the patient's place - correct answer...✔✔B
m m m m m m m m m m m m
Which of the following neuropsychological tests examines both executive and visuospati
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al functioning?
m
A Clock drawing
m m
B Facial recognition
m m
C Verbal fluency test
m m m
D Digit span backward
m m m
E Wisconsin card sorting test - correct answer...✔✔A
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The number of new events in proportion to the population at risk for the event is referred
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to as:
m m
A Point prevalence
m m
B Incidence density
m m
C Period prevalence
m m
D Lifetime prevelance
m m
AGRADESOLUTIONS
, E Cumulative incidence - correct answer...✔✔E
m m m m m
An insurance company pays a physician a single, standardized sum for a patient's care
m m m m m m m m m m m m m m
during a one-year period. This is known as what type of payment?
m m m m m m m m m m m
A per diem
m m
B capitation
m
C global budget
m m
D fee-for-service
m
E episode of illness - correct answer...✔✔B
m m m m m m
Which of the following risk factors is most strongly associated with prolonged or complic
m m m m m m m m m m m m m
ated bereavement?
m
A Male gender
m m
B Acceptance of the loss
m m m m
C Higher socioeconomic status
m m m
D Higher levels or prior relationship satisfaction
m m m m m m
E Absence of significant mood symptoms in the first month after the loss -
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correct answer...✔✔A
m m
Which of the following antiepileptic medications reduces the efficacy of oral contraceptiv
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es?
A Valproate
m
B Gabapentin
m
C Zonisamide
m
D Levetiracetam
m
E Carbamazepine - correct answer...✔✔E
m m m m
The genetic syndrome characterized by developmental delay, cardiac abnormalities, pal
m m m m m m m m m
ate defects, immune deficiency, and an increased risk of schizophrenia is caused by whi
m m m m m m m m m m m m m
ch of the following types of chromosome mutations?
m m m m m m m
A Deletion
m
B Insertion
m
C Inversion
m
D Duplication
m
E Translocation - correct answer...✔✔A
m m m m
Which of the following findings on EEG, when seen during REM sleep, would be most di
m m m m m m m m m m m m m m m
agnostic of a REM sleep behavior disorder?
m m m m m m
A Excess muscle tone
m m m
B Increased fasiculations
m m
C Reduced recruitment of muscle fibers
m m m m m
D Shortened firing duration of muscle units
m m m m m m
E Increased spontaneous muscle fiber discharges - correct answer...✔✔A
m m m m m m m m
A 13-year-
m
old pt is evaluated by the psychiatrist. The pt's parents report that the pt is "sleepy" duri
m m m m m m m m m m m m m m m m
AGRADESOLUTIONS
Answers A+graded
The impaired physician who fails to obtain or benefit from treatment may require the ser
m m m m m m m m m m m m m m
vices of an administrative psychiatrist skilled in performing fitness-for-
m m m m m m m m
duty evaluations. In these situations, the administrative psychiatrist:
m m m m m m m
A serves as a patient advocate
m m m m m
B has the authority to administer necessary treatment
m m m m m m m
C may assist the physician with professional obligations
m m m m m m m
D is not bound by the usual parameters of confidentiality
m m m m m m m m m m
E may not respond to the physician's questions concerning diagnosis or treatment -
m m m m m m m m m m m m
mcorrect answer...✔✔D m
Contralateral leg weakness with sparing of the face and arm associated with urinary inc
m m m m m m m m m m m m m
ontinence and abulia are typical for stroke in the territory of which of the following arterie
m m m m m m m m m m m m m m m
s?
A Basilar
m
B Carotid
m
C Middle cerebral
m m
D Anterior cerebral
m m
E Posterior cerebral - correct answer...✔✔D
m m m m m
Which of the following is the most common comorbidity in a pt with an anxiety disorder?
m m m m m m m m m m m m m m m
A a mood disorder
m m m
B a personality disorder
m m m
C another anxiety disorder
m m m
D a substance use disorder
m m m m
E an impulse control disorder - correct answer...✔✔C
m m m m m m m
A 55-year-
m
old woman undergoes gastric bypass surgery and, several weeks later, develops gait im
m m m m m m m m m m m m
balance and numbness in the feet. Neurological exam is remarkable for hyperreflexia, s
m m m m m m m m m m m m
pasticity in the legs and absent vibration sensation at the toes. Serum B12 level is norm
m m m m m m m m m m m m m m m
al. Deficiency of which of the following is most likely to cause these symptoms.
m m m m m m m m m m m m m m
A Iron
m
B Folate
m
C Copper
m
D Thiamine
m
E Pyridoxine - correct answer...✔✔C
m m m m
Which of the following statistics measures the magnitude of difference between two inte
m m m m m m m m m m m m
rvention groups? m
A p-value
m
B odds ratio
m m
AGRADESOLUTIONS
,C effect size
m m
D power analysis
m m
E number needed to treat - correct answer...✔✔C
m m m m m m m
A 24-year-
m
old is seen on the consult service for worsening disorientation and suspected delirium. T
m m m m m m m m m m m m m
he patient's initial presentation was notable for the development of severe headaches af
m m m m m m m m m m m m
ter starting on a high protein, low carbohydrate diet. There is no prior psychiatric history,
m m m m m m m m m m m m m m
mbut the patient reports slow growth as a child. Which of the following is the most definiti
m m m m m m m m m m m m m m m m
ve way to establish the diagnosis in this individual?
m m m m m m m m
A Muscle biopsy
m m
B chromosome microarray
m m
C MECP2 gene sequencing
m m m
D Plasma amino acid analysis
m m m m
E Ornithine transcarbamylase sequencing - correct answer...✔✔E
m m m m m m
A consulting psychiatrist suspects schizotypal personality disorder in a pt with odd spee
m m m m m m m m m m m m
ch patterns, eccentric appearance and constricted affect. Which of the following addition
m m m m m m m m m m m
al features would support this diagnosis?
m m m m m
A Anhedonia
m
B Paranoid ideation
m m
C Lack of social anxiety
m m m m
D Auditory hallucinations
m m
E Delusions of reference - correct answer...✔✔B
m m m m m m
Which of the following distinguishes empathy from identification?
m m m m m m m
A Establishing rapport
m m
B Retaining objectivity in the relationship
m m m m m
C Experiencing what the patient is feeling
m m m m m m
D Understanding what the patient is feeling
m m m m m m
E Being able to put oneself in the patient's place - correct answer...✔✔B
m m m m m m m m m m m m
Which of the following neuropsychological tests examines both executive and visuospati
m m m m m m m m m m
al functioning?
m
A Clock drawing
m m
B Facial recognition
m m
C Verbal fluency test
m m m
D Digit span backward
m m m
E Wisconsin card sorting test - correct answer...✔✔A
m m m m m m m
The number of new events in proportion to the population at risk for the event is referred
m m m m m m m m m m m m m m m m
to as:
m m
A Point prevalence
m m
B Incidence density
m m
C Period prevalence
m m
D Lifetime prevelance
m m
AGRADESOLUTIONS
, E Cumulative incidence - correct answer...✔✔E
m m m m m
An insurance company pays a physician a single, standardized sum for a patient's care
m m m m m m m m m m m m m m
during a one-year period. This is known as what type of payment?
m m m m m m m m m m m
A per diem
m m
B capitation
m
C global budget
m m
D fee-for-service
m
E episode of illness - correct answer...✔✔B
m m m m m m
Which of the following risk factors is most strongly associated with prolonged or complic
m m m m m m m m m m m m m
ated bereavement?
m
A Male gender
m m
B Acceptance of the loss
m m m m
C Higher socioeconomic status
m m m
D Higher levels or prior relationship satisfaction
m m m m m m
E Absence of significant mood symptoms in the first month after the loss -
m m m m m m m m m m m m m
correct answer...✔✔A
m m
Which of the following antiepileptic medications reduces the efficacy of oral contraceptiv
m m m m m m m m m m m
es?
A Valproate
m
B Gabapentin
m
C Zonisamide
m
D Levetiracetam
m
E Carbamazepine - correct answer...✔✔E
m m m m
The genetic syndrome characterized by developmental delay, cardiac abnormalities, pal
m m m m m m m m m
ate defects, immune deficiency, and an increased risk of schizophrenia is caused by whi
m m m m m m m m m m m m m
ch of the following types of chromosome mutations?
m m m m m m m
A Deletion
m
B Insertion
m
C Inversion
m
D Duplication
m
E Translocation - correct answer...✔✔A
m m m m
Which of the following findings on EEG, when seen during REM sleep, would be most di
m m m m m m m m m m m m m m m
agnostic of a REM sleep behavior disorder?
m m m m m m
A Excess muscle tone
m m m
B Increased fasiculations
m m
C Reduced recruitment of muscle fibers
m m m m m
D Shortened firing duration of muscle units
m m m m m m
E Increased spontaneous muscle fiber discharges - correct answer...✔✔A
m m m m m m m m
A 13-year-
m
old pt is evaluated by the psychiatrist. The pt's parents report that the pt is "sleepy" duri
m m m m m m m m m m m m m m m m
AGRADESOLUTIONS
