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PRITE Part II 150 Questions With Verified Answers (Latest Update).
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PRITE Part II 150 Questions With Verified Answers (Latest Update).
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PRITE PART IIPRITE Part II 150 Questions With Verified
Answers (Latest Update).
"Therapeutic misconception" refers to which of the following with regard to obtaining informed
consent in research trials?
A Misconception that pts w/ dementia cannot give consent
B Assumption by the researcher that the trial's primary purpose is to help the patient
C Lack of understanding by subjects that they can drop out at any time
D Misunderstanding by the researcher that the research participants will benefit from
participation
E Assumption by the research participant that decisions about their care are being made solely
with their benefit in mind - ✔✔✔ - E
A 10 y.o. is jealous of long-standing parental attention to a gifted older sibling's academic
success. At summer camp, the younger child becomes strongly attached to an older camper
who is highly accomplished in martial arts and teaches him some skills. On returning home, the
child becomes a dedicated martial arts student. The child's parents note that the child seems
less jealous of the older sibling. Which of the following psychodynamic defense mechanism
accounts for this behavior?
A Suppression
B Repression
C Sublimation
D Displacement
E Isolation of affect - ✔✔✔ - C
A 12 y.o. is brought by exasperated parents for psych eval due to the child's beligerent refusal to
do chores and hw. He constantly talks back and is described as irrational at times and is easily
annoyed by others. The child purposefully annoys other children and as a result doesn't have
any friends. Which of the following dx best characterizes the child's presentation?
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A Conduct disorder
B Bipolar I Disorder
C ODD
D ADHD
E DMDD - ✔✔✔ - C
A 13-year-old pt is evaluated by the psychiatrist. The pt's parents report that the pt is "sleepy"
during the day, and often seems dazed and "out of it." Additionally, the pt is often not hungry
and sometimes complains of nausea. On exam, the pt has red eyes, a runny nose and red sores
around the mouth. Which of the following is mos likely?
A Cannabis
B Heroin
C Aerosols
D Opiates
E Stimulants - ✔✔✔ - C
A 19 y.o college student who has "always been overweight" complains she is unable to lose
weight despite exercising 4x/wk for the past year. She describes college as "very stressful" and
admits to occas. eating a whole pizza or gallon of ice cream when feeling overwhelmed; this is
occuring 4-5x/wk recently. Afterwards, she feels remorseful and vomits. She is concerned she
will always be overweight and plans to increase her exercise to 2 hrs/d, 6x/wk. Which of the
following lab findings is most likely?
A Anemia
B Hypercarotinemia
C Hypercholesterolemia
D Reduced bone density
E Elevated serum amylase - ✔✔✔ - E
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A 2 y.o. accomp. her mom to psychotherapy. The psychiatrist observes bruises. The mom
expresses guilt and promises not to repeat the conduct. The psychiatrist provides education
about hazards of physical punishment and decides not to report to CPS. The mother later injures
the child more seriously. Which of the following best describes the psychiatrist's legal position?
A The physician had no duty to the child in the scenario
B A "good faith decision standard" immunizes the physician from liability
C Legal sanctions could ensue b/c earlier abuse wasn't reported
D The mother's privilege to confidentiality in psychotherapy overrides reporting mandates
E A "reasonable professional standard" overrides the mandate to report the earlier abuse -
✔✔✔ - C
A 24-year-old is seen on the consult service for worsening disorientation and suspected
delirium. The patient's initial presentation was notable for the development of severe headaches
after starting on a high protein, low carbohydrate diet. There is no prior psychiatric history, but
the patient reports slow growth as a child. Which of the following is the most definitive way to
establish the diagnosis in this individual?
A Muscle biopsy
B chromosome microarray
C MECP2 gene sequencing
D Plasma amino acid analysis
E Ornithine transcarbamylase sequencing - ✔✔✔ - E
A 24-year-old pt presents to the ED reporting ringing in the ears, nausea and vomiting.
Respirations are noted to be deep and rapid. During questioning the pt admits to taking an
overdose of numerous, unidentified pills. Which of the following did the pt most likely ingest?
A Aspirin
B Trazodone
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C Propranolol
D Lorazepam
E Acetaminophen - ✔✔✔ - A
A 25-year-old with diabetes presents with ptosis that worsens towards the end of the day. The
pt reports developing double vision while reading. The symptoms seem improved upon
awakening the following morning. The pt denies any pain, and eye exam is otherwise
unremarkable. What is the cause?
A Optic glioma
B MS
C Third nerve palsy
D MG
E Horners syndrome - ✔✔✔ - D
A 28-year-old with intellectual disability and autism spectrum disorder presents with depression.
On exam, the pt has long face face, large everted ears and a high arched palate. Which of the
following genetic syndromes is the most likely diagnosis?
A Phenylketonuria
B Down syndrome
C Williams syndrome
D Fragile X syndrome
E 5p deletion syndrome - ✔✔✔ - D
A 32-year-old patient with schizoaffective disorder has a long history of non-compliance with
treatment and multiple hospitalizations. B/c of the pt's impulsive and violent behavior, family
members are extremely reluctant to care for the pt. Which of the following is the most
appropriate treatment modality at this time?
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