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B. Fibromyalgia - Answer Which of the following sources of pain is thought to have a primarily central (non-nociceptive) mechanism? A. Cancer pain B. Fibromyalgia C. Osteoarthritis D. Diabetic neuropathy E. Postherpetic neuralgia A. Cerebral infarct - Answer A patient presents with ...

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PRITE Comprehensive Test Questions
With All Complete Correct Answers.
B. Fibromyalgia - Answer Which of the following sources of pain is thought to have a primarily central
(non-nociceptive) mechanism?



A. Cancer pain

B. Fibromyalgia

C. Osteoarthritis

D. Diabetic neuropathy

E. Postherpetic neuralgia



A. Cerebral infarct - Answer A patient presents with mild memory impairment, tearfulness, insomnia,
and blurry vision. The patient acts as if blind, cannot locate objects in the visual field, has left-right
disorientation and alexia, and misses objects when instructed to reach for them. The patient only
identifies a single object in a drawing of overlapping objects. Despite requiring prompts to visually follow
objects, cranial nerves, motor function, reflexes, and movement and color detection are otherwise
intact. Which of the following is the most likely cause of the visual disturbance?



A. Cerebral infarct

B. Frontotemporal dementia

C. Progressive supranuclear palsy

D. Major depression with psychotic features

E. Functional neurological symptom disorder



A. Genomic printing - Answer Variable phenotypic expression of 15q13 deletion depends on whether
the encoding gene is derived from the father or the mother. This phenomenon is commonly referred to
as:



A. Genomic printing

B. Genomic expression

,C. Linkage disequilibrium

D. Balanced translocation

E. Recombination frequency



C. Acute stress disorder - Answer 4. A patient hospitalized for burns sustained in a house fire one week
prior is experiencing recurrent nightmares and frequent, intrusive memories about the fire accompanied
by palpitations, shortness of breath and feeling flushed. The patient's nurse expresses concern that the
patient seems depressed, is sleeping poorly and startles when someone enters the room without
knocking. On exam, the patient is distracted, sometimes irritable, and has labile affect. Which of the
following is the most likely diagnosis?



A. Panic disorder

B. Adjustment disorder

C. Acute stress disorder

D. Major depressive disorder

E. Posttraumatic stress disorder



B. Addition of a methyl group to a histone around which DNA is coiled - Answer Which of the following
is an example of epigenetic gene regulation?



A. Removal of amino acids from a protein after transition

B. Addition of a methyl group to a histone around which DNA is coiled

C. Binding of noncoding RNA to mRNA to prevent translation into a protein

D. Addition of a poly(A) tail to mature mRNA before it leaves the cell nucleus

E. Binding of a protein to a promoter region to modulate the transcription of a target gene



C. Testosterone - Answer Which of the following sex hormones is most responsible for sexual
differentiation in fetal brain development?



A. Prolactin

B. Estradiol

,C. Testosterone

D. Progesterone

E. Luteinising hormone



E. Attention-deficit/hyperactivity disorder - Answer What psychiatric disorder occurs most frequently
with secondary enuresis?



A. Selective mutism

B. Intellectual disability

C. Autism spectrum disorder

D. Separation anxiety disorder

E. Attention-deficit/hyperactivity disorder



E. Is observed to be aggressive toward patients on three different occasions during shifts in the
emergency department - Answer The psychiatrist is concerned about a colleague's behavior and
notifies the State's physician health program, which conducts an intervention. The physician should be
referred for professional evaluation/treatment in which of the following scenarios?



A. Drinks a glass of wine with dinner several nights a week

B. Has experienced depression in the past and has been hospitalized

C. Has bipolar disorder and is euthymic and compliant with medications

D. Acknowledges using cocaine occasionally but not habitually on days off and has a negative urine
toxicology screen

E. Is observed to be aggressive toward patients on three different occasions during shifts in the
emergency department



E. Rapid alternating movements - Answer Abnormalities in which of the following components of the
neurological examination would indicate cerebellar dysfunction?



A. Visual acuity

B. Limb strength

, C. Vibratory sensation

D. Deep tendon reflexes

E. Rapid alternating movements



B. NMDA - Answer Excessive activation of which of the following receptors is thought to contribute to
cell death in Alzheimer disease?



A. GABA

B. NMDA

C. 5-HT2A

D. Nicotinic

E. Muscarinic



C. Risk Management - Answer In behavior mastery training, which of the following techniques teaches
individuals with sexual addiction to identify factors that increase the likelihood of symptomatic sexual
behavior?



A. Urge handling

B. Mindfulness skills

C. Risk management

D. Thought restructuring

E. Symptom containment



A. Prolactin - Answer A patient has been prescribed a second-generation antipsychotic for just over a
year. Since starting the medication, her libido is markedly lower, and she ahs experienced irregular
menstrual cycles. Which of the following lab tests would have the greatest diagnostic value at this point?



A. Prolactin

B. Estrogen

C. Luteinizing hormone

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