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PRITE 2019 - Part II questions and answers
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PRITE 2019 - Part II questionsand answers
"Therapeutic misconception" refers to which of the following with regard to
obtaining informed consent in research trials?
A Misconception that pts w/ dementia cannot give consent
B Assumption by the researcher that the trial's primary purpose is to help the
patient
C Lack of understanding by subjects that they can drop out at any time
D Misunderstanding by the researcher that the research participants will benefit
from participation
E Assumption by the research participant that decisions about their care are being
made solely with their benefit in mind - answer ✅✅E
A 10 y.o. is jealous of long-standing parental attention to a gifted older sibling's
academic success. At summer camp, the younger child becomes strongly attached
to an older camper who is highly accomplished in martial arts and teaches him
,some skills. On returning home, the child becomes a dedicated martial arts
student. The child's parents note that the child seems less jealous of the older
sibling. Which of the following psychodynamic defense mechanism accounts for
this behavior?
A Suppression
B Repression
C Sublimation
D Displacement
E Isolation of affect - answer ✅✅C
A 12 y.o. is brought by exasperated parents for psych eval due to the child's
beligerent refusal to do chores and hw. He constantly talks back and is described
as irrational at times and is easily annoyed by others. The child purposefully
annoys other children and as a result doesn't have any friends. Which of the
following dx best characterizes the child's presentation?
A Conduct disorder
B Bipolar I Disorder
C ODD
D ADHD
E DMDD - answer ✅✅C
A 13-year-old pt is evaluated by the psychiatrist. The pt's parents report that the
pt is "sleepy" during the day, and often seems dazed and "out of it." Additionally,
the pt is often not hungry and sometimes complains of nausea. On exam, the pt has
red eyes, a runny nose and red sores around the mouth. Which of the following is
mos likely?
A Cannabis
B Heroin
C Aerosols
,D Opiates
E Stimulants - answer ✅✅C
A 19 y.o college student who has "always been overweight" complains she is unable
to lose weight despite exercising 4x/wk for the past year. She describes college as
"very stressful" and admits to occas. eating a whole pizza or gallon of ice cream
when feeling overwhelmed; this is occuring 4-5x/wk recently. Afterwards, she
feels remorseful and vomits. She is concerned she will always be overweight and
plans to increase her exercise to 2 hrs/d, 6x/wk. Which of the following lab
findings is most likely?
A Anemia
B Hypercarotinemia
C Hypercholesterolemia
D Reduced bone density
E Elevated serum amylase - answer ✅✅E
A 2 y.o. accomp. her mom to psychotherapy. The psychiatrist observes bruises.
The mom expresses guilt and promises not to repeat the conduct. The psychiatrist
provides education about hazards of physical punishment and decides not to
report to CPS. The mother later injures the child more seriously. Which of the
following best describes the psychiatrist's legal position?
A The physician had no duty to the child in the scenario
B A "good faith decision standard" immunizes the physician from liability
C Legal sanctions could ensue b/c earlier abuse wasn't reported
D The mother's privilege to confidentiality in psychotherapy overrides reporting
mandates
E A "reasonable professional standard" overrides the mandate to report the earlier
abuse - 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 24-year-old pt presents to the ED reporting ringing in the ears, nausea and
vomiting. Respirations are noted to be deep and rapid. During questioning the pt
admits to taking an overdose of numerous, unidentified pills. Which of the
following did the pt most likely ingest?
A Aspirin
B Trazodone
C Propranolol
D Lorazepam
E Acetaminophen - answer ✅✅A
A 25-year-old with diabetes presents with ptosis that worsens towards the end of
the day. The pt reports developing double vision while reading. The symptoms
seem improved upon awakening the following morning. The pt denies any pain,
and eye exam is otherwise unremarkable. What is the cause?
A Optic glioma
B MS
C Third nerve palsy
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