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: - ANS-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): - ANS-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: -
ANS-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? - ANS-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)? - ANS-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: - ANS-HAS A CEILING EFFECT FOR WELL-EDUCATED PERSONS
A broad-based rating scale for psychiatric symptoms in children? (2x) - ANS-CHILD
BEHAVIOR CHECKLIST (CBCL)
A disorder of content of thought - ANS-PARANOIA
A known limitation of the Minnesota Multiphasic Personality Inventory? - ANS-NORMS DO
NOT ACCOUNT FOR OUTCOMES BASED ON RELIGION AND RACE
A psychological test that demonstrates high reliability: - ANS-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: - ANS-A DELUSION
An appropriate purpose for projective testing is: (3x) - ANS-DETECTING THE PRESENCE
OF SUBTLE PSYCHOTIC THOUGHT PROCESSES
Asking a patient to interpret the phrase "Don't cry over spilled milk" tests what? -
ANS-ABSTRACT THINKING
, Asking a patient to recite a series of numbers in reverse order is a standard test of: -
ANS-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: - ANS-ABSTRACT REASONING
Asking pt what they would do in a hypothetical situation is testing what? - ANS-JUDGMENT
Asking the patient "how are an apple and an orange alike?" assesses which of the following
cognitive functions? - ANS-ABSTRACT REASONING
Awareness of own symptoms rated by: - ANS-GLOBAL ASSESSMENT SCALE
Bender-Gestalt diagrams assesses: - ANS-NEUROPSYCHOLOGICAL IMPAIRMENT
Communication d/o assoc w/ neurological and psych d/o - ANS-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? - ANS-DOUBLES THE EFFECTIVENESS OF
DEPRESSION TREATMENT
Computer assisted continuous performance testing is used to assess what? -
ANS-ATTENTION
Disorder of what element of MSE is evidenced by patient repeatedly referring back to the
answer to a previous question? - ANS-THOUGHT PROCESS
Elderly pt with profound apathy, how do you distinguish depression from executive
dysfunction? - ANS-CLOCK DRAWING
Fluent speech w preserved comprehension, inability to repeat statements is consistent with
what type of aphasia? - ANS-CONDUCTION
In addition to orientation, attention, calculation, language and registration, what other
cognitive domain does the mmse test? - ANS-RECALL
In problem solving training, what is the next step after using specific behavioral terms and
feeling expressions - ANS-THE OTHER PARTNER PARAPHRASES THE STATEMENT OF
THE PROBLEM
IQ scores generally considered to be stable beginning at: - ANS-7 YEARS OLD
Judgment by experts that items on a test "makes sense" is an example of: - ANS-FACE
VALIDITY
Measures attention, concentration, and freedom from distractibility: - ANS-WECHSLER
ADULT INTELLIGENCE SCALE (WAIS)
MMPI does what? (2x) - ANS-IDENTIFIES MAJOR AREAS OF PSYCHOPATHOLOGIC
FUNCTIONING
Most appropriate brief screening instrument that a pt can fill by him/herself at physician's
office to screen for depression is (3x) - ANS-BECK DEPRESSION INVENTORY
Most specific test for assessing executive functioning? (x2) - ANS-WISCONSIN CARD
SORTING TEST (WCST)
Most useful instrument to assess a non-verbal 3-year-old child who plays alone in the corner,
stacking/unstacking blocks? - ANS-AUTISM DIAGNOSTIC OBSERVATION SCHEDULE
(ADOS)
Name of test where pt is told to name the colors in which the words are printed rather than
reading the words themselves - ANS-STROOP COLOR WORD TEST
Neuropsychological test that specifically evaluates impairments in frontal lobe function in
adults? - ANS-WISCONSIN CARD SORTING TASK (WCST)
On MSE, thought process with lack of goal directedness, excessive details, and difficulty
with closure describes a thought pattern of: (2x) - ANS-CIRCUMSTANTIALITY
Psychiatric Testing
25 y/o M scores in MMPI are all normal except for elevated scores on the depression and
psychasthenia scales. This suggests: - ANS-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): - ANS-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: -
ANS-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? - ANS-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)? - ANS-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: - ANS-HAS A CEILING EFFECT FOR WELL-EDUCATED PERSONS
A broad-based rating scale for psychiatric symptoms in children? (2x) - ANS-CHILD
BEHAVIOR CHECKLIST (CBCL)
A disorder of content of thought - ANS-PARANOIA
A known limitation of the Minnesota Multiphasic Personality Inventory? - ANS-NORMS DO
NOT ACCOUNT FOR OUTCOMES BASED ON RELIGION AND RACE
A psychological test that demonstrates high reliability: - ANS-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: - ANS-A DELUSION
An appropriate purpose for projective testing is: (3x) - ANS-DETECTING THE PRESENCE
OF SUBTLE PSYCHOTIC THOUGHT PROCESSES
Asking a patient to interpret the phrase "Don't cry over spilled milk" tests what? -
ANS-ABSTRACT THINKING
, Asking a patient to recite a series of numbers in reverse order is a standard test of: -
ANS-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: - ANS-ABSTRACT REASONING
Asking pt what they would do in a hypothetical situation is testing what? - ANS-JUDGMENT
Asking the patient "how are an apple and an orange alike?" assesses which of the following
cognitive functions? - ANS-ABSTRACT REASONING
Awareness of own symptoms rated by: - ANS-GLOBAL ASSESSMENT SCALE
Bender-Gestalt diagrams assesses: - ANS-NEUROPSYCHOLOGICAL IMPAIRMENT
Communication d/o assoc w/ neurological and psych d/o - ANS-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? - ANS-DOUBLES THE EFFECTIVENESS OF
DEPRESSION TREATMENT
Computer assisted continuous performance testing is used to assess what? -
ANS-ATTENTION
Disorder of what element of MSE is evidenced by patient repeatedly referring back to the
answer to a previous question? - ANS-THOUGHT PROCESS
Elderly pt with profound apathy, how do you distinguish depression from executive
dysfunction? - ANS-CLOCK DRAWING
Fluent speech w preserved comprehension, inability to repeat statements is consistent with
what type of aphasia? - ANS-CONDUCTION
In addition to orientation, attention, calculation, language and registration, what other
cognitive domain does the mmse test? - ANS-RECALL
In problem solving training, what is the next step after using specific behavioral terms and
feeling expressions - ANS-THE OTHER PARTNER PARAPHRASES THE STATEMENT OF
THE PROBLEM
IQ scores generally considered to be stable beginning at: - ANS-7 YEARS OLD
Judgment by experts that items on a test "makes sense" is an example of: - ANS-FACE
VALIDITY
Measures attention, concentration, and freedom from distractibility: - ANS-WECHSLER
ADULT INTELLIGENCE SCALE (WAIS)
MMPI does what? (2x) - ANS-IDENTIFIES MAJOR AREAS OF PSYCHOPATHOLOGIC
FUNCTIONING
Most appropriate brief screening instrument that a pt can fill by him/herself at physician's
office to screen for depression is (3x) - ANS-BECK DEPRESSION INVENTORY
Most specific test for assessing executive functioning? (x2) - ANS-WISCONSIN CARD
SORTING TEST (WCST)
Most useful instrument to assess a non-verbal 3-year-old child who plays alone in the corner,
stacking/unstacking blocks? - ANS-AUTISM DIAGNOSTIC OBSERVATION SCHEDULE
(ADOS)
Name of test where pt is told to name the colors in which the words are printed rather than
reading the words themselves - ANS-STROOP COLOR WORD TEST
Neuropsychological test that specifically evaluates impairments in frontal lobe function in
adults? - ANS-WISCONSIN CARD SORTING TASK (WCST)
On MSE, thought process with lack of goal directedness, excessive details, and difficulty
with closure describes a thought pattern of: (2x) - ANS-CIRCUMSTANTIALITY
