PRITE Exam: Questions And Precise Solutions (100%)
Pt with fear of driving and panic attacks and avoidance associated to it. No sxs
in any other settings. Diagnosis? Right Ans - Specific phobia
- Tx: Behavioral Therapy (exposure)
Central premise of object relations theory? Right Ans - The mind is
inhabited by mental representations of the self and others
Dr asks pt about manic sxs. Pt responds "that sounds just like my cousin" and
goes off talking about cousin never returning to answering the question.
Example of: Right Ans - Tangentiality
70 yo with confusion, lethargy and grand mal seizure. Na of 95 mEq/L. Most
likely complication of excessively rapid correction of the metabolic problem?
Right Ans - Central pontine myelinolysis
Pretend play in pre-school children is dependent on the child's ability for:
Right Ans - Use of one object to represent another (symbolic representation)
SSRI with greatest potential for discontinuation syndrome?
(Options: fluoxetine, sertraline, citalopram, paroxetine, escitalopram) Right
Ans - Paroxetine
Pt on fluoxetine 20mg daily for 3 wks reports med is not working and has mild
depressive sxs. Intervention? Right Ans - Continue fluoxetine 20 mg daily
and reassess in 2 wks
3 yo is expected to be able to? Right Ans - Have a sense of herself as a
female
Children with tic d/o are less likely than adolescents or adults w/ tic d/o to
have comorbid: Right Ans - MDD
Researcher studies daily cannabis use during adolescence in 200 adults w/
schizophrenia and 200 adults w/o psych dx. Study design? Right Ans -
Case-control study
-Cases have Dz: Exposure/Non Exposed
-Controls don't have Dz: Exposure/Non Exposed
,Pt w/ sleep problems and jerking movements of both legs during sleep.
Polysomnography shows 5 sec-long bursts of energy on EEG every 20-40 sec.
Diagnosis? Right Ans - Periodic limb movement d/o
Pt w/ Parkinson dz develops frequent, compulsive gambling. Medication
contributing to this change in behavior? Right Ans - Pramipexole
SALAD tx parkinsons:
Selegiline
Anticholinenergics (trihexyphenidyl, benzhexol, ophenadrine)
L-Dopa + peripheral decarboxylase inhibitor (carbidopa, benserazide)
Amantadine
Dopamine postsynaptic receptor agonists (bromocriptine, lisuride, pergolide,
pramipexole, ropinirole)
Interpersonal psychodynamic group w/ people of heterogeneous diagnoses
and levels of functioning. a pt with which diagnosis would be a relative
contraindication for this group? Right Ans - Antisocial personality disorder
Example of retrograde neurotransmitter?
(options: GABA, glutamate, dopamine, NE, endocannabinoids) Right Ans -
Endocannabinoids
Role of the physician in recovery-oriented care? Right Ans - Collaborating
in partnership with the consumers to support their goals
Intervention with most robust evidence to prevent suicide? Right Ans -
Restricting access to lethal methods
Pt's partner has been offered a job in a different city and pt feels angry about
the possibility of having to move and feeling a loss of control. Pt is struggling
to navigate which Eriksonian stage? Right Ans - Intimacy vs isolation
Psych med that should be discontinued prior to ECT?
(options: olanzapine, fluoxetine, memantine, lorazepam, zolpidem) Right
Ans - Lorazepam
, Outcome that best reflects efficacy of case management in tx of substance use
d/o? Right Ans - Retention in treatment
Small insertions, deletions and duplications within the DNA molec are
referred to as: Right Ans - Point mutations
Hearing impairment is a feature of which chromosomal d/o? Right Ans -
NF2:
2 ears - bilateral schwanoma (acoustic neuroma)
Characteristic of persons dx with REM sleep behavior disorder? Right Ans -
Polysomnography is notable for REM sleep without atonia
-acting out dreams: kicking, punching, yelling
Pt being evaluated for "worst HA of my life", CT brain is normal. Next step to
eval for subarachnoid hemorrhage? Right Ans - Lumbar puncture: looking
for blood
Appropriate therapy for pt with poor reality testing, primitive and inmature
defenses, and poor affect regulation/impulse control? Right Ans -
Supportive
Pattern observed in pts w/ lesions involving one of the cerebellar
hemispheres? Right Ans - Skilled movements of the extremities ipsilateral
to the lesion are disturbed.
Factors that would argue against a dx of female orgasmic disorder in a pt
seeking tx? Right Ans - Intimate partner violence in current relationship
Psych eval of a pt with "a lump i my throat", headache, bloating back pain,
diarrhea, chest pain, painful urination and sexual indiference.No objective
findings on physical exam or dignostic work-up. Recommendation to PCP?
Right Ans - Schedule regular visits with a physical examination
Pan + symptomology
How does global mental health most differs from other areas of global
medicine? Right Ans - Cultural beliefs have a greater influence on
diagnostic understandings
Pt with fear of driving and panic attacks and avoidance associated to it. No sxs
in any other settings. Diagnosis? Right Ans - Specific phobia
- Tx: Behavioral Therapy (exposure)
Central premise of object relations theory? Right Ans - The mind is
inhabited by mental representations of the self and others
Dr asks pt about manic sxs. Pt responds "that sounds just like my cousin" and
goes off talking about cousin never returning to answering the question.
Example of: Right Ans - Tangentiality
70 yo with confusion, lethargy and grand mal seizure. Na of 95 mEq/L. Most
likely complication of excessively rapid correction of the metabolic problem?
Right Ans - Central pontine myelinolysis
Pretend play in pre-school children is dependent on the child's ability for:
Right Ans - Use of one object to represent another (symbolic representation)
SSRI with greatest potential for discontinuation syndrome?
(Options: fluoxetine, sertraline, citalopram, paroxetine, escitalopram) Right
Ans - Paroxetine
Pt on fluoxetine 20mg daily for 3 wks reports med is not working and has mild
depressive sxs. Intervention? Right Ans - Continue fluoxetine 20 mg daily
and reassess in 2 wks
3 yo is expected to be able to? Right Ans - Have a sense of herself as a
female
Children with tic d/o are less likely than adolescents or adults w/ tic d/o to
have comorbid: Right Ans - MDD
Researcher studies daily cannabis use during adolescence in 200 adults w/
schizophrenia and 200 adults w/o psych dx. Study design? Right Ans -
Case-control study
-Cases have Dz: Exposure/Non Exposed
-Controls don't have Dz: Exposure/Non Exposed
,Pt w/ sleep problems and jerking movements of both legs during sleep.
Polysomnography shows 5 sec-long bursts of energy on EEG every 20-40 sec.
Diagnosis? Right Ans - Periodic limb movement d/o
Pt w/ Parkinson dz develops frequent, compulsive gambling. Medication
contributing to this change in behavior? Right Ans - Pramipexole
SALAD tx parkinsons:
Selegiline
Anticholinenergics (trihexyphenidyl, benzhexol, ophenadrine)
L-Dopa + peripheral decarboxylase inhibitor (carbidopa, benserazide)
Amantadine
Dopamine postsynaptic receptor agonists (bromocriptine, lisuride, pergolide,
pramipexole, ropinirole)
Interpersonal psychodynamic group w/ people of heterogeneous diagnoses
and levels of functioning. a pt with which diagnosis would be a relative
contraindication for this group? Right Ans - Antisocial personality disorder
Example of retrograde neurotransmitter?
(options: GABA, glutamate, dopamine, NE, endocannabinoids) Right Ans -
Endocannabinoids
Role of the physician in recovery-oriented care? Right Ans - Collaborating
in partnership with the consumers to support their goals
Intervention with most robust evidence to prevent suicide? Right Ans -
Restricting access to lethal methods
Pt's partner has been offered a job in a different city and pt feels angry about
the possibility of having to move and feeling a loss of control. Pt is struggling
to navigate which Eriksonian stage? Right Ans - Intimacy vs isolation
Psych med that should be discontinued prior to ECT?
(options: olanzapine, fluoxetine, memantine, lorazepam, zolpidem) Right
Ans - Lorazepam
, Outcome that best reflects efficacy of case management in tx of substance use
d/o? Right Ans - Retention in treatment
Small insertions, deletions and duplications within the DNA molec are
referred to as: Right Ans - Point mutations
Hearing impairment is a feature of which chromosomal d/o? Right Ans -
NF2:
2 ears - bilateral schwanoma (acoustic neuroma)
Characteristic of persons dx with REM sleep behavior disorder? Right Ans -
Polysomnography is notable for REM sleep without atonia
-acting out dreams: kicking, punching, yelling
Pt being evaluated for "worst HA of my life", CT brain is normal. Next step to
eval for subarachnoid hemorrhage? Right Ans - Lumbar puncture: looking
for blood
Appropriate therapy for pt with poor reality testing, primitive and inmature
defenses, and poor affect regulation/impulse control? Right Ans -
Supportive
Pattern observed in pts w/ lesions involving one of the cerebellar
hemispheres? Right Ans - Skilled movements of the extremities ipsilateral
to the lesion are disturbed.
Factors that would argue against a dx of female orgasmic disorder in a pt
seeking tx? Right Ans - Intimate partner violence in current relationship
Psych eval of a pt with "a lump i my throat", headache, bloating back pain,
diarrhea, chest pain, painful urination and sexual indiference.No objective
findings on physical exam or dignostic work-up. Recommendation to PCP?
Right Ans - Schedule regular visits with a physical examination
Pan + symptomology
How does global mental health most differs from other areas of global
medicine? Right Ans - Cultural beliefs have a greater influence on
diagnostic understandings
