PRITE 2024 - PART II QUESTIONS WITH
COMPLETE SOLUTIONS ALREADY
PASSED!!
The impaired physician who fails to obtain or benefit from treatment may require the
services of an administrative psychiatrist skilled in performing fitness-for-duty
evaluations. In these situations, the administrative psychiatrist:
A serves as a patient advocate
B has the authority to administer necessary treatment
C may assist the physician with professional obligations
D is not bound by the usual parameters of confidentiality
E may not respond to the physician's questions concerning diagnosis or treatment
Answer - D
Contralateral leg weakness with sparing of the face and arm associated with urinary
incontinence and abulia are typical for stroke in the territory of which of the following
arteries?
A Basilar
B Carotid
C Middle cerebral
D Anterior cerebral
E Posterior cerebral Answer - D
Which of the following is the most common comorbidity in a pt with an anxiety
disorder?
A a mood disorder
B a personality disorder
C another anxiety disorder
D a substance use disorder
E an impulse control disorder Answer - C
A 55-year-old woman undergoes gastric bypass surgery and, several weeks later,
develops gait imbalance and numbness in the feet. Neurological exam is remarkable
for hyperreflexia, spasticity in the legs and absent vibration sensation at the toes.
Serum B12 level is normal. Deficiency of which of the following is most likely to
cause these symptoms.
A Iron
B Folate
C Copper
D Thiamine
E Pyridoxine Answer - C
,Which of the following statistics measures the magnitude of difference between two
intervention groups?
A p-value
B odds ratio
C effect size
D power analysis
E number needed to treat Answer - C
A 24-year-old is seen on the consult service for worsening disorientation and
suspected delirium. The patient's initial presentation was notable for the
development of severe headaches after starting on a high protein, low carbohydrate
diet. There is no prior psychiatric history, but the patient reports slow growth as a
child. Which of the following is the most definitive way to establish the diagnosis in
this individual?
A Muscle biopsy
B chromosome microarray
C MECP2 gene sequencing
D Plasma amino acid analysis
E Ornithine transcarbamylase sequencing Answer - E
A consulting psychiatrist suspects schizotypal personality disorder in a pt with odd
speech patterns, eccentric appearance and constricted affect. Which of the following
additional features would support this diagnosis?
A Anhedonia
B Paranoid ideation
C Lack of social anxiety
D Auditory hallucinations
E Delusions of reference Answer - B
Which of the following distinguishes empathy from identification?
A Establishing rapport
B Retaining objectivity in the relationship
C Experiencing what the patient is feeling
D Understanding what the patient is feeling
E Being able to put oneself in the patient's place Answer - B
Which of the following neuropsychological tests examines both executive and
visuospatial functioning?
A Clock drawing
B Facial recognition
C Verbal fluency test
D Digit span backward
E Wisconsin card sorting test Answer - A
The number of new events in proportion to the population at risk for the event is
referred to as:
A Point prevalence
B Incidence density
C Period prevalence
, D Lifetime prevelance
E Cumulative incidence Answer - E
An insurance company pays a physician a single, standardized sum for a patient's
care during a one-year period. This is known as what type of payment?
A per diem
B capitation
C global budget
D fee-for-service
E episode of illness Answer - B
Which of the following risk factors is most strongly associated with prolonged or
complicated bereavement?
A Male gender
B Acceptance of the loss
C Higher socioeconomic status
D Higher levels or prior relationship satisfaction
E Absence of significant mood symptoms in the first month after the loss Answer - A
Which of the following antiepileptic medications reduces the efficacy of oral
contraceptives?
A Valproate
B Gabapentin
C Zonisamide
D Levetiracetam
E Carbamazepine Answer - E
The genetic syndrome characterized by developmental delay, cardiac abnormalities,
palate defects, immune deficiency, and an increased risk of schizophrenia is caused
by which of the following types of chromosome mutations?
A Deletion
B Insertion
C Inversion
D Duplication
E Translocation Answer - A
Which of the following findings on EEG, when seen during REM sleep, would be
most diagnostic of a REM sleep behavior disorder?
A Excess muscle tone
B Increased fasiculations
C Reduced recruitment of muscle fibers
D Shortened firing duration of muscle units
E Increased spontaneous muscle fiber discharges Answer - A
A 13-year-old pt is evaluated by the psychiatrist. The pt's parents report that the pt is
"sleepy" during the day, and often seems dazed and "out of it." Additionally, the pt is
often not hungry and sometimes complains of nausea. On exam, the pt has red
eyes, a runny nose and red sores around the mouth. Which of the following is mos
likely?
A Cannabis
COMPLETE SOLUTIONS ALREADY
PASSED!!
The impaired physician who fails to obtain or benefit from treatment may require the
services of an administrative psychiatrist skilled in performing fitness-for-duty
evaluations. In these situations, the administrative psychiatrist:
A serves as a patient advocate
B has the authority to administer necessary treatment
C may assist the physician with professional obligations
D is not bound by the usual parameters of confidentiality
E may not respond to the physician's questions concerning diagnosis or treatment
Answer - D
Contralateral leg weakness with sparing of the face and arm associated with urinary
incontinence and abulia are typical for stroke in the territory of which of the following
arteries?
A Basilar
B Carotid
C Middle cerebral
D Anterior cerebral
E Posterior cerebral Answer - D
Which of the following is the most common comorbidity in a pt with an anxiety
disorder?
A a mood disorder
B a personality disorder
C another anxiety disorder
D a substance use disorder
E an impulse control disorder Answer - C
A 55-year-old woman undergoes gastric bypass surgery and, several weeks later,
develops gait imbalance and numbness in the feet. Neurological exam is remarkable
for hyperreflexia, spasticity in the legs and absent vibration sensation at the toes.
Serum B12 level is normal. Deficiency of which of the following is most likely to
cause these symptoms.
A Iron
B Folate
C Copper
D Thiamine
E Pyridoxine Answer - C
,Which of the following statistics measures the magnitude of difference between two
intervention groups?
A p-value
B odds ratio
C effect size
D power analysis
E number needed to treat Answer - C
A 24-year-old is seen on the consult service for worsening disorientation and
suspected delirium. The patient's initial presentation was notable for the
development of severe headaches after starting on a high protein, low carbohydrate
diet. There is no prior psychiatric history, but the patient reports slow growth as a
child. Which of the following is the most definitive way to establish the diagnosis in
this individual?
A Muscle biopsy
B chromosome microarray
C MECP2 gene sequencing
D Plasma amino acid analysis
E Ornithine transcarbamylase sequencing Answer - E
A consulting psychiatrist suspects schizotypal personality disorder in a pt with odd
speech patterns, eccentric appearance and constricted affect. Which of the following
additional features would support this diagnosis?
A Anhedonia
B Paranoid ideation
C Lack of social anxiety
D Auditory hallucinations
E Delusions of reference Answer - B
Which of the following distinguishes empathy from identification?
A Establishing rapport
B Retaining objectivity in the relationship
C Experiencing what the patient is feeling
D Understanding what the patient is feeling
E Being able to put oneself in the patient's place Answer - B
Which of the following neuropsychological tests examines both executive and
visuospatial functioning?
A Clock drawing
B Facial recognition
C Verbal fluency test
D Digit span backward
E Wisconsin card sorting test Answer - A
The number of new events in proportion to the population at risk for the event is
referred to as:
A Point prevalence
B Incidence density
C Period prevalence
, D Lifetime prevelance
E Cumulative incidence Answer - E
An insurance company pays a physician a single, standardized sum for a patient's
care during a one-year period. This is known as what type of payment?
A per diem
B capitation
C global budget
D fee-for-service
E episode of illness Answer - B
Which of the following risk factors is most strongly associated with prolonged or
complicated bereavement?
A Male gender
B Acceptance of the loss
C Higher socioeconomic status
D Higher levels or prior relationship satisfaction
E Absence of significant mood symptoms in the first month after the loss Answer - A
Which of the following antiepileptic medications reduces the efficacy of oral
contraceptives?
A Valproate
B Gabapentin
C Zonisamide
D Levetiracetam
E Carbamazepine Answer - E
The genetic syndrome characterized by developmental delay, cardiac abnormalities,
palate defects, immune deficiency, and an increased risk of schizophrenia is caused
by which of the following types of chromosome mutations?
A Deletion
B Insertion
C Inversion
D Duplication
E Translocation Answer - A
Which of the following findings on EEG, when seen during REM sleep, would be
most diagnostic of a REM sleep behavior disorder?
A Excess muscle tone
B Increased fasiculations
C Reduced recruitment of muscle fibers
D Shortened firing duration of muscle units
E Increased spontaneous muscle fiber discharges Answer - A
A 13-year-old pt is evaluated by the psychiatrist. The pt's parents report that the pt is
"sleepy" during the day, and often seems dazed and "out of it." Additionally, the pt is
often not hungry and sometimes complains of nausea. On exam, the pt has red
eyes, a runny nose and red sores around the mouth. Which of the following is mos
likely?
A Cannabis
