What neurochemical abnormality is most consistently described in Alzheimer disease of moderate severity. - ANSWERSDecreased choline acetyltransferase activity
Which of the following sources of pain is thought to have a primarily central (non-nociceptive) mechanism?
a) cancer pain
b) fibromy...
PRITE 2022 Questions & Answers
What neurochemical abnormality is most consistently described in Alzheimer disease of
moderate severity. - ANSWERSDecreased choline acetyltransferase activity
Which of the following sources of pain is thought to have a primarily central (non-
nociceptive) mechanism?
a) cancer pain
b) fibromyalgia
c) osteoarthritis
d) diabetic neuropathy
e) postherpetic neuralgia - ANSWERSb) fibromyalgia
A patient presents with mild memory impairment, tearfulness, insomnia, and blurry
vision. The patient acts as if blind, cannot locate objects in the visual field, has left-right
disorientation and alexia, and misses objects when instructed to reach for them. The
patient only identifies a single object in a drawing of overlapping objects. Despite
requiring prompts to visually follow objects, cranial nerves, motor function, reflexes, and
movement and color detection are otherwise intact. What is the most likely cause of the
visual disturbance? - ANSWERSCerebral infarct
Variable phenotypic expression of 15q13 deletion depends on whether the encoding
gene is
derived from the father or the mother. This phenomenon is commonly referred to as -
ANSWERSGenomic imprinting
A patient hospitalized for burns sustained in a house fire one week prior is experiencing
recurrent nightmares and frequent, intrusive memories about the fire accompanied by
concern that the patient seems depressed, is sleeping poorly and startles when
someone enters the room without knocking. On exam, the patient is distracted,
sometimes irritable, and has labile affect. What is the most likely diagnosis? -
ANSWERSAcute stress disorder
What is an example of epigenetic gene regulation? - ANSWERSAddition of methyl
group to a histone around which DNA is coiled.
What sex hormone is most responsible for sexual differentiation in fetal brain
development? - ANSWERSTestosterone (causes brain/body to be masculinized and
defeminized)
What psychiatric disorder occurs most frequently with secondary enuresis? -
ANSWERSADHD
,The psychiatrist is concerned about a colleague's behavior and notifies the State's
physician health program, which conducts an intervention. The physician should be
referred for professional evaluation/treatment in which scenario?
A) drinks wine with diner
B) has experienced depression and been hospitalized in past
C) has bipolar disorder and is euthymic/med compliant
D) uses cocaine occasionally but not habitually, on days off, negative utox
E) aggressive toward patients on 3 different occasions during ED shifts - ANSWERSE
Abnormalities in which of the following components of the neurological examination
would indicate cerebellar dysfunction? - ANSWERSRapid alternating movements
Excessive activation of which of the following receptors is thought to contribute to cell
death in Alzheimer disease? - ANSWERSNMDA
In behavior mastery training, which of the following techniques teaches individuals with
sexual addiction to identify factors that increase the likelihood of symptomatic sexual
behavior? - ANSWERSRisk management
A patient has been prescribed a second-gen antipsychotic for just over a year. Since
starting the medication, her libido is markedly lower, and she has experienced irregular
menstrual cycles. Which lab test would have greatest diagnostic value at this point? -
ANSWERSProlactin
A 58 year old patient develops progressive weakness and tingling two weeks after
receiving a vaccination. Examination reveals weakness and decreased sensation in the
legs, as well as absent DTRs in arms and legs. Imaging of the brain and spine is
normal. Which test will confirm the most likely diagnosis? - ANSWERSNerve conduction
studies
Which of the following is among the first steps taken by a public school to address a
student's difficulty being successful academically? - ANSWERSInitiate a response to
intervention plan
Which of the following nuclei of the hypothalamus is the major site for Neuropeptide Y
synthesis? - ANSWERSArcuate nucleus
Which type of group therapy encourages high intragroup dependence and less group
leader dependence? - ANSWERSTransactional
Which mechanism is the most likely cause of anosmia in patients infected with
COVID19? - ANSWERSDirect viral involvement of the nasal epithelium
, An argumentative 10 year old who displays persistent anger outbursts, vindictiveness,
and deliberately annoys adults most likely has what disorder? - ANSWERSOppositional
defiant disorder
What outcome has been demonstrated to improve as a result of peer support services
in the treatment of people with mental illness? - ANSWERSSocial functioning
Electroconvulsive therapy is indicated for which of the following conditions?
A) Dissociative fugue
B) Serotonin syndrome
C) Intermittent explosive disorder
D) OCD
E) NMS - ANSWERSE) NMS
Which white matter tracts connects the temporal and orbitofrontal cortices? -
ANSWERSUncinate fasiculus
Cingulum - ANSWERSConnects frontal, temporal, and parietal lobes and also
subcortical nuclei to cingulate gyrus
Arcuate fasiculus - ANSWERSConnects Wernicke's and Brocas
Inferior longitudinal fasciculus - ANSWERSConnects occipital and temporal lobes
Superior longitudinal fasciculus - ANSWERSConnects frontal lobe and ipsilateral
hemisphere
The Clinical Pharmacogenetics Implementation Consortium dosing guidelines for
antidepressants are based on genetic variations in _______. - ANSWERSCYP450
enzymes
Which molecular mechanism is best supported as a possible explanation for how early
life stress could lead to the development of psychiatric disorders in adulthood? -
ANSWERSDNA methylation
Postpartum depression has been consistently associated with which outcome in
children? - ANSWERSInfant growth impairment
A patient is convinced that their boss hates them, despite objective evidence to the
contrary. The patient's belief is best described by which defense mechanism? -
ANSWERSProjection
(attributing one's own unacceptable thoughts/feelings/motives onto another person)
Denial - ANSWERSBlocking external events from awareness
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