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2024 PRITE Part I Exam Questions and Answers
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2024 PRITE Part I Exam Questions and Answers
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2024 PRITE Part IObject constancy - Answer -According to Margaret Mahler's developmental theory of psychology, which
of the following indicates a successful resolution of the process of separation-individuation in a toddler?
Synaptic pruning - Answer -Which of the following neurodevelopmental processes predominantly occurs
during adolescence and young adulthood?
Cohort study - Answer -Medical record data was used to estimate the prevalence of diabetes among
patients who started on an antipsychotic medication. Which of the following best describes this study
design?
Poverty of speech - Answer -An 80-year-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?
Schedule frequent brief follow-up appontments - Answer -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?
ODD - Answer -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?
,Depersonalization/derealization disorder - Answer -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?
Conditioned response - Answer -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?
Fluoxetine - Answer -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?
Prion disease - Answer -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?
Collaborative care - Answer -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?
Effectiveness trials - Answer -Which of the following types of research studies is most likely to result in
external validity?
Mirtazapine - Answer -Which antidepressant has demonstrated efficacy in the treatment of akathisia?
Alpha - Answer -An awake electroencephalogram (EG) in a patient with encephalopathy will show which
of the following waves?
Nonmaleficence - Answer -A 16-year-old patient was brought to the emergency room after an overdose
of acetaminophen in a suicide attempt. After medical stabilization, the parents demand that the patient
, return home rather than going to a psychiatric hospital for continuing suicidal ideation. The psychiatrist
decides that the patient should remain in the hospital due to being a danger to self. This action by the
psychiatrist is best described by which ethical principle?
Disinhibition impulsivity and tactlessness - Answer -Lesions to the orbitofrontal-subcortical circuit
produce which of the following behaviors?
Arcuate fasciculus - Answer -Which of the following connects the frontal and temporal lobes?
Fluctuating consciousness - Answer -An elderly patient with confusion is admitted and a psychiatric
consultation is sought. In discerning delirium from dementia, depression, or psychosis, which of the
following aspects of the mental status is most important?
Kava - Answer -A 38-year-old with a long history of social anxiety and treatment with clonazepam is
brought to the emergency room disoriented and confused. Neurological exam is notable for dyskinesias
of the upper extremities. Which of the following, if taken in conjunction with the currently prescribed
medication, is most likely to cause these symptoms?
The psychiatrist's use of coercion invalidated informed consent - Answer -An agitated patient with
bipolar disorder, manic, was evaluated in the emergency department and resisted voluntary psychiatric
hospitalization. The frustrated psychiatrist said to the patient "You can come in voluntarily and choose
when you will be discharged, or I will involuntarily hospitalize you so that you have no say in how long
you stay in the hospital." The patient had made no threat of suicide or violence towards others. Which
of the following best explains why the psychiatrist's decision does not meet the standard of care?
Frequency of channel opening in response to GABA - Answer -The primary mechanism of action of
benzodiazepines at GABA-A receptors is to increase which of the following?
Selective serotonin reuptake inhibitors - Answer -A meta-analysis of multiple clinical trials found a
modest increased risk of suicidality when adolescents were treated with which of the following classes
of agents?
Serum electrolytes - Answer -A 65-year-old patient is prescribed sertraline for depression and within
weeks develops waxing and waning impairment of alertness, attention and memory. Vital signs and
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