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PRITE EXAM QUESTIONS AND ANSWERS
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PRITE EXAM QUESTIONS AND ANSWERS
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PRITE EXAM QUESTIONS AND ANSWERSHigh social economic status parents of a 16 year old who has met normal
developmental milestones are worried that their child is using social media and texting
to communicate with peers. They found text messages w/ romantic partners and visits
to sexual health related websites. What is the most likely consequence of the
adolescents reliance on electronic forms of communication? - Answers-Continued
socialization within the current peer group
35 hospitalized w/ concussion following MVC with only minor lacerations and bruises.
One week later has generalized pain, dizziness, difficulty sleeping and recurrent
nightmares. Now fears driving. What is most likely explanation? - Answers-Acute Stress
Disorder
Which vitamin is effective as an adjunct to antidepressants for treating depression? -
Answers-D3
What is the easiest scale to use for initial assessment of delirium in geriatric patients? -
Answers-Confusion Assessment Method
In a properly conducted randomized trial, why don't you include P-values in the baseline
characteristics table? - Answers-Any differences at baseline must have arisen by
chance given randomization
What is the best predictor of healthy aging in elderly individuals? - Answers-Remaining
in contact with friends
In which arterial area would a stroke resolve in inability to read but preserved ability to
write? - Answers-Posterior Cerebral
What occurs when the central nervous system responds to an acute cortical insult? -
Answers-Microglia processes retract, and the cell body enlarges
What drug can reduce psychotic symptoms in parkinson's disease w/out worsening
motor symptoms - Answers-Pimavanserin
What diagnosis is associated high hypnotizability potential - Answers-Dissociative
Disorder
What neurodevelopmental process predominately occurs during adolescence and
young adulthood? - Answers-Synaptic pruning
How likely is escalation of benzodiazepine dose when prescribed for long term use? -
Answers-Most patients will maintain a stable dose over time
,A 72 year old develops sudden onset memory loss. She didn't know how she and
spouse arrived at supermarket. The spouse noted that she could drive without issues
but appeared anxious. The patient was able to appropriately answer questions but
forgot the conversation and then returned to baseline. What is the most likely
diagnosis? - Answers-Transient global amnesia
What is the best example of a second stage or "self conscious" emotion believed to
develop towards the end of 2 years old? - Answers-Envy
HIPPA limits disclosure of patient health information without patient's consent except
for...? - Answers-Payment
The validity scales of the Minnesota Multiphasic Personality Inventory II measures
what? - Answers-Test-taking attitude of the patient
Which gene is most associated with neurocognitive disorder due to alzheimers -
Answers-APOE*E4
A cross sectional study shows less depressive disorders in people who use a natural
pill. They then observe people from the same population for a year and find that
prevalence of depression is lower in those who regularly used the pill. They then recruit
a sample from the same population and randomly assign people to pill or placebo for
one year. This didn't show any difference. Assuming no major flaws in design or
analysis, what is the most likely explanation for the discrepancies in results? - Answers-
Some unknown variable confounded the non-random results
Med student is struggling with time management and peer to peer interactions on
rotations. Has gotten feedback that she spends too much time organizing and
highlighting her notes. She also violates duty hours due to inability to finish work during
the day. If given a group assignment she completes it on her own saying it's easier to do
it myself. Which of the following personality disorders does she likely have? - Answers-
Obsessive-compulsive Personality Disorder
Which psychodynamic theory emphasizes individuals ability to understand their own
and others internal states as explanation for behavior? - Answers-Mentalization theory
A patient with depression and epilepsy responded well to Bupropion SR. No seizures
have occurred while on bupropion SR.. Insurance wants to switch antidepressant
because of buproprion's side effect of reducing seizure threshold. What should the
psychiatrist do? - Answers-Continue Bupropion SR
21 year old has episode of nausea, sweating and hematemesis. Pt reports having
recent severe headaches and numbness in extremities. CT shows generalized brain
atrophy and labs show renal tubular acidosis and CPK of 3120 mcg/L. This is likely due
to chronic use of what? - Answers-Inhalants
, What sensation is transmitted through the spinothalamic tract? - Answers-Pain
Pt's insurance refuses to pay for continued hospitalization for a depressed patient who
is acutely suicidal. The psychiatrist remains concerned about SI and does not discharge
the patient. This best illustrates the ethical principle in managed care of responsibility to
(treat, appeal, disclose, respect autonomy, cooperate with utilization review) - Answers-
Treat
What finding on a multiple sleep latency test (MSLT) confirms the diagnosis of
narcolepsy? - Answers-Decreased REM latency
Why does the brain rapidly increase in size from birth to two years old? - Answers-
Synaptogenesis of neurons
What is the most common reasons stop SSRIs early? - Answers-GI distress
Which neurological disorder has the highest prevalence of pathological laughing and
crying - Answers-Amyotrophic lateral sclerosis
Parents of a two year old girl are concerned because she's playing with trucks, likes to
wear boys clothes, and likes to play w/ boys. They've tried to change her but she has
been resistant. When asked by a physician, the child insists she's a girl. What is the
most likely diagnosis? - Answers-Normal development
In a likely delirious patient, in addition to orientation questions, which part of the MMSE
is most helpful to confirm the diagnosis? - Answers-Serial 7s
What neurotransmitter present in the periaqueductal gray matter is involved in the
mediation of pain? - Answers-Endorphins
What is a pharmacological effect of lithium? - Answers-Glycogen synthase kinase-3
inhibition
What stage of development occurs first in female physical development? - Answers-
Increase in adrenal androgen production
What type of genetic variation is most commonly investigated in genome wide
association studies? - Answers-Single nucleotide polymorphisms
What Freudian stage of development is characterized by an intensification of libidinal
drive, separation from one's parents, and achievement of mature sense of self? -
Answers-Genital
Deep brain stimulation targeting what area of the brain is most studied for treatment of
depression - Answers-Subcallosal cingulate cortex
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