PRITE 2024 Questions And Answers
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According to Margret Mahlers developmental theory, which of the following
indicates a successful resolution of the process of separation-individuation in a
toddler?
a) Trust
b) Intimacy
c) Object constancy
d) Normal symbiosis
e) Secondary individuation - ANSWER✔✔C- Object constancy
Which of the following neurodevelopmental processes predominantly occurs
during adolescence and young adulthood?
a) Synaptic pruning
b) Decreased myelination
c) Ventricular enlargement
d) Prefrontal cortex reduction
e) Growth of gray matter volumes - ANSWER✔✔A- Synaptic pruning
Poverty of speech - ANSWER✔✔Brief, one-word responses and rare spontaneous
elaboration
Over the last 6 months a 10 YO has been exhibiting anger and temper tantrums.
The child has been deliberately annoying others and blaming this misbehavior on
classmates. This has let to multiple disciplinary actions at school. What is the most
likely diagnosis?
a) Conduct disorder
b) Oppositional defiant disorder
c) Intermittent explosive disorder
d) ADHD
e) Disruptive mood dysregulation disorder - ANSWER✔✔B- Oppositional defiant
In the 1970's, evidence for the role of serotonin in depression and a desire to
develop drugs with a better side effect profile than the tricyclics and monoamine
oxidase inhibitors, led to the development of which of the following medications?
a) Buspirone
A 72 yo is seen for a 6 month history of rapid dementia, gait unsteadiness, and
jerky movements. EEG demonstrates a periodic discharge with sharp waves
occurring every one second. What is the most likely diagnosis?
a) Prion disease
b) Status epilepticus
c) Alcohol withdrawal
d) Herpes encephalitis
e) Hepatic encephalopathy - ANSWER✔✔A- Prion disease
Which of the following types of research studies is most likely to result in external
validity?
a) Efficacy trials
b) Case-control study
c) Effectiveness trials
d) Cross-sectional study
e) Randomized controlled trials - ANSWER✔✔C- effectiveness trials
Which antidepressant has demonstrated efficacy in the treatment of akathisia?
a) Bupropion
b) Fluoxetine
c) Mirtazapine
d) Venlafaxine
e) Desipramine - ANSWER✔✔C- Mirtazapine
Lesions to the orbitofrontal-subcortical circuit produce which of the following
behaviors?
a) Placidity and apathy
b) Diminished libido
c) Disinhibition impulsivity and tactlessness
d) Hypergraphia, circumstantiality, and hypersexuality
e) Hyperreligiosity - ANSWER✔✔C- disinhibition impulsivity and tactlessness
Which of the following connects the frontal and temporal lobes?
a) Cingulum
,b) External capsule
c) Arcuate fasciculus
d) Inferior longitudinal fasciculus
e) Superior longitudinal fasciculus - ANSWER✔✔C- arcuate fasciculus
A 38 yo with a long history of social anxiety and treatment with clonazepam is
brought to the ER disoriented and confused. Neurological exam is notable for
dyskinesias of the upper extremities. Which of the following, if taken in
conjunction with the currently prescribed medication, is most likely to cause these
symptoms?
a) Kava
b) Ginko
c) Ginseng
d) Yohimbine
e) St. John's wort - ANSWER✔✔A- Kava
A 65 yo is prescribed sertraline for depression and within weeks develops waxing
and waning impairment of alertness, attention, and memory. Vital signs and PE are
WNL. Which of the following tests would be most helpful in clarifying the
etiology of the change in the pts mental status?
a) Serum electrolytes
b) Sertraline plasma level
c) Electrocardiogram
d) CBC
e) Dexamethasone suppression test - ANSWER✔✔A- serum electrolytes
The primary MOA of benzodiazepines at GABA-A receptors is to increase which
of the following?
a) Duration of Cl channel opening
b) Affinities of the binding sites for GABA
c) Response of the tonic GABA activated currents
d) Long open state, and reduces the short open state
e) Frequency of channel opening in response to GABA - ANSWER✔✔E-
Frequency of channel opening in response to GABA
Which of the following is seen most frequently as a comorbid condition in children
with autism spectrum disorder?
a) Selective mutism
b) Intellectual disability
Prenatal infection with which of the following has the most evidence for the risk of
developing schizophrenia?
a) Rubella
b) Borna Disease
c) EBV
d) Influenza
e) RSV - ANSWER✔✔D- Influenza
Which of the following variants is most commonly identified in the human
genome?
a) Indels
b) Simple tandem repeats
c) Copy number variations
d) Single nucleotide polymorphisms
e) Simple sequence length polymorphisms - ANSWER✔✔D- Single nucleotide
polymorphisms
The intensity of cognitive deficits associated with severe head trauma most closely
correlates with:
a) mechanism of injury
b) premorbid educational status
c) anatomic location of brain injury
d) duration of post traumatic amnesia
e) GCS score at time of injury - ANSWER✔✔D duration of post traumatic
amnesia
Which of the following medications can contribute to prolonged post-ictal delirium
and severe cognitive side effects during a course of ECT treatment?
a) Lithium
b) Clozapine
c) Clonazepam
d) Divalproic acid
e) Carbamazepine - ANSWER✔✔A- lithium
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