PRITE Exam: Questions & Solutions (100% Accurate)
Neurocognitive disorder associated w/ fluctuating rate of progression,
marked visuospatial impairment, early unilateral resting tremor and
increased muscle tone in the arm? ✔️- A: Dementia with Lewy bodies
Which exam finding suggests an L5 radiculopathy in a pt w/ back pain and
foot drop? ✔️- A: Weakness of ankle inversion
Methodological advantage of genome-wide association study in comparing pts
w/ schizophrenia to demographically-matched controls? ✔️- A: It can
detect common gene variants that have a small effect on disease risk
Pt w/ substance use disorder and GAD talks to Dr. about anxiety after
attending their 1st AA meeting. Psychiatrist's answer most consistent with 12-
step facilitation therapy? ✔️- A: "You did the most important thing, you
went to the meeting. It will get easier."
Change in polysomnogram associated with MDD? ✔️- A: Short REM
latency
32 yo at the ER w/ diarrhea for 2 wks. Appears anxious/tremulous and is not
oriented to date/time. She doubled the dose of her medication for bipolar
about 1 month ago. Medication? ✔️- A: Lithium
21 y/o pt hospitalized for excessive bleeding after induced 1st trimester
abortion. Psych consulted to evaluate for depression. Important fact for
psychiatrist to be aware of: ✔️- A: The strongest predictor of depression
after elective abortion is a h/o pre-pregnancy depression
Excessive activation of which receptor contributes to cell death in Alzheimer
disease? ✔️- A: NMDA
Factor with most evidence to support its protective effect in the bereavement
of a spouse? ✔️- A: Quality of the social support of the bereaved
CNS responses to fear-provoking stimuli are mediated through which
structure? ✔️- A: Central nucleus of the amygdala
,28 yo F w/ recent onset of 1-2min episodes of putting clean silverware back in
dishwasher while making chewing movements and unable to interrupt. Pt
cannot recall them. Most likely diagnosis: ✔️- A: Complex partial
seizures
Best reponse by psychiatrist when pt states: "you will be just like the others,
no doctor ever listens to me"? ✔️- A: "I am sorry you felt unheard in the
past. Can you describe that experience?"
What is the mechanism affected by maternal licking and grooming behavior
on the stress reactivity of the offspring? ✔️- A: DNA methylation
affecting glucocorticoid receptor expression
23 yo pt w/ BPD and 20+ past suicide attempts presents for DBT and therapist
asks pt for commitment to refrain from self-harm for 1 yr. Pt says "sure, that
won't be a problem at all". Best response consistent w/ DBT principles?
✔️- A: Draw pt's attention to the fact that this commitment would be
extremely difficult to abide by.
47 yo with seizure disorder well controlled on antiepileptic monotherapy but
develops nausea, ataxia and diplopia when treated w/ erythromycin for sinus
infection. Most likely antiepileptic? ✔️- A: Carbamazepine
Retired woman in outpt psychotherapy to cope w/ recent transitions: regret
of not pursuing a graduate degree, worries about her grown children and
unsure about the next steps in her life. Stage of psychosocial developement?
✔️- A: Ego integrity vs despair
In social psychology the contradiction between attitudes or between attitude
and behavior is a: ✔️- A: Cognitive dissonance
Altered connectivity between medial prefrontal cortex and the amygdala is
implicated in the neurology of which disorder? ✔️- A: MDD
Core characteristic of "system of care" movement in community mental
health: ✔️- A: Empowering families to participate in treatment plan
decisions.
, Pt unable to see objects on the upper L quadrant (L homonymous superior
quadrantinopia). Where is the lesion? ✔️- A: R. temporal lobe
Pt w/ h/o bipolar presents w/ immobility, posturing and echopraxia. 1st line
treatment? ✔️- A: Lorazepam
Established risk factor for develoment of bulimia nervosa? ✔️- A:
Childhood sexual abuse
Which medication in overdose is most clearly associated w/ increased risk of
seizure? (duloxetine, trazodone, fluoxetine, mirtazapine, clomipramine)
✔️- A: Clomipramine
A new instrument to assess for PTSD covers intrusion, avoidance, cognitive
and mood symptoms but doesn't inquire about presence of a traumatic event.
This raises concern about which type of validity? ✔️- A: Content validity
Which of the following is a basic emotion, learned directly or inferred by
infants? ✔️- A: Fear
Bilateral resection of which structure leads to Kluver-Bucy syndrome
(placidity, hyperorality, hypersexuality and hyperphagia)? ✔️- A:
Temporal lobes
13 y/o went from 75th percentile in weight to 20th and wants to lose another
5-10 lbs, self-concious about her appearance, restricts many foods and spends
much time researching nutritional content of foods. Dx? ✔️- A: Anorexia
nervosa
Mental disorder ranking in the top-10 worldwide for greatest burden of
disease by WHO? ✔️- A: MDD
College student excessively asks for advice and reassurance from others. This
is a compensatory strategy associated with which core belief? ✔️- A: I
cannot be trusted to make a good decision
When do withdrawal symptoms from chronic heroin use peak? ✔️- A:
36 hrs
Neurocognitive disorder associated w/ fluctuating rate of progression,
marked visuospatial impairment, early unilateral resting tremor and
increased muscle tone in the arm? ✔️- A: Dementia with Lewy bodies
Which exam finding suggests an L5 radiculopathy in a pt w/ back pain and
foot drop? ✔️- A: Weakness of ankle inversion
Methodological advantage of genome-wide association study in comparing pts
w/ schizophrenia to demographically-matched controls? ✔️- A: It can
detect common gene variants that have a small effect on disease risk
Pt w/ substance use disorder and GAD talks to Dr. about anxiety after
attending their 1st AA meeting. Psychiatrist's answer most consistent with 12-
step facilitation therapy? ✔️- A: "You did the most important thing, you
went to the meeting. It will get easier."
Change in polysomnogram associated with MDD? ✔️- A: Short REM
latency
32 yo at the ER w/ diarrhea for 2 wks. Appears anxious/tremulous and is not
oriented to date/time. She doubled the dose of her medication for bipolar
about 1 month ago. Medication? ✔️- A: Lithium
21 y/o pt hospitalized for excessive bleeding after induced 1st trimester
abortion. Psych consulted to evaluate for depression. Important fact for
psychiatrist to be aware of: ✔️- A: The strongest predictor of depression
after elective abortion is a h/o pre-pregnancy depression
Excessive activation of which receptor contributes to cell death in Alzheimer
disease? ✔️- A: NMDA
Factor with most evidence to support its protective effect in the bereavement
of a spouse? ✔️- A: Quality of the social support of the bereaved
CNS responses to fear-provoking stimuli are mediated through which
structure? ✔️- A: Central nucleus of the amygdala
,28 yo F w/ recent onset of 1-2min episodes of putting clean silverware back in
dishwasher while making chewing movements and unable to interrupt. Pt
cannot recall them. Most likely diagnosis: ✔️- A: Complex partial
seizures
Best reponse by psychiatrist when pt states: "you will be just like the others,
no doctor ever listens to me"? ✔️- A: "I am sorry you felt unheard in the
past. Can you describe that experience?"
What is the mechanism affected by maternal licking and grooming behavior
on the stress reactivity of the offspring? ✔️- A: DNA methylation
affecting glucocorticoid receptor expression
23 yo pt w/ BPD and 20+ past suicide attempts presents for DBT and therapist
asks pt for commitment to refrain from self-harm for 1 yr. Pt says "sure, that
won't be a problem at all". Best response consistent w/ DBT principles?
✔️- A: Draw pt's attention to the fact that this commitment would be
extremely difficult to abide by.
47 yo with seizure disorder well controlled on antiepileptic monotherapy but
develops nausea, ataxia and diplopia when treated w/ erythromycin for sinus
infection. Most likely antiepileptic? ✔️- A: Carbamazepine
Retired woman in outpt psychotherapy to cope w/ recent transitions: regret
of not pursuing a graduate degree, worries about her grown children and
unsure about the next steps in her life. Stage of psychosocial developement?
✔️- A: Ego integrity vs despair
In social psychology the contradiction between attitudes or between attitude
and behavior is a: ✔️- A: Cognitive dissonance
Altered connectivity between medial prefrontal cortex and the amygdala is
implicated in the neurology of which disorder? ✔️- A: MDD
Core characteristic of "system of care" movement in community mental
health: ✔️- A: Empowering families to participate in treatment plan
decisions.
, Pt unable to see objects on the upper L quadrant (L homonymous superior
quadrantinopia). Where is the lesion? ✔️- A: R. temporal lobe
Pt w/ h/o bipolar presents w/ immobility, posturing and echopraxia. 1st line
treatment? ✔️- A: Lorazepam
Established risk factor for develoment of bulimia nervosa? ✔️- A:
Childhood sexual abuse
Which medication in overdose is most clearly associated w/ increased risk of
seizure? (duloxetine, trazodone, fluoxetine, mirtazapine, clomipramine)
✔️- A: Clomipramine
A new instrument to assess for PTSD covers intrusion, avoidance, cognitive
and mood symptoms but doesn't inquire about presence of a traumatic event.
This raises concern about which type of validity? ✔️- A: Content validity
Which of the following is a basic emotion, learned directly or inferred by
infants? ✔️- A: Fear
Bilateral resection of which structure leads to Kluver-Bucy syndrome
(placidity, hyperorality, hypersexuality and hyperphagia)? ✔️- A:
Temporal lobes
13 y/o went from 75th percentile in weight to 20th and wants to lose another
5-10 lbs, self-concious about her appearance, restricts many foods and spends
much time researching nutritional content of foods. Dx? ✔️- A: Anorexia
nervosa
Mental disorder ranking in the top-10 worldwide for greatest burden of
disease by WHO? ✔️- A: MDD
College student excessively asks for advice and reassurance from others. This
is a compensatory strategy associated with which core belief? ✔️- A: I
cannot be trusted to make a good decision
When do withdrawal symptoms from chronic heroin use peak? ✔️- A:
36 hrs
