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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...

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  • November 7, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
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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 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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