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PRITE Exam Review – 2025/2026 | 300+ Questions & Answers | Psychopharmacology, Personality, Neurocognitive, DSM-5

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This document is a comprehensive PRITE (Psychiatry Resident-In-Training Examination) review guide for the 2025/2026 academic cycle, featuring 300+ well-structured exam-style questions with detailed answers. It is designed to support psychiatry residents at all levels—especially PGY1–PGY4—who are preparing for the general PRITE exam. The content is academically aligned with curricula from institutions such as Johns Hopkins University, and relevant across all ACGME-accredited residency programs. It covers a wide range of psychiatric domains with clinical depth, including: Psychopharmacology: antipsychotics, antidepressants, mood stabilizers, interactions Personality Disorders: DSM-5 classification, differential diagnosis, defense mechanisms Neurocognitive Disorders: dementia, delirium, Parkinson’s-related psychiatric symptoms Mood and Anxiety Disorders: diagnostic criteria, treatment algorithms, suicide risk Developmental and Pediatric Psychiatry: ADHD, autism spectrum disorder, enuresis Ethics and Legal Issues: informed consent, confidentiality, duty to warn Cultural Psychiatry, sleep disorders, and emergency psychiatry Therapeutic Approaches: CBT, DBT, psychodynamic therapy, motivational interviewing This guide is best suited for: Psychiatry residents preparing for the PRITE or ABPN exams Medical students rotating in psychiatry or pursuing a psych specialization Clinical psychology students reviewing psychopathology and pharmacology Faculty seeking question banks for mock exams and review sessions Every question includes precise, board-style answer formatting with repeated-question markers to prioritize high-yield topics. The document mirrors the structure and language of official exams to optimize both content mastery and test-day performance. Keywords: PRITE exam, psychiatry residency, psychopharmacology, DSM-5, neurocognitive disorders, personality disorders, CBT, DBT, sleep disorders, ADHD, mood disorders, schizophrenia, informed consent, suicide risk, delirium, psychiatry shelf, exam prep, Johns Hopkins psychiatry, ABPN board review

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October 4, 2025
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PRITE - CHILD PSYCHIATRY 2025/2026
Exam Questions and Verified Answers |
Already Graded A+


4. Pharmacological treatment in autism spectrum disorder is most likely to

have a positive effect on which of the following?

A. Aggressiveness

B. Gaze aversion

C. Prosodic modulation


D. Gestural communication - 🧠ANSWER ✔✔A. Aggressiveness


27. The parents of a toddler are concerned about a recent increase in the

frequency, intensity and duration of the child's temper tantrums. The

parents report that the toddler gets on the floor, kicks and screams when

they set limits. The child's health and developmental history is

unremarkable. Family history is significant for mood and anxiety disorders

,on the mother's side, and attention-deficit hyperactivity disorder (ADHD)

and oppositional defiant disorder (ODD) on the father's side. Which of the

following would be the most appropriate step for the psychiatrist to take

next?

A. Administer a Denver developmental screening test to the child.

B. Explore the parents' concerns about seemingly normal behavior.

C. Inquire about early separations and traumatic events in the child's life.

D. Administer an inventory to assess the parenting style of each parent.

E. Begin parent psychoeducation about ADHD and oppositional d -

🧠ANSWER ✔✔B. Explore the parents' concerns about seemingly normal

behavior.

Questions 39 — 42 pertain to the following vignette.

A 9-year-old girl is brought in by her parents for an outpatient psychiatric

evaluation due to behavior difficulties at home. When frustrated, the girl

screams, yells, curses and threatens to

kill herself. This behavior has been occurring more frequently whenever the

girl does not get her way. The parents usually give in and allow the girl to

do what she wants. Similar episodes have occurred at school. The girl is

,often irritable, argumentative and provocative. Her schoolwork is on grade

level. The girl has friends and interacts well with them, though she is

described as "bossy." Her appetite, energy and sleep patterns have been

normal and stable. There are no other problems. When seen with her

parents and individually, the child is calm, cooperative and interactive. She

denies suicidal or homicidal ideation and says that she "just gets mad." Her

mood is euthymic w - 🧠ANSWER ✔✔A. Send the patient home with the

parents.

40 Which of the following would be the most appropriate initial diagnostic

step by the physician?

A. Neuroimaging

B. Genetic testing

C. Psychological testing

D. Neurological evaluation


E. Obtain a teacher report - 🧠ANSWER ✔✔E. Obtain a teacher report


41. At a follow-up interview, the physician learns that the recent

exacerbation of symptoms appears to be related to increasing parental

disagreement about how the patient's


3
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, outbursts should be handled. It would be most appropriate for the physician

to next

obtain additional information about parental discipline and:

A. explore reasons for parental differences.

B. reinforce the parent with the best approach.

C. Explain the options for psychiatric interventions.

D. explore the parents' slowness in obtaining care.

E. Elicit the child's opinion about which parent's discipline style works best -

🧠ANSWER ✔✔A. explore reasons for parental differences.


42 The psychiatrist educates the parents about possible reasons for the

perpetuation of the child's temper tantrums. The psychiatrist teaches the

parents how to develop and implement an age-appropriate behavioral

management plan with clear expectations and consequences. Over the

next month, the child's behavior improves. The parents state that whenever

the child has a temper tantrum they ignore the behavior, wait for the child to

calm down and then expect the child to obey the rules. The behavior has

most likely

improved because the child has:

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