Which of the following factors has the most evidence to support its protective effect in
bereavement following the loss of a spouse?
A lntelligence of the bereaved
B Quality of the couple's relationship
C Length of the couple's relationship
D Quality of social support of the bereaved
E Capaci...
PRITE 2017 1 Questions & Answers
Correct!!
Which of the following factors has the most evidence to support its protective effect in
bereavement following the loss of a spouse?
A lntelligence of the bereaved
B Quality of the couple's relationship
C Length of the couple's relationship
D Quality of social support of the bereaved
E Capacity for psychological-mindedness of tné bereaved - ANSWERSD
Clinical Psychiatry
Development & Maturation
Central nervous system responses to fear provoking stimuli are mediated chiefly
through which of
the following structures?
A Substantia nigra
B Lateral hypothalamus
C Posterior hippocampus
D Periaqueductal gray matter
E Central nucleus of the amygdala - ANSWERSE
Neurosciences
A 28-year-old female patient is referred to a psychiatrist by her prima.ry care physician
due to a recent onset of episodes of altered behavior which last about one to two
minutes at most. The patient's spouse notes that when these episodes occur while the
patient is cooking, she will place all the clean silverware back in the dishwasher. During
the episodes the spouse has observed the patient making chewing movements, and
indicates that he is unable to interrupt the patient's behavior. After the episode, the
patient has no recollection of the events. A magnetic resonance imaging scan is normal.
Which of the following is the most likely diagnosis?
A Fugue states
B Dissociative states
C Peduncularhallucinosis
D Transient global amnesia
E Complex partial seizures - ANSWERSE
Clinical neurology
A psychiatrist meets a new patient for an intake. Early in the session the patient says,
"You're going to be just like the others - no doctors ever listen to me," Which of the
following would be the best statement for the psychiatrist to make next?
A "Are you always this accusatory with your treatment providers?"
B "l'm sorry you felt unheard in the past. Can you describe that experience?"
,C "Tell me about your childhood. Did you feel misunderstood by your parents as well?"
D "We will come back to this, but first I need to know more about your psychiatric
history."
E "l doubt that. I have been in practice for many years, so it shouldn't be a problem." -
ANSWERSB
Clinical Psychiatry
Treatment
Animal literature has established that maternal licking and grooming behavior has a
profound effect on the stress reactivity of offspring. Which of the following evidence
exists regarding the mechanism of this effect?
A ls due to heritable changes in oxytocin gene
B ls not reversible by environmental interventions
C ls heritable because the genetic code has been altered
D ls due to DNA methylation affecting glucocorticoid receptor expression
E ls due to female offspring being more susceptible to these changes than male
offspring - ANSWERSD
Neurosciences
A 23-year-old patient with severe borderline personality disorder and more than 20 past
suicide attempts presents for dialectical behavior therapy (DBT), The therapist asks the
patient for a commitment to refrain from self-harm behaviors for one year. The patient
replies, "Oh, sure, that won't be a problem at all, believe me," Which of the following
responses by the therapist would be
most consistent with principles of DBT?
A lnsist that the patient endorse the agreement in writing
B Suggest that the patient increase the duration,of the commitment to two years
C Draw the patient's attention to the fact that this commitment would be extremely
difficult to abide by
D Inform the patient that treatment will be terminated if any acts of self-harm occur
within the next year
E Praise the patient for the decision and emphasize that the therapist does indeed
believe that the patient will refrain from self-harm " - ANSWERSC
Clinical Psychiatry
Treatment
A 47-year-old patient with epilepsy has seizures that are well-controlled on antiepileptic
drug monotherapy, but the patient develops nausea, ataxia and diplopia when treated
with erythromycin for a sinus infection. This patient is most likely taking which of the
following antiepileptic medícations?
A Valproate
B Gabapentin
C Topiramate
D Levetiracetam
E Carbamazepine - ANSWERSE
Clinical neurology
,A recently retired woman begins outpatient psychotherapy to help cope with several
recent transitions in her life. She mentions regret that she did not pursue a graduate
degree and instead "settled" for her ten-year job as an administrative assistant. She
worries about her grown children, a son who lives with her and is not financially
independent, and a daughter whom "l could have set on a better path." She would like
to do something meaningful, in the last few decades of her life, but is unsure of her next
step. Which of the following stages of psychosocial development is characterized by this
patient?
A Initiative vs. guilt
B Industry vs. inferiority
C Ego integrity vs. despair
D Identity vs. role confusion
E Generativity vs. stagnation - ANSWERSC
Clinical Psychiatry
Development and Maturation
ln social psychology, the occurrence of a contradiction between two attitudes or
between an
attitude and a behavior is referred to as:
A prejudice.
B cognitive dissonance.
C situational attribution.
D correspondence bias.
E overriding stereotypes. - ANSWERSB
Clinical psychiatry
Behavioral & Social science
Altered functional connectivity between the medial prefrontal cortex and the amygdala
has been
implicated in the neurology of which of the following?
A Alcohol use disorder
B Autism spectrum disorder
C Major depressive disorder
D Obsessive-compulsive disorder
E Attention-deficit/hyperactivity disorder - ANSWERSC, D
Neurosciences
Which of the following is a core characteristic of the "system of care" movement in
community
mental health?
A Shifting more services to inpatient care
B Separating mental health care from other community services
C Empowering families to participate in treatment plan decisions
D Empowering the primary care practitioner as the primary decision maker
, E lncreasing reliance on mental health professionals as opposed to paraprofessionals -
ANSWERSC
Clinical psychiatry
Administration & systems
During a neurological exam a patient is unable to see objects presented in the upper left
quadrant
of each eye. This indicates a lesion in which of the following regions of the brain?
A Left optic nerve
B Left visual cortex
C Right parietal lobe
D Right temporal lobe
E Right optic radiation - ANSWERSD, E
Clinical neurology
A patient with a history of bipolar disorder presenls with immobility, posturing, and
echopraxia
Which of the following interventions is considered a first-line treatntent for these
symptoms?
A Lithium
B Haloperidol
C Lorazepam
D Benztropine
E Sodium valproate - ANSWERSC
Clinical psychiatry
Treatment
Which of the following neurocognitive disorders is associated with a fluctuating rate of
progression,
marked visuospatial impairment, and early unilateral resting tremor and increased
muscle tone in
the arm?
A Alzheimer disease
B Cerebrovasculardisease
C Frontotemporal dementia
D Dementia with Lewy bodies
E Spongiform encephalopathy - ANSWERSD
Clinical psychiatry
Psychopathology & associated conditions
Which of the following exam findings suggests'an L5 radiculopathy in a patient with back
pain and
foot drop?
A Tenderness at the ankle
B Hyperreflexia at the knee
C Weakness of ankle inversion
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