PRITE 2015 EXAM QUESTIONS WITH ALL CORRECT ANSWERS
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PRITE 2015 EXAM QUESTIONS WITH ALL CORRECT ANSWERS
The National Institute of Mental Health NIMH was founded during a period of optimism following which historical event? - Answer- Treatment of Soldiers during World War II
30 yo pt on clozapine presents to ER with dyspnea, orthostatic hypotensi...
PRITE 2015 EXAM QUESTIONS WITH
ALL CORRECT ANSWERS
The National Institute of Mental Health NIMH was founded during a period of optimism
following which historical event? - Answer- Treatment of Soldiers during World War II
30 yo pt on clozapine presents to ER with dyspnea, orthostatic hypotension and
tachycardia. Normal CBC except for eosinophilia and EKG with non-specific T -wave
changes. Test most likely helpful in acute management? - Answer- Troponins
Hypnosis has the best evidence of efficacy in treating which GI disorder? - Answer- IBS
In DSM 5 to diagnose an insomnia disorder the sleep difficulty should be present for at
least how long? - Answer- 3 months
35 yo construction worker witnessed accident leading to death of 2 coworkers. The next
day he reports emotional numbness, intrusive images and little sleep. Best intervention?
- Answer- Normalizing stress reaction and mobilizing relational support
Police bring a pt for eval after been called to his house due to foul smells and large
amounts of piled debris that pt is unable sort out. Diagnosis? - Answer- Hoarding
disorder
75 yo confused, disoriented and inattentive that is uncharacteristic of his mild dementia.
Work up is negative and he is started on Haldol with good response but he continues to
be disoriented. Best pharmacologic tx approach? - Answer- Discontinue the Haldol
Best treatment for genito-pelvic pain/penetration disorder? - Answer- Dilation with
graduated sized vaginal dilators
30 yo with 5 yrs of schizophrenia, adherent to meds but continues to experience severe
pyshcotic symptoms and has begun talking about suicide. Failed trials of Haldol and
risperidone. Which med would you recommend? - Answer- Clozapine
For learning, infants need suitable toys and novel situations. According to Vygotsky
these objects and interactional experiences need to be within the infant's: - Answer-
Zone of proximal development
Tobacco smoking induces metabolism of which medication? - Answer- Clozapine
Ingestion of which med can give a false positive UDS for BZDs? - Answer- Sertraline
,Residents want to have an after hours "psychiatry in movies" program and want
participants to voluntarily contribute money to buy pizza. Best strategy to maximize # of
people contributing? - Answer- Arrange a meeting that includes all club members to
discuss this plan
50 yo with acute carbon monoxide poisoning has a brain CT wks after the fact that is
most likely to show lesions in the: - Answer- Globus pallidus
Advantage of TMS over ECT? - Answer- Lack of need for anesthesia
60 yo patient with 2 hr history of inability to recall recent events repeatedly asking why
he is in the hospital. Was otherwise neuro intact. Diagnosis? - Answer- Transient global
amnesia
First-rank symptom of schizophrenia according to Kurt Schneider? - Answer- Voices
arguing
Key distinghishing feature between child and adult ADHD? - Answer- Hyperactivity
Lowest dose of methadone generally considered to suppress opioid craving and induce
cross tolerance blockade of illicit opiates? - Answer- 80-120 mg/day
10 yo with 3 yr history of tic disorder causing only mild distress and child is able to
engage well with peers but is having below average academic performance. Co-
occurring disorder? - Answer- ADHD
Serial sevens test which domain of cognition? - Answer- Concentration
Pt reports hearing a voice of someone that is not present, stares blankly, picks at
clothes repetitively and does not respond to others. Confusion resolves in 15 min and pt
cannot recall the event. Type of seizure? - Answer- Complex partial seizures
Which antidepressant plasma level correlates with therapeutic response? - Answer-
Imipramine
9 yo with normal intelligence and behavior problems at home and school: irritability,
anger outburst triggered by mild frustrations, more social isolated as peers are weary of
him. Normal appetite and energy. This presentation is most highly correlated with which
additional disorder by young adulhood? - Answer- Anxiety
Man reports being gay all his life. During which phase of life was he likely to have
experienced his first sexual attraction toward same-sex partner? - Answer- Early
adolescence
, Failed to obtained informed consent. Which core principle of medical ethics that was
violated? - Answer- Autonomy
Pt with lock-in syndrome due to basilar artery occlusion can still move: - Answer- Eye
lids and vertical gaze
80 yo who has failed tx with SSRI, SNRI, has no hx of cardiac disease and normal EKG.
Which TCA is most appropriate to try? - Answer- Desipramine
What is associated with flattening of T-waves and developement of U-Wave on EKG? -
Answer- Purging behavior
Decreased attention to social cues is common in children with? - Answer- Autism
An elderly pt with profound apathy. Which test best distinguishes executive dysfunction
from depression? - Answer- Trail Making test-A (TMT-A)
Pt recieves $20 for each negative UDS but for each posiive UDS he is locked out of the
reward until 3 consecutive negative UDS's are provided. Behavioral technique? -
Answer- Contingency management
Most appropriate abortive therapy for migraines? - Answer- Rizatriptan
50 yo divorced male, being laid off from work, presents to ED with plan to OD on
Tylenol, no social support, no PCP and hx of impulsivity. Disposition? - Answer-
Inpatient hospitalization
Which childhood disorder has the greatest genetic assoc with adult-onset panic
attacks? - Answer- Separation anxiety disorder
8yo evaluated by pediatrician for asthma, is also diagnosed with ADHD. He starts
stimulant, refers child to psychiatry and parents to psychologist for parent training. All
professionals communicate frequently. Level of collaborative care? - Answer- Shared
(integrated) care
Which serum electrolyte tends to be higher on pts on lithium independent of kidney
function? - Answer- Calcium
Succesful developemental task for pts 40-60 yo according Erickson: - Answer- To feel
useful to society through behaviors that protect future genarations
The prevalence of AIDS in US has increased since the developement of effective
treatment. Explanation? - Answer- More pts with the illness are living longer
16 yo hearing music and his name. During which stage of sleep do theyr occur if they
are due to hypnogogic hallucinations? - Answer- N1 (stage 1)
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