NINJA PRITE EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
"Deficit model" of psychological illness in psychodynamic
psychotherapy define psychopathology as: Correct Answer
Weakened or absent psychic structures
"Deficit model" of psychological illness in psychodynamic
psychotherapy define psychopathology as: Correct Answer
Weakened or absent psychic structures
"My father was very involved in my life. I remember going to
football games in the snow with him" is an example of memory
associated with what part of the brain? Correct Answer Medial
temporal lobe
1-month post death of loved one. What would suggest a
pathological grief rxn? Correct Answer Cont. feelings of
worthlessness
10 y/o child freq episodes brief lapses of consciousness without
premonitory sxs. Lasts 2-10 seconds, followed by immediate
and full resumption of consciousness without awareness of what
has happened. These ictal episodes most likely caused by what
kind szs: Correct Answer Absence
10 y/o child with 2-month h/o irritability, inattention, sleep
disturbance, and withdrawal. Child attempted to run in front of a
car. No family h/o psychiatric d/o. On examination, no eye
,contact and has psychomotor agitation. What medication should
treat? Correct Answer SSRI
10 y/o fearful, poor sleep, repetitive play. Hears indistinct voices
saying name Correct Answer PTSD
10 y/o girl w/ hep B is evaluated for persistent difficulty w/
schoolwork since 1st grade. Often looses homework, seems not
to listen to parents or teachers. If needed treatment what will you
give? Correct Answer methylphenidate
10 y/o is seen in outpt clinic w/ hx of extreme fear of using the
bathroom at school. He states to be afraid that other children will
laugh if they hear or smell him in the bathroom. Dx? Correct
Answer Social phobia
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
10 yo IQ 69. findings that would confirm dx of MR? Correct
Answer Deficits in self-care and social skills
11yo boy has frequent episodes of ulcerative colitis requiring
frequent hospitalization. While in the hospital, mother never
leaves his side and responds to questions for him, often referring
to disease as "our disease". According to Minuchin's theory of
family interactions, this is: Correct Answer Enmeshed
,12 y/o disclosed to counselor hx of sexual abuse by relative.
Report made to authorities. During eval, pt reports anxiety,
inability to concentrate due to thinking about event, irritability,
sleep problems, crying frequently. Grades have fallen
significantly in period after abuse began and peer relations have
suffered as well. Dx? Correct Answer PTSD
13y/o with developmental delay, stereotyped behaviors,
impaired social interactions, hyperactive behavior, large
anteverted ears, hyperextensible joints, macroorchidism. Dx?
Correct Answer Fragile X
14 y/o Native American girl with visions of elder spirits who
appear and give her advice. Parents feel visions are gift but are
worried about the child's preoccupations interfering with
schoolwork. No h/o mental d/o or substance abuse. Treatment
goal: Correct Answer Work on problems in school
14 year old after a demanding physical test becomes extremely
weak and unable to stand. PE is positive for depressed DTR's.
Labs: K=2.8. h/o similar episodes after strenuous exercises.
EKG: minimally prolonged PR, QRS, QT interval. Father and
grandfather had similar episodes. Dx? Correct Answer Periodic
paralysis
15 y/o is found unresponsive by parents after pt returns from a
party, friend confirms pt used heroin. What are signs? Correct
Answer Pupillary constriction
, 15 y/o male bib parents, does not want to speak with psych
Correct Answer Thank him for coming in and ask him if he'd
like to be seen alone or w/ his parents
15 y/o pt depressed + suicidal has an alcoholic father. Prior d/c
from hospital the next step should be: Correct Answer Ensure
that any lethal means are unavailable at home
16 y/o boy treated as outpatient for Schizophrenia after recent
inpatient first break. Parents concerned re: anhedonia,
withdrawn. No psychosis. Goal of outpatient eval: Correct
Answer Address patient's feelings of depression and screen for
SI
16 y/o caught for shoplifting jeans. No hx of stealing, jeans not
her size. Pt frightened, remorseful, insomnia, failing grades,
avoiding friends. Raped 2 mo earlier, family insisted she not tell
anyone. Understand stealing as: Correct Answer A cry for help
16 year-old adolescent with burns to the face 2/2 playing with a
spray paint can that ignited. Grades dropped from A's to F's. The
mother is concerned about hearing problems. No other health
problems. Dx? Correct Answer Inhalant abuse
17 y/o with depressed mood, low self esteem and poor
concentration possibly has dysthymia. Which feature would
support the dx? Correct Answer Sxs > 1 year
18 y/o restless, feels mind going blank, poor concentration,
irritability, insomnia, fatigue > 1 yr, used to be good student up
until 2-3 yrs ago, no substance use Correct Answer GAD
SOLUTIONS
"Deficit model" of psychological illness in psychodynamic
psychotherapy define psychopathology as: Correct Answer
Weakened or absent psychic structures
"Deficit model" of psychological illness in psychodynamic
psychotherapy define psychopathology as: Correct Answer
Weakened or absent psychic structures
"My father was very involved in my life. I remember going to
football games in the snow with him" is an example of memory
associated with what part of the brain? Correct Answer Medial
temporal lobe
1-month post death of loved one. What would suggest a
pathological grief rxn? Correct Answer Cont. feelings of
worthlessness
10 y/o child freq episodes brief lapses of consciousness without
premonitory sxs. Lasts 2-10 seconds, followed by immediate
and full resumption of consciousness without awareness of what
has happened. These ictal episodes most likely caused by what
kind szs: Correct Answer Absence
10 y/o child with 2-month h/o irritability, inattention, sleep
disturbance, and withdrawal. Child attempted to run in front of a
car. No family h/o psychiatric d/o. On examination, no eye
,contact and has psychomotor agitation. What medication should
treat? Correct Answer SSRI
10 y/o fearful, poor sleep, repetitive play. Hears indistinct voices
saying name Correct Answer PTSD
10 y/o girl w/ hep B is evaluated for persistent difficulty w/
schoolwork since 1st grade. Often looses homework, seems not
to listen to parents or teachers. If needed treatment what will you
give? Correct Answer methylphenidate
10 y/o is seen in outpt clinic w/ hx of extreme fear of using the
bathroom at school. He states to be afraid that other children will
laugh if they hear or smell him in the bathroom. Dx? Correct
Answer Social phobia
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
10 yo IQ 69. findings that would confirm dx of MR? Correct
Answer Deficits in self-care and social skills
11yo boy has frequent episodes of ulcerative colitis requiring
frequent hospitalization. While in the hospital, mother never
leaves his side and responds to questions for him, often referring
to disease as "our disease". According to Minuchin's theory of
family interactions, this is: Correct Answer Enmeshed
,12 y/o disclosed to counselor hx of sexual abuse by relative.
Report made to authorities. During eval, pt reports anxiety,
inability to concentrate due to thinking about event, irritability,
sleep problems, crying frequently. Grades have fallen
significantly in period after abuse began and peer relations have
suffered as well. Dx? Correct Answer PTSD
13y/o with developmental delay, stereotyped behaviors,
impaired social interactions, hyperactive behavior, large
anteverted ears, hyperextensible joints, macroorchidism. Dx?
Correct Answer Fragile X
14 y/o Native American girl with visions of elder spirits who
appear and give her advice. Parents feel visions are gift but are
worried about the child's preoccupations interfering with
schoolwork. No h/o mental d/o or substance abuse. Treatment
goal: Correct Answer Work on problems in school
14 year old after a demanding physical test becomes extremely
weak and unable to stand. PE is positive for depressed DTR's.
Labs: K=2.8. h/o similar episodes after strenuous exercises.
EKG: minimally prolonged PR, QRS, QT interval. Father and
grandfather had similar episodes. Dx? Correct Answer Periodic
paralysis
15 y/o is found unresponsive by parents after pt returns from a
party, friend confirms pt used heroin. What are signs? Correct
Answer Pupillary constriction
, 15 y/o male bib parents, does not want to speak with psych
Correct Answer Thank him for coming in and ask him if he'd
like to be seen alone or w/ his parents
15 y/o pt depressed + suicidal has an alcoholic father. Prior d/c
from hospital the next step should be: Correct Answer Ensure
that any lethal means are unavailable at home
16 y/o boy treated as outpatient for Schizophrenia after recent
inpatient first break. Parents concerned re: anhedonia,
withdrawn. No psychosis. Goal of outpatient eval: Correct
Answer Address patient's feelings of depression and screen for
SI
16 y/o caught for shoplifting jeans. No hx of stealing, jeans not
her size. Pt frightened, remorseful, insomnia, failing grades,
avoiding friends. Raped 2 mo earlier, family insisted she not tell
anyone. Understand stealing as: Correct Answer A cry for help
16 year-old adolescent with burns to the face 2/2 playing with a
spray paint can that ignited. Grades dropped from A's to F's. The
mother is concerned about hearing problems. No other health
problems. Dx? Correct Answer Inhalant abuse
17 y/o with depressed mood, low self esteem and poor
concentration possibly has dysthymia. Which feature would
support the dx? Correct Answer Sxs > 1 year
18 y/o restless, feels mind going blank, poor concentration,
irritability, insomnia, fatigue > 1 yr, used to be good student up
until 2-3 yrs ago, no substance use Correct Answer GAD
