PRITE 2010 PART 1 EXAM QUESTIONS
AND REVISED ANSWERS 100%
CORRECT
Which most accurately describes an important characteristic of friendships during
midlife? - Answer- Are less dependent on being close in age
2m s/p brain injury, pt opens eye for prolonged periods but remains inattentive, does not
speak, and shows signs of awareness of the environment or inner need. Pt is capable of
some rudimentary behaviors such as following a simple command, gesturing, or
producing single words or brief phrases, always in an inconsistent way from one exam
to another. - Answer- Minimally conscious state
A parent, who just learned her child has been injured and taken to the hospital,
arranged for a neighbor to care for her other children and then rushed to the hospital.
Which defense was used by the pt to handle her own fear? - Answer- Suppression
A person who smokes 1ppd stops smoking & experiences the need for a cigarette after
every meal. This is an example of - Answer- An environmental trigger
A genetic susceptibility for OCD is suggested by evidence there is a familial link with -
Answer- Tic disorders
In evaluating competence to proceed in a criminal matter, the evaluator should focus on
which aspect of defendant? - Answer- Current mental functioning
Treatment of choice for lithium intoxication with impaired consciousness, neuromuscular
irritability, and seizures is - Answer- Hemodialysis
Which is a risk factor for rapid cycling form of BPAD? - Answer- Female sex
Which treatment goal is most specific to psychoanalytic psychotx? - Answer- Bringing
unconscious conflict into awareness
Which tool best measures degree of self‐care in children w MR? - Answer- Vineland
Adaptive Behavior Scale (VABS‐II)
Which statement best characterizes current information on recommended initial
treatment of psychotherapy or pharmacotherapy for panic disorder? - Answer- There
,are insufficient data to choose one treatment over another, or combination over
monotherapy.
Reuptake inhibition of which neurotransmitter is present only at highest recommended
doses of venlafaxine? - Answer- Dopamine
Nystagmus that disappears w visual fixation and increases when eyes are turned in
direction of the quick phase is seen in - Answer- Labyrinthitis
The capacity to attribute real‐life qualities to symbolic objects (a toy bear is imbued with
attribute of being alive) typically develops at which stage? - Answer- Toddlerhood
Pt brought to hospital for acute‐onset paralysis of both LEs, after ascended rapidly at
end of a scuba diving trip. Pt has decreased pain & temperature below nipples, but
proprioception and vibration sensation are intact. Occlusion of which artery? - Answer-
Anterior spinal
17yo M in ED b/c difficult to arouse at home. Has been bodybuilding and family
concerned he may be using performance‐enhancing drugs. Very lethargic, reports a
friend at gym "gave me something to help me bulk up, but I'm not sure what it is". PE: P
of 55bpm, pt is weak, dizzy, and uncoordinated. Lab w/u & UDS are negative. Which
substance most likely using? - Answer- Gamma‐hydroxybutyrate (GHB)
A psych attending a seminar when a colleague states "I heard that you are treating Mr.
X. I am so glad to hear it, because I know he's been having a lot of trouble and I am
sure that you can help him a lot." Most appropriate response? - Answer- "You know, for
confidentiality purposes I can't reveal who I see or don't see"
Which benzodiazepine would be safest to prescribe for a 70yo pt? - Answer-
Lorazepam
More likely focus of interpersonal psychotherapy (IPT) treatment - Answer- Role
transitions
Which is essential to support a diagnosis of dissociative identity disorder? - Answer-
Extensive inability to recall personal information
49yo w alcohol dependence in ED for 1w h/o malaise, HA, diplopia, lethargy, confusion.
Temp of 38.2C, stiff neck, medial deviation of R eye w impaired abduction &
hoarseness. CSF: 114 WBCs, predominantly monocytes, protein of 132mg/dl, and
glucose of 29mg/dl. Which type of meningitis? - Answer- Tuberculous
4.5yo playing alone at home w some toy cars, observed by parents to be speaking out
loud while playing, excitedly making comments such as "let's go so fast that the monster
will never catch us" This type of speech represents - Answer- Normative aspect of
preschool play
, The effects of caffeine on which receptor results in increased dopaminergic activity? -
Answer- Adenosine
Providing pts w an understanding of their disorders and options for treatment is
honoring which ethics principle? - Answer- Autonomy
75yo w c/o insomnia x 10y, following death of spouse. At that time, was prescribed
clonazepam by PCP, which was effective, but had to increase the dose over the years.
Currently takes 5mg hs, and even w this dose, has freq awakenings and is tired
throughout the day. Denies mood or anxiety symptoms and is cognitively intact on
exam. Not on any other medication, and denies alcohol/illicit drugs. Negative medical &
lab workup. Treatment? - Answer- Slowly withdraw clonazepam and reevaluate
42yo surgeon w intense stomach cramps and palpitations when unable to immediately
find the right instrument during an appendectomy. Extremely alarmed by this and began
to worry about the symptoms recurring. Traded all ED calls so as to avoid these
situations, began to avoid other crowded and noisy environments, and avoided a variety
of social & professional settings. Most likely diagnosis? - Answer- Agoraphobia without
panic
In the US, which is the most common precipitant of PTSD in children & adolescents? -
Answer- Intrafamilial violence
Which SSRI is used to treat discontinuation syndrome caused by termination of other
SSRIs? - Answer- Fluoxetine
A pt p/w acute onset pain & decr vision in right eye. Reports colors look faded through
right eye. Has R RAPD & swollen right optic disc. Spontaneously recovers over next 6
weeks. Which disorder is pt most likely to later develop? - Answer- Multiple sclerosis
55yo "my family doctor made me come here". Explains a previous PCP has
successfully treated pt's panic disorder using as‐needed alprazolam. When PCP retired,
new physician was alarmed by pt's long‐term alprazolam use, and insisted a psychiatric
evaluation be done before he would prescribe any more. What should lead the psych to
be concerned about benzo abuse or dependence? - Answer- History of abuse of other
drugs or alcohol
Which disorder is most likely to be comorbid in trichtillomania? - Answer- Mood disorder
A psych asked to recommend tx for 16yo w presumptive dx of conversion disorder.
Which is most likely to be both accepted by pt and result in functional improvement? -
Answer- Rehabilitative treatment
Which antihypertensive medication is most likely to significantly elevate lithium levels? -
Answer- Hydrochlorothiazide
