PRITE EXAM PRACTICE EXAM AND STUDY
GUIDE NEWEST 2024 ACTUAL COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
"Deficit model" of psychological illness in psychodynamic psychotherapy define
psychopathology as:Answer Weakened or absent psychic structures
"My father was very involved in my life. I remember going to football games in the snow
with him" is an example of memory associated with what part of the brain?Answer
Medial temporal lobe
1-month post death of loved one. What would suggest a pathological grief rxn?Answer
Cont. feelings of worthlessness
10 y/o child freq episodes brief lapses of consciousness without premonitory sxs. Lasts
2-10 seconds, followed by immediate and full resumption of consciousness without
awareness of what has happened. These ictal episodes most likely caused by what kind
szs:Answer Absence
10 y/o child with 2-month h/o irritability, inattention, sleep disturbance, and withdrawal.
Child attempted to run in front of a car. No family h/o psychiatric d/o. On examination,
no eye contact and has psychomotor agitation. What medication should treat?Answer
SSRI
10 y/o fearful, poor sleep, repetitive play. Hears indistinct voices saying nameAnswer
PTSD
10 y/o girl w/ hep B is evaluated for persistent difficulty w/ schoolwork since 1st grade.
Often looses homework, seems not to listen to parents or teachers. If needed treatment
what will you give?Answer methylphenidate
10 y/o is seen in outpt clinic w/ hx of extreme fear of using the bathroom at school. He
states to be afraid that other children will laugh if they hear or smell him in the
bathroom. Dx?Answer Social phobia
10 y/o M s/p MVA sustained burn and crush injuries to R foot 4 days ago, does not
remember the accident but never lost consciousness, keeps asking for his mother who
was killed in the accident and having nightmares crying out "Daddy help Mommy."
When should the child be told about his mother's death?Answer ASAP
10 yo IQ 69. findings that would confirm dx of MR?Answer Deficits in self-care and
social skills
,11yo boy has frequent episodes of ulcerative colitis requiring frequent hospitalization.
While in the hospital, mother never leaves his side and responds to questions for him,
often referring to disease as "our disease". According to Minuchin's theory of family
interactions, this is:Answer Enmeshed
12 y/o disclosed to counselor hx of sexual abuse by relative. Report made to authorities.
During eval, pt reports anxiety, inability to concentrate due to thinking about event,
irritability, sleep problems, crying frequently. Grades have fallen significantly in period
after abuse began and peer relations have suffered as well. Dx?Answer PTSD
13y/o with developmental delay, stereotyped behaviors, impaired social interactions,
hyperactive behavior, large anteverted ears, hyperextensible joints, macroorchidism.
Dx?Answer Fragile X
14 y/o Native American girl with visions of elder spirits who appear and give her advice.
Parents feel visions are gift but are worried about the child's preoccupations interfering
with schoolwork. No h/o mental d/o or substance abuse. Treatment goal:Answer
Work on problems in school
14 year old after a demanding physical test becomes extremely weak and unable to
stand. PE is positive for depressed DTR's. Labs: K=2.8. h/o similar episodes after
strenuous exercises. EKG: minimally prolonged PR, QRS, QT interval. Father and
grandfather had similar episodes. Dx?Answer Periodic paralysis
15 y/o is found unresponsive by parents after pt returns from a party, friend confirms pt
used heroin. What are signs?Answer Pupillary constriction
15 y/o male bib parents, does not want to speak with psychAnswer Thank him for
coming in and ask him if he'd like to be seen alone or w/ his parents
15 y/o pt depressed + suicidal has an alcoholic father. Prior d/c from hospital the next
step should be:Answer Ensure that any lethal means are unavailable at home
16 y/o boy treated as outpatient for Schizophrenia after recent inpatient first break.
Parents concerned re: anhedonia, withdrawn. No psychosis. Goal of outpatient
eval:Answer Address patient's feelings of depression and screen for SI
16 y/o caught for shoplifting jeans. No hx of stealing, jeans not her size. Pt frightened,
remorseful, insomnia, failing grades, avoiding friends. Raped 2 mo earlier, family
insisted she not tell anyone. Understand stealing as:Answer A cry for help
16 year-old adolescent with burns to the face 2/2 playing with a spray paint can that
ignited. Grades dropped from A's to F's. The mother is concerned about hearing
problems. No other health problems. Dx?Answer Inhalant abuse
,17 y/o with depressed mood, low self esteem and poor concentration possibly has
dysthymia. Which feature would support the dx?Answer Sxs > 1 year
18 y/o restless, feels mind going blank, poor concentration, irritability, insomnia, fatigue
> 1 yr, used to be good student up until 2-3 yrs ago, no substance useAnswer GAD
18 yo in ED, just raped. Immediate intervention:Answer Provide support and allow
to vent
19 yr old woman has bouts of motor agitation, often followed by intense, seemingly
meaningless writing; also mood lability, tactile & olfactory hallucinations. During the
interview, patient abruptly stops paying attention and begins rapidly pacing around the
room. What should be the next step?Answer Wait 15 mins, then obtain prolactin
level
1993 - highest rate of suicide in 75-84 y/o age group:Answer Caucasian-American
males
2 days s/p hospitalization dysphoric, fatigued, hypersomnic, vivid dreams, requesting
double portionsAnswer Cocaine
2 week washout of which med is needed before starting fluoxetineAnswer
Phenelzine
2 wk waiting period recommended when switching from phenelzine to tranylcypromine
because:Answer Tranylcypromine is an amphetamine derivative
2 y/o clings to mother when introduced to new child, refuses to play at first visit, second
visit stays with mom, third visit continues normal activities while warily eyeing other
child. What temperamental trait is this?Answer Slow to warm up
2 y/o does not want to let go of wool blanket and resists going anywhere without it.
Attachment type is:Answer Transitional object
20 y/o avoids everyone but parents. Stopped going to school. Feels everyone watching
him. Always quiet, sits at home doing nothing, mumbles to self, some bizarre
movements, flat affect. Denies depression or substance use.Answer
Schizophreniform
20 y/o football player injured, in hospital is irritable, aggressive, grandiose.
Cause?Answer Anabolic steroids
20 y/o in MVA, no injuries - speaks softly, feels calm, dim vision, mechanical
movements, feels detachedAnswer Depersonalization
, 20 y/o lethargic, restless, confused, diaphoretic, flushing, tremors, receiving
antidepressantAnswer Serotonin syndrome
20 y/o occasional double vision when looking to R and normal acuity in each eye alone.
L ptosis and difficulty keeping L eye adducted. Pupils round and reactive. Speech nasal
and neck flexors weak. No paresis or reflex abnormalities in extremities. Dx?Answer
Myasthenia Gravis
20 y/o pt is brought to ER by friend who is concerned about pt's potential for
assaultiveness. Which feature is most indicative of this risk?Answer Violence to
others
20 y/o pt w/cancer pain is on a methadone maintenance program. Staff feels request for
additional narcotics represent drug-seeking behavior. Recommendation?Answer
Give pt more opioid med to achieve adequate pain control b/c of pt's tolerance
20 y/o with 1 yr of bitemporal headaches, polydipsia, polyuria, bulimia. For 2 months
emotional outburst aggressive and transient confusion neuro exam normal. What will
MRI of brain show?Answer Hypothalamic tumor
20 y/o with acute onset belligerence, distortion of body image, depersonalization, and
cloudy sensorium following ingestion of a street drug. Horizontal nystagmus, ataxia, and
slurred speech, pupils not dilated. Management:Answer Administer ammonium
chloride
20 yr man with poor performance in college, before was very good student except for
not been able to finish assigned projects at college. Classmates have described bizarre
behavior, such counting loudly or repeating words silently. He does not want to follow
others rules but his owns, he believes nobody understands him and are against him.
Most likely dx?Answer Obsessive Compulsive personality disorder
20-month child repeatedly returns to her mom when playing w/ other 2-y/o
childrenAnswer Rapprochement
20yo pt brings 2yo child to ER with multiple bruises. Mother says he fell down stairs.
Mother has healing black eye and cut lip. Says she slipped on ice and hit head. Xray of
child's arm show hairline fx and healing callous. What action should psychiatrist take
first?Answer Admit child for care and protection despite mother's objections
22 y/o borderline splitting inpatient staff. You should:Answer Educate staff about
splitting
22 y/o experiences a earthquake (7.0) during a seminar. In the months that follow he
develops fearful reaction to sudden or loud noises. Pt avoids classes in the same
building that the seminar was in. What is the mechanism of the behavior?Answer
Aversive conditioning
