Prite - Part II Exam Questions And Answers
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The impaired physician who fails to obtain or benefit from treatment may require the services
of an administrative psychiatrist skilled in performing fitness-for-duty evaluations. In these
situations, the administrative psychiatrist:
A serves as a patient advocate
B has the authority to administer necessary treatment
C may assist the physician with professional obligations
D is not bound by the usual parameters of confidentiality
E may not respond to the physician's questions concerning diagnosis or treatment - answer✔D
Contralateral leg weakness with sparing of the face and arm associated with urinary
incontinence and abulia are typical for stroke in the territory of which of the following arteries?
A Basilar
B Carotid
C Middle cerebral
D Anterior cerebral
E Posterior cerebral - answer✔D
Which of the following is the most common comorbidity in a pt with an anxiety disorder?
A a mood disorder
B a personality disorder
C another anxiety disorder
D a substance use disorder
E an impulse control disorder - answer✔C
A 55-year-old woman undergoes gastric bypass surgery and, several weeks later, develops gait
imbalance and numbness in the feet. Neurological exam is remarkable for hyperreflexia,
spasticity in the legs and absent vibration sensation at the toes. Serum B12 level is normal.
Deficiency of which of the following is most likely to cause these symptoms.
A Iron
B Folate
C Copper
D Thiamine
E Pyridoxine - answer✔C
Which of the following statistics measures the magnitude of difference between two
intervention groups?
A p-value
B odds ratio
C effect size
D power analysis
E number needed to treat - answer✔C
A 24-year-old is seen on the consult service for worsening disorientation and suspected
delirium. The patient's initial presentation was notable for the development of severe
headaches after starting on a high protein, low carbohydrate diet. There is no prior psychiatric
history, but the patient reports slow growth as a child. Which of the following is the most
definitive way to establish the diagnosis in this individual?
A Muscle biopsy
B chromosome microarray
C MECP2 gene sequencing
D Plasma amino acid analysis
E Ornithine transcarbamylase sequencing - answer✔E
A consulting psychiatrist suspects schizotypal personality disorder in a pt with odd speech
patterns, eccentric appearance and constricted affect. Which of the following additional
features would support this diagnosis?
A Anhedonia
B Paranoid ideation
C Lack of social anxiety
D Auditory hallucinations
E Delusions of reference - answer✔B
Which of the following distinguishes empathy from identification?
A Establishing rapport
B Retaining objectivity in the relationship
C Experiencing what the patient is feeling
D Understanding what the patient is feeling
E Being able to put oneself in the patient's place - answer✔B
Which of the following neuropsychological tests examines both executive and visuospatial
functioning?
A Clock drawing
B Facial recognition
C Verbal fluency test
D Digit span backward
E Wisconsin card sorting test - answer✔A
The number of new events in proportion to the population at risk for the event is referred to as:
A Point prevalence
B Incidence density
C Period prevalence
D Lifetime prevelance
E Cumulative incidence - answer✔E
An insurance company pays a physician a single, standardized sum for a patient's care during a
one-year period. This is known as what type of payment?
A per diem
B capitation
C global budget
D fee-for-service
E episode of illness - answer✔B
Which of the following risk factors is most strongly associated with prolonged or complicated
bereavement?
A Male gender
B Acceptance of the loss
C Higher socioeconomic status
D Higher levels or prior relationship satisfaction
E Absence of significant mood symptoms in the first month after the loss - answer✔A
Which of the following antiepileptic medications reduces the efficacy of oral contraceptives?
A Valproate
B Gabapentin
C Zonisamide
D Levetiracetam
E Carbamazepine - answer✔E
The genetic syndrome characterized by developmental delay, cardiac abnormalities, palate
defects, immune deficiency, and an increased risk of schizophrenia is caused by which of the
following types of chromosome mutations?
A Deletion
B Insertion
C Inversion
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