PRITE 2024 Exam – Questions With Solutions (Pass!)
According to Margaret Mahler's developmental theory of psychology, which of
the following indicates a successful resolution of the process of separation-
individualism in a toddler?
A. Trust
B. Intimacy
C. Object consistency
D. Normal symbiosis
E. Secondary individuation Right Ans - object consistency
Which of the following neurodevelopmental processes predominantly occurs
during adolescence and young adulthood?
A. Synaptic pruning
B. Decreased myelination
C. Ventricular enlargement
D. Prefrontal cortex reduction
E. Growth of gray matter volumes Right Ans - synaptic pruning
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3982854/
Medical record data was used to estimate the prevalence of diabetes among
patients who started on an antipsychotic medication. Which of the follow best
describes this study design?
A. Cohort study
B. Meta-analysis
C. Systematic review
D. Cost-benefit analysis
E. Randomized controlled trial Right Ans - cohort study
An 80 yer old presents with depressed mood and cognitive decline. The
patient answers the interviewer's questions with brief, one-word responses
and rare spontaneous elaboration. This is an example of which of the
following?
A. Echolalia
,B. Loss of goal
C. Poverty of speech
D. Latency of speech
E. Paraphasic speech Right Ans - poverty of speech
Despite an extensive workup, no medical etiology can be identified as the
cause of a patient's leg pain and weakness. The patient's primary care
physician suspects a diagnosis of somatic symptom disorder. Which of the
following responses is the most appropriate next step?
A. Refer for psychiatric evaluation
B. Inform the patient the leg pain is not real
C. Transition care of the patient to a neurologist
D. Schedule frequent, brief follow-up appointments
E. Reinforce the non-medical nature of the illness at each visit Right Ans -
schedule frequent, brief follow-up appointments
Over the last six months a ten year old child has been exhibiting anger and
temper tantrums. The child has been deliberately annoying others and
blaming this misbehavior on classmates. This has led to multiple disciplinary
actions at school. What is the most likely diagnosis?
A. Conduct disorder
B. Oppositional defiant disorder
C. Intermittent explosive disorder
D. Attention-deficit/hyperactivity disorder
E. Disruptive mood dysregulation disorder Right Ans - oppositional defiant
disorder
Children with ODD often display frequent temper tantrums, argue with adults,
and refuse to comply with rules or requests. They may also intentionally
annoy others and exhibit spiteful or vindictive behaviors. On the other hand,
CD involves more severe and aggressive behaviors that violate the rights of
others.
Both DMDD and oppositional defiant disorder criteria include irritability and
temper outbursts. However, the disorders differ in three respects: 1) severity:
outbursts must occur three times a week in DMDD, but only once a week in
oppositional defiant disorder; 2) duration: the required duration is 12 months
,for DMDD and 6 months for oppositional defiant disorder; and 3)
pervasiveness and impairment: in DMDD, function must be impaired in two of
three settings, and it must be severe in one setting; oppositional defiant
disorder has no such requirement.
https://psychiatryonline.org/doi/10.1176/appi.ajp.2014.13101301
A patient presents to the psychiatrist with the complaint of "I think I'm going
crazy." The patient reports that she often feels as if she has "no self and her
thoughts are not her own. In fact, she often feels like a robot and as if she is
unable to control her body. She states that she knows she has feelings but is
not able to feel them, instead feeling emotionally numb, and she frequently
feels that her head is "full of cotton." Recently, she has begun having "out of
body" experiences. Which of the following is the most likely diagnosis?
A. Illness anxiety disorder
B. Dissociative identity disorder
C. Posttraumatic stress disorder
D. Borderline personality disorder
E. Depersonalization/derealization disorder Right Ans -
depersonalization/derealization disorder
A cancer patient becomes nauseous when seeing a commercial on television
for the local cancer center where they receive chemotherapy. The patient's
nausea is best described as what element of classical conditioning?
A. Reinforcement
B. Conditioned stimulus
C. Conditioned response
D. Unconditioned stimulus
E. Unconditioned response Right Ans - conditioned response
In the 1970's, evidence for the role of serotonin in depression and a desire to
develop drugs with a better side effect profile than the tricyclics and
monoamine oxidase inhibitors, led to the development of which of the
following medications?
A. Buspirone
B. Bupropion
, C. Fluoxetine
D. Lamotrigine
E. Clomipramine Right Ans - fluoxetine
A 72 year old patient is seen for a six month history of rapid dementia, gait
unsteadiness, and jerky movements. Electroencephalogram (EEG)
demonstrates a periodic discharge with sharp waves occurring every one
second. What is the most likely diagnosis?
A. Prion disease
B. Status epilepticus
C. Alcohol withdrawal
D. Herpes encephalitis
E. Hepatic encephalopathy Right Ans - prion disease
A primary care practice follows patient progress through a registry. Each
patient is assigned a primary care provider and a behavioral health care
manager. A psychiatrist is consistently available to these providers for
consultation. This arrangement is best described by which model?
A. Integrated care
B. Co-located care
C. Collaborative care
D. Remote consultation care
E. Assertive community treatment Right Ans - collaborative care
Which of the following types of research studies is most likely to result in
external validity?
A. Efficacy trials
B. Case-control study
C. Effectiveness trials
D. Cross-sectional study
E. Randomized controlled trials Right Ans - effectiveness trials
Which antidepressant has demonstrated efficacy in the treatment of
akathisia?
A. Bupropion
According to Margaret Mahler's developmental theory of psychology, which of
the following indicates a successful resolution of the process of separation-
individualism in a toddler?
A. Trust
B. Intimacy
C. Object consistency
D. Normal symbiosis
E. Secondary individuation Right Ans - object consistency
Which of the following neurodevelopmental processes predominantly occurs
during adolescence and young adulthood?
A. Synaptic pruning
B. Decreased myelination
C. Ventricular enlargement
D. Prefrontal cortex reduction
E. Growth of gray matter volumes Right Ans - synaptic pruning
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3982854/
Medical record data was used to estimate the prevalence of diabetes among
patients who started on an antipsychotic medication. Which of the follow best
describes this study design?
A. Cohort study
B. Meta-analysis
C. Systematic review
D. Cost-benefit analysis
E. Randomized controlled trial Right Ans - cohort study
An 80 yer old presents with depressed mood and cognitive decline. The
patient answers the interviewer's questions with brief, one-word responses
and rare spontaneous elaboration. This is an example of which of the
following?
A. Echolalia
,B. Loss of goal
C. Poverty of speech
D. Latency of speech
E. Paraphasic speech Right Ans - poverty of speech
Despite an extensive workup, no medical etiology can be identified as the
cause of a patient's leg pain and weakness. The patient's primary care
physician suspects a diagnosis of somatic symptom disorder. Which of the
following responses is the most appropriate next step?
A. Refer for psychiatric evaluation
B. Inform the patient the leg pain is not real
C. Transition care of the patient to a neurologist
D. Schedule frequent, brief follow-up appointments
E. Reinforce the non-medical nature of the illness at each visit Right Ans -
schedule frequent, brief follow-up appointments
Over the last six months a ten year old child has been exhibiting anger and
temper tantrums. The child has been deliberately annoying others and
blaming this misbehavior on classmates. This has led to multiple disciplinary
actions at school. What is the most likely diagnosis?
A. Conduct disorder
B. Oppositional defiant disorder
C. Intermittent explosive disorder
D. Attention-deficit/hyperactivity disorder
E. Disruptive mood dysregulation disorder Right Ans - oppositional defiant
disorder
Children with ODD often display frequent temper tantrums, argue with adults,
and refuse to comply with rules or requests. They may also intentionally
annoy others and exhibit spiteful or vindictive behaviors. On the other hand,
CD involves more severe and aggressive behaviors that violate the rights of
others.
Both DMDD and oppositional defiant disorder criteria include irritability and
temper outbursts. However, the disorders differ in three respects: 1) severity:
outbursts must occur three times a week in DMDD, but only once a week in
oppositional defiant disorder; 2) duration: the required duration is 12 months
,for DMDD and 6 months for oppositional defiant disorder; and 3)
pervasiveness and impairment: in DMDD, function must be impaired in two of
three settings, and it must be severe in one setting; oppositional defiant
disorder has no such requirement.
https://psychiatryonline.org/doi/10.1176/appi.ajp.2014.13101301
A patient presents to the psychiatrist with the complaint of "I think I'm going
crazy." The patient reports that she often feels as if she has "no self and her
thoughts are not her own. In fact, she often feels like a robot and as if she is
unable to control her body. She states that she knows she has feelings but is
not able to feel them, instead feeling emotionally numb, and she frequently
feels that her head is "full of cotton." Recently, she has begun having "out of
body" experiences. Which of the following is the most likely diagnosis?
A. Illness anxiety disorder
B. Dissociative identity disorder
C. Posttraumatic stress disorder
D. Borderline personality disorder
E. Depersonalization/derealization disorder Right Ans -
depersonalization/derealization disorder
A cancer patient becomes nauseous when seeing a commercial on television
for the local cancer center where they receive chemotherapy. The patient's
nausea is best described as what element of classical conditioning?
A. Reinforcement
B. Conditioned stimulus
C. Conditioned response
D. Unconditioned stimulus
E. Unconditioned response Right Ans - conditioned response
In the 1970's, evidence for the role of serotonin in depression and a desire to
develop drugs with a better side effect profile than the tricyclics and
monoamine oxidase inhibitors, led to the development of which of the
following medications?
A. Buspirone
B. Bupropion
, C. Fluoxetine
D. Lamotrigine
E. Clomipramine Right Ans - fluoxetine
A 72 year old patient is seen for a six month history of rapid dementia, gait
unsteadiness, and jerky movements. Electroencephalogram (EEG)
demonstrates a periodic discharge with sharp waves occurring every one
second. What is the most likely diagnosis?
A. Prion disease
B. Status epilepticus
C. Alcohol withdrawal
D. Herpes encephalitis
E. Hepatic encephalopathy Right Ans - prion disease
A primary care practice follows patient progress through a registry. Each
patient is assigned a primary care provider and a behavioral health care
manager. A psychiatrist is consistently available to these providers for
consultation. This arrangement is best described by which model?
A. Integrated care
B. Co-located care
C. Collaborative care
D. Remote consultation care
E. Assertive community treatment Right Ans - collaborative care
Which of the following types of research studies is most likely to result in
external validity?
A. Efficacy trials
B. Case-control study
C. Effectiveness trials
D. Cross-sectional study
E. Randomized controlled trials Right Ans - effectiveness trials
Which antidepressant has demonstrated efficacy in the treatment of
akathisia?
A. Bupropion
