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PRITE LATEST 2024 EXAM QUESTIONS WITH REVISED ANSWERS 100% CORRECT A 36 year old is admitted to the inpatient psychiatric unit for acute psychosis and suicidal ideation. Following treatment, symptoms have improved and the patient no longer endorses suicidal thoughts. However, the patient contin...

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PRITE LATEST 2024 EXAM
QUESTIONS WITH
REVISED ANSWERS 100%
CORRECT
A 36 year old is admitted to the inpatient psychiatric unit for acute psychosis and
suicidal ideation. Following treatment, symptoms have improved and the patient no
longer endorses suicidal thoughts. However, the patient continues to have residual
psychotic symptoms and functional impairment. The patient is notes to be homeless
with minimal social support. A decision is made to continue with inpatient
hospitalization, but the patient's insurance company is now refusing to cover further
hospital stay as the patient is no longer suicidal. Which of the following actions is the
most appropriate from an ethical and patient care standpoint?

A. Continue to document active suicidal thoughts
B. Attempt to transfer patient to another psychiatric facility
C. Transfer the patient to a medical unit in the same facility
D. Continue hospitalization and initiate appeal process
E. Discharge patient from the hospital with close f/u - Answer- Continue hospitalization
and initiate appeal process

A patient with panic disorder frequently worries that any physical symptom represents
the start of another panic attack. This is an example of which of the following cognitive
distortions?

A. Mind reading
B. Fortune telling
C. Personalization
D. Emotional reasoning
E. Discounting the positives - Answer- Fortune telling

A 4 year old child that laks which of the following motor skills, would be most concerning
for a developmental delay?

A. Copies a circle

,B. Throws a ball overhand
C. Brushes teeth
D. Hope on one foot
E. Rides a bicycle without training wheels - Answer- A. Copies a circle
B. Throws a ball overhand

both accepted I guess?

The diffusion weighted magnetic resonance imaging scan below reveals an acute stroke
in the distribution of which of the following arteries? (MRI of 4 brains)

A. Basilar
B. Middle cerebreal
C. Posterior cerebral
D. Anterior cerebral
E. Internal carotid - Answer- Posterior cerebral

In which of the following way does the Health Insurance Portability and Accountability
Act (HIPAA) protect the confidentiality of psychotherapy notes?

A. Child psychotherapy notes are accessible to parents and court-appointed legal
guardians
B. The overall psychotherapeutic treatment plan is protected from disclosure to third
party payers
C. Insurers are prohibited from making payment contingent on whether psychotherapy
notes are disclosed
D. Psychotherapy notes are protected from disclosure if they are fully integrated with
the overall medical record
E. The patient's explicit authorization is required before disclosure of psychotherapy
notes to parties other than first degress relatives - Answer- Insurers are prohibited from
making payment contingent on whether psychotherapy notes are disclosed

Pervasive and excessive emotionality and attention-seeking behaviors are the essential
features of which of the following personality disorders?

A. Narcissistic
B. Borderline
C. Dependent
D. Histrionic
E. Antisocial - Answer- Histrionic

A clinician suspects a diagnosis of Prader-Willi syndrome, Which of the following is the
best test to order?

A. Mass spectroscopy
B. Protein truncation test

,C. DNA methylation analysis
D. Polymerase chain reaction
E. Enzyme-linked immunosorbent assay - Answer- DNA methylation analysis

Phelan-McDermid syndrome, which can be associated with autism spectrum disorder, is
caused by the mutation of what gene?

A. DRD2
B. COMT
C. SHANK3
D. SLC6A4
E. 5HTT - Answer- SHANK3

A patient discloses that they are experiencing distress during a break up and have been
"pouring" their energy into a kickboxing class at their gym. This is an example of which
of the following defense mechanisms?

A. Repression
B. Sublimation
C. Suppression
D. Displacement
E. Reaction formation - Answer- Sublimation

Which of the following is a peptide hormone that has increased plasma levels in
between meals?

A. leptin
B. Ghrelin
C.. Cholecystokinin
D. Glucagon-like Peptide 1
E. Peptide Tyrosine Tyrosine - Answer- Ghrelin

In the 1950's, the use of which of the following medications first led to advances in the
treatment of psychosis in large psychiatric hospitals?

A. Clozapine
B. Haloperidol
C. Fluphenazine
D. Phenobarbital
E. Chlorpromazine - Answer- Chlorpromazine

Which hormone surge signals the development of pubertal development?

A. Testosterone
B. Somatostatin
C. Follicle stimulating hormone

, D. Gonadotropin releasing hormone
E. Growth hormone releasing hormone - Answer- Gonadotropin releasing hormone

Which of the following neurodevelopmental aspects of the adolescent brains most
closely linked to poor judgment and impulsivity?

A. Incomplete myelination
B. Delayed neuronal migration
C. Decreased neuronal pruning
D. Decreased volume of grey matter
E. Increased volume of white matter - Answer- Incomplete myelination

Which of the following symptoms is the defining feature of Kleine-Levin Syndrome?

A. Mood disturbances
B. Visual hallucinations
C. Developmental delay
D. Cognitive impairment
E. Episodic hypersomnia - Answer- Episodic hypersomnia

Which of the following pharmacologic interventions is a first line treatment for essential
tremors?

A. Valproate
B. Primidone
C. Botulinum toxin
D. Carbamazepine
E. Carbidopa/levodopa - Answer- Primidone

A patient in long term psychodynamic psychotherapy verbally attacks the therapist for
being controlling and uncaring. The patient's behavior is most likely an example of
which of the following?

A. Splitting
B. resistance
C. Identification
D. Transference
E. Reaction formation - Answer- Transference

With respect to operant conditioning, which of the following types of reinforcement is
best illustrated by someone checking for e-mails or text messages randomly throughout
the day?

A. Token reinforcement
B. Fixed ratio reinforcement
C. Variable ration reinforcement

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