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PRITE REVISION STUDY QUESTIONS AND ANSWERS LATEST UPDATED RATED A.
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PRITE REVISION STUDY QUESTIONS AND ANSWERS LATEST UPDATED RATED A.
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PRITE REVISION STUDY QUESTIONS ANDANSWERS LATEST UPDATED RATED A.
A 6 y/o girl hospitalized for surgery to repair a fracture sustained in a
MVA in which her mother was injured an brother died. She reports seeing
her brother in her room since the accident, otherwise MSE is normal. She is
receiving Vicodin and Benadryl. What explains pt seeing brother in her
room?
Correct Answer -Bereavement
10 y/o M s/p MVA sustained burn and crush injuries to R foot 4 days ago,
does not remember the accident but never lost consciousness, keeps
asking for his mother who was killed in the accident and having
nightmares crying out "Daddy help Mommy." When should the child be
told about his mother's death?
Correct Answer -ASAP
45 y/o still grieving for mother 3 years after her death. States she feels her
mother hovering over her and sees mother at night. Friends are concerned.
Patient has normal job function, cleans house, endorses anhedonia. Tx?
Correct Answer -Antidepressant medication and psychotherapy
Risk of complicated bereavement
Correct Answer -1) ambivalent relationship to deceased; 2) simultaneous
grieving for multiple deaths; 3) pre-existing low self-esteem & insecurity;
4) recurrent major depression
Sexuality
Correct Answer -...
,25yo male pt has noted sexual arousal and even attained erections while
rubbing up against unsuspecting women on subway. This is:
Correct Answer -Frotteurism
Treatment of premature ejaculation:
Correct Answer -Fluoxetine
Cross-dressing for the purpose of sexual excitement is called:
Correct Answer -Transvestic fetishism
What treatment should be offered first to otherwise healthy 34 y/o man for
premature ejaculation?
Correct Answer -Training in behavioral techniques to delay ejaculation
What statement describes principles of treatment of pt with sexual
dysfunction?
Correct Answer -Thorough med eval and treatment of any medical cause
or d/o should be performed before entering therapy
25 yo M w/ premature ejaculation refuses meds. Tx?
Correct Answer -Squeeze technique
65 yo M with impotence has diabetes and AF. A psychiatrist recommends
sildenafil after an internist said pt is safe from cardiac standpoint to have
sexual activity. Do you tell pt his impotence is due to diabetes or erectile
dysfunction parallels diabetic complications or that sildenafil works for the
majority of patients with diabetes?
Correct Answer -Sildenafil works for the majority of patients with diabetes
,65 y/o patient w MDD c/o anorgasmia after starting treatment with
fluoxetine. Which is the best treatment for his problem?
Correct Answer -Sildenafil
Patient dissatisfied with marriage, no sex in year despite husband's
efforts, whenever husband tries to kiss her she becomes disgusted,
uncomfortable, anxious. Avoids sex by neglecting personal hygiene. Dx?
Correct Answer -Sexual aversion disorder
Masturbation in adults as viewed by contemporary psychiatry is best
described as:
Correct Answer -Psychopathological only if it is compulsive
Homosexual couple w/ sexual dysfunction. Consider:
Correct Answer -Possibility of link between problems of substance abuse
and acceptance of sexual orientation
Reluctance to discuss sex issues or take sex hx
Correct Answer -Physician's own anxiety
Sildenafil inhibits which enzyme?
Correct Answer -Phosphodiesterase 5
Pt uses oral sex as sole source of sexual gratification, refusing coitus.
Diagnosis?
Correct Answer -Partialism
Psychiatrist conducting and independent medical exam for individual's
employer to determine fitness to return to work after med suspension due
to supervisory complaints of erratic behavior and lapses in judgment.
, Despite having been informed that the results of the exam are not
confidential and will result in a report to the employer, the individual
reveals being homosexual, but not being "out" in workplace. Best way to
handle material is:
Correct Answer -Omit the material unless it is directly related to the
reported work problems
8 y/o boy is sexually seductive to other children, openly display sexual
behavior, and to sexualize play activities. This is most likely a
manifestation of?
Correct Answer -Normal sexual behavior
Pt tells Dr " I feel like a woman trapped in man's body" most likely dx
Correct Answer -Gender identity disorder
Chronic disease causing progressive erectile failure
Correct Answer -Diabetes
35 y/o woman who repots being happily married responds well to
fluoxetine for depression. On follow-up, complains of anorgasmia. Most
helpful tx?
Correct Answer -Cyproheptadine
New-onset ED despite satisfactory sex life w/ wife. Preoccupied w/ job,
arguing more. Nml PHx
Correct Answer -Couple psychotherapy (instead of somatic therapy)
Explains psychosexual in infants and children, paired with right
hypothesis
Correct Answer -Cognitive development - sexual behavior determined by
self-image and gender identity
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