PRITE - Emergency Psychiatry UPDATED ACTUAL Questions and CORRECT ANSWERS
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Course
RITE - Emergency Psychiatry
Institution
RITE - Emergency Psychiatry
PRITE - Emergency Psychiatry UPDATED
ACTUAL Questions and CORRECT
ANSWERS
C. Administer Benztropine 1mg IV now - Acute Dystonic reactions are managed with IM/IV
immediately - CORRECT ANSWER- A patient with a history of schizophrenia treated
with haloperidol 5mg PO BID presents to the emerg...
PRITE - Emergency Psychiatry UPDATED
ACTUAL Questions and CORRECT
ANSWERS
C. Administer Benztropine 1mg IV now - Acute Dystonic reactions are managed with IM/IV
immediately - CORRECT ANSWER- ✔✔A patient with a history of schizophrenia treated
with haloperidol 5mg PO BID presents to the emergency department with a complaint of
being "unable to see." The patient appears to be insignificant distress, with writhing and
moaning, and also complains of being "unable to stop looking up." Which of the following is
the most appropriate treatment intervention?
A. Add trihexyphenidyl 1mg PO BID
B. Administer Lorazepam 1mg IV now
C. Administer Benztropine 1mg IV now
D. Increase haloperidol to 10mg PO BID
E. Administer diphenhydramine 25mg PO now
C. Insist on further cardia monitoring in either the ED or ICU. - CORRECT ANSWER- ✔✔A
32-year-old patient with a history of treatment-resistant depression was brought to the
emergency department (ED) by family members after the patient overdosed on imipramine.
The patient reported wanting to die, but then changed her mind and called for help. The
patient's regular psychiatrist had recently added imipramine to the patient's partially effective
regimen of fluoxetine 80 mg daily. The patient is afebrile, blood pressure is 100/58 mm Hg
and heart rate is 96 and regular. She is vague about the details of the suicide attempt, but
reports no longer feeling suicidal. The medical resident recommends that the patient be
admitted to a psychiatric unit. Requests for a tricyclic antidepressant (TCA) blood level and
an electrocardiogram (EKG) are deferred. The medical resident asserts that the patient's
combined imipramine and desipramine level of 750 ng/ml is not in the cardiotoxic range.
Which of the following is the best course of action for the psychiatrist to take?
A. Transfer the patient to a psychiatric unit for involuntary admission
B. Transfer the patient to a psychiatric inpatient unit but only on a voluntary basis.
C. Insist on further cardia monitoring in either the ED or ICU.
D. Urge the patient to see her psychiatrist within the next 24 to 48 hours.
E. Reassure the patient and family, and arrange follow-up with th patient's psychiatrist within
the next 10 to 14 days
,D. Nifedipine - CORRECT ANSWER- ✔✔A patient with a long history of treatment-
resistant depression currently stabilized on phenelzine presents to the emergency department
with a complaint of sweating, heart palpitations, and severe headache. On initial presentation,
the blood pressure is 210/118 mm Hg. The patient recently took an over-the-counter
medication to treat symptoms of an upper respiratory infection. Which of the following is the
most appropriate intervention?
A. Lorazepam
B. Benztropine
C. Sumatriptan
D. Nifedipine
F. Lisinopril
B. Cognitive-behavioral therapy (CBT) - CORRECT ANSWER- ✔✔Which of the following
treatments has demonstrated effectiveness in preventing future suicide attempts in adults with
major depression who had recently attempted suicide?
A. Electroconvulsive therapy (ECT)
B. Cognitive-behavioral therapy (CBT)
C. Supportive psychotherapy
D. Citalopram
E. Venlafaxine
D. Lysergic acid diethylamide (LSD) - CORRECT ANSWER- ✔✔A I7-year-old patient is
brought to the emergency department by friends who report that the patient ingested a drug 2
hours previously. They describe the patient's behavior after drug ingestion as relaxed and
tranquil but talkative. Soon after, the patient complained of drowsiness, dizziness, and
nausea. On examination, the patient has an impaired but labile level of consciousness. The
drug screen is negative for benzodiazepines, barbiturates, and opioids. The psychiatrist alerts
the ED to the possibility of imminent respiratory difficulty. Which of the following drugs
most likely caused this condition?
A. Ketamine
B. Dimethyltryptamine (DMT)
C. Gamma-hydroxybutyrate (GHB)
, D. Lysergic acid diethylamide (LSD)
E. MDMA
D. Electroencephalogram (EEG) - CORRECT ANSWER- ✔✔A 32-year-old patient presents
to the emergency department with acute onset of paranoia, auditory hallucinations, and
hypervigilance. On examination, the patient is tachycardic and hypertensive, and
demonstrates psychomotor agitation and anxiety. The patient denies any past psychiatric or
medical history. The review of systems is significant for intermittent episodes of substernal
chest pain. Which of the following tests would be most helpful in developing a differential
diagnosis?
A. Urine toxicology
B. Complete metabolic profile
C. Complete blood count (CBC)
D. Electroencephalogram (EEG)
E. Head computed tomography (CT) scan
B. Acute stress disorder - CORRECT ANSWER- ✔✔A 28-year-old patient presents to the
emergency department after experiencing a sexual assault one week earlier. Although the
patient cannot recall all aspects of the event, she remembers feeling helpless, detached, and as
if her surroundings were not real during the assault. For the past week, the patient has had
difficulty sleeping due to nightmares about the assault, and has not been able to talk about the
event with any of her friends. She is
also experiencing intermittent episodes of palpitations, shortness of breath, dizziness, and
nausea throughout the day. Which of the following is the most likely diagnosis?
A. Panic disorder
B. Acute stress disorder
C. GAD
D. Adjustment disorder with anxiety
E. PTSD
B. Physostigmine - stimulates Ach - CORRECT ANSWER- ✔✔Which of the following
drugs is most appropriate in the emergency treatment of anticholinergic toxicity?
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