prite 2016 part 2 Questions & Answers
1. - ANSWERSA Child at 4 - 5 years can have imaginary friends (eg. Believing an
imaginary animal living with them) is Behavior typical for preschoolers, NOT. Early signs
of psychosis.signs of visual abnormalities, Signs of exposure to trauma, not early signs
of developmental delay.
2. - ANSWERSReinforce distorted automatic thoughts about the pain experience, Is the
main goal of group cognitive behavior therapy for chronic pain treatment, NOT,
Decrease individual members' pain, Convince family members that chronic pain is real,
Utilize the group process to avoid thinking about stress, Improve patients' functioning
despite the presence of pain.
3. - ANSWERSMortality or differential attrition during the course of treatment during the
study
most seriously threatens the external validity of a research study. NOT, Placebo
responses in the study population, study population that is not representative of the
population to be treated, Maturation due to natural change during the period between
baseline and post-test, Statistical regression or regression toward the mean. -
ANSWERS
4. - ANSWERSLoss of sensation in the fourth and fifth digit and weakness of intrinsic
hand muscles, supports a diagnosis of ulnar neuropathy at the elbow. NOT Decreased
sensation in the thumb and second finger and weakness of thumb abduction
1. - ANSWERSHypersensitivity to touch in the upper arm and weakness of raising the
arm over the head, Tenderness in the neck radiating to the back of the arm with
decreased triceps reflex, Impaired sensation on dorsum of hand and weakness of finger
and wrist extension
5. - ANSWERSA two year old child presents for routine physical exam. He is likely to
demonstrate the skill of Kick a ball, vs. Catch a ball, Copy a circle, Ride a tricycle Hop
on one foot.
6. - ANSWERSA child in early adolescence is more likely than preschool, toddler,
school-age, late-adolescence to likely talk to parents about how other peers in school
are breaking rules.
7. - ANSWERS"Do you have trouble expressing your feelings?" is the most likely
question to yield info that helps with clinical formulation? Vs. "Are you homesick?" Why
don't you believe the test results?" "What do you think is causing your problem?" "Is
there something that you are not telling your doctor?" when a PCP refers a patient to
,you after neg. medical work up whom that recently immigrated to the US and the PCP
suspects he may be suffering from a culture bound syndrome.
8. - ANSWERSAn 8 year old child with mild intellectual disability is most likely to have
difficulty with Understanding social cues of peers vs. naming colors, following the
bedtime routine, brushing teeth without supervision, accepting hugs from family
members
9. - ANSWERSNarcolepsy is believed to be caused by deficiency of Hypocretin, NOT,
Melatonin, Acetylcholine, Norepinephrine, Melanin-concentrating hormone.
10. - ANSWERSSchizophrenia, has shown robust evidence from epidemiological
studies that the offspring of older fathers have an increased risk of susceptibility to the
disorder vs. Alcoholis, Major depression, Antisocial personality disorder, attention
deficit/hyperactivity disorder.
11. - ANSWERSOxygen is the treatment in cluster headaches. A typical history is when
a a 32 year old patient presents to the ED with three days of recurrent headaches,
sudden in onset, predominantly periorbital and frequently awakening the patient from
sleep, objectively presents restless, mild ptosis of the left eye, mild left miosis,
increased lacrimation, nasal congestion and rhinorrhea all ipsilateral to the pain. Vs.
Ibuprofen (migraine +tension), Topiramate(prophylactic therapy),
Indomethacin(migraine +tension),, Dexamethasone (migraine).
12. - ANSWERSFailure to recall events during a particular period of time. is the most
common type of dissociative amnesia? Vs. Failure to recall new events as they occur.
To recall some, but not all, events during a particular time,Total loss of memory for
one's own personal history. Inability to recall information on a particular category (eg
related to one's family).
13. - ANSWERSMedullary lesion is most likely to be associated with the finding of up
beating nystagmus on primary gaze on neurologic exam. Vs. Pontine hemorrhage or
infarct, Occult lung or breast carcinoma, Craniopharyngioma in the optic chiasm region,
Congenital anomaly of the anterior third ventricle.
14. - ANSWERSSupportive therapy is most commonly used modality of psychotherapy
in crisis management vs. Psychoanalysis, Behavioral therapy, Interpersonal
psychotherapy, Psychodynamic psychotherapy.
15. - ANSWERSCombined psychostimulant and behavior therapy has the strongest
evidence base for a 12 year old patient is referred for assessment of inattention and
behavior problems in the classroom and the home and with a ADHD diagnosis and
presents with significant levels of anxiety vs. Alpha agonist monotherapy, Serotonin
specific antidepressant monotherapy, Combined psychostimulant and alpha agonist,
Combined alpha agonist and behavior therapy.
, 16. - ANSWERSNeuroleptic malignant syndrome is the most likely diagnosis VS.
malignant catatonia, serotonin syndrome, anticholinergic toxicity and delirium secondary
to infection when presents e.g. h/o autism and brought to the emergency department
due to severe agitation., fever of 38.2 C, heart rate 105, and blood pressure 160/95
mmHg. Leukocyte count is 18.1 x 10^3, and creatinine kinase is 15000 U/L. The patient
is noted to be mute, rigid, drooling, and hasn't eaten in 2 days. Chest x-ray and
urinalysis are unremarkable. Current medications include fluoxetine, buspirone,
methylphenidate, guanfacine, olanzapine, haloperidol, and valproic acid. Which of the
following is
17. - ANSWERSEnlarged ventricles are the most likely findings on a patient's structural
magnetic resonance imaging (MRI) scan vs. Cortical atrophy, Cerebellar atrophy,
Striatal degeneration, Diffuse small cortical infarcts, when a 70 year old man presents
with a 4 month hx of worsening cognitive decline, urinary incontinence and difficulty
walking. (think wet, wacky, wobbly ).
18. - ANSWERSThe law presumes a person is competent is an aspect of legal
standards for competence vs. Competence must be assessed before each decision.
The law presumes a person with dementia is incompetent. The law presumes a person
wiht active psychosis is incompetent. The law presumes a person with developmental
delay is incompetent.
19. - ANSWERSRelative risk is a statistical measures would be used to describe the
probability that an individual with chronic pain will make an error compared to an
individual who is pain free. Q. stem: when A psychiatrist is conducting a study to assess
how a diagnosis of a chronic pain syndrome affects an individual's work performance
measured by the rate of errors. Vs. Attributable fraction, Effect size, Hazard ratio.
20. - ANSWERSPain caused by neurogenic inflammation is mediated substance P vs.
Metalloproteinase, Interleukin 6, Dopamine, Complement
21. - ANSWERSBotulinum toxin is the treatment of focal hand dystonia associated with
writing ("writer's cramp") vs. Carbamazepine, Valproic acid, Glatiramer acetate,
levodopa/carbidopa
22. - ANSWERSIn a child of at least 5 years of age is required to meet diagnostic
criteria for enuresis vs Involuntary in nature, During nighttime sleep, Attributable to a
medical condition, Associated with the effects of a substance.
23. - ANSWERSTau have found an association between Alzheimer disease and the
accumulation of proteins inside cortical neurons. vs. Amyloid, Fibrillin, Presenilin,
Neuropeptide Y.
1. - ANSWERS
