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PRITE 2025 UPDATE WITH CORRECT ANSWERS 100 % VERIFIED!!
A. Lack of insight - ANSWER Which of the following findings on the mental status exam of a psychiatric patient is the strongest predictor of incapacity to make medical decisions? A. Lack of insight B. Poor judgment C. Suicidal ideation D. Perceptual disturbances E. Abnormal thought content
B. Rare high penetrance - ANSWER Pedigree-based approaches are most powerful for identifying what type of gene variant? A. Copy number B. Rare high penetrance C. Simple tandem repeat D. Common low penetrance E. Single nucleotide polymorphism
E. Dorsolateral prefrontal cortex - ANSWER Repetitive transcranial magnetic stimulation for the treatment of unipolar depression targets which of the following brain regions?
A. Ventral striatum B. Locus coeruleus C. Periamygdaloid cortex D. Medial temporal cortex E. Dorsolateral prefrontal cortex
D. Attentional bias toward potentially threatening stimuli - ANSWER Which of the following cognitive responses to environmental stimuli has been found to be more characteristic of patients with anxiety disorders when compared to patients with depression?
A. Misattributions regarding stimuli B. Hopelessness regarding meaning of stimuli C. Automatic negative thoughts towards the stimuli D. Attentional bias toward potentially threatening stimuli E. Lack of awareness of physiological responses to stimuli
That is the insula - ANSWER In the labeled coronal section of human cortex below, what label indicates the insula?
A. Clench a fist - ANSWER Which of the following instructions can enhance hypoactive deep tendon reflexes in a leg?
A. Clench a fist B. Elevate an arm C. Stare at a distant object D. Think of moving a limb E. Sensory stimulation of the opposite limb
E. CV disease - ANSWER What is the leading case of death in persons with severe mental illness? A. Cancer B. Suicide C. DM D. Accidents
daily headache in adults? A. Obesity B. Depression C. Meds overuse D. Low socioeconomic status E. Older age of onset of headaches
E. Glycine - ANSWER Which of the following neurotransmitters is predominantly inhibitory A. Norepinephrine B. Glutamate C. Dopamine D. Tyrosine E. Glycine
E. Ascending reticular activating system - ANSWER Maintenance of wakefulness is dependent on which of the following areas of the brain? A. Oral pontine B. Midbrain tegmentum C. Posterior hypothalamus D. Anterior cingulate parietal cortex E. Ascending reticular activating system
C. Intense fear of gaining weight - ANSWER Which of the following signs or symptoms is necessary to make a diagnosis of anorexia nervosa? A. Amenorrhea B. Perfectionistic behaviors C. Intense fear of gaining weight
D. Body mass index less than 20 E. A subjective feeling of loss of control while eating
B. Abstraction - ANSWER When a child reaches the stage of formal operations, which of the following is a new cognitive capacity gained? A. Centration B. Abstraction C. Reversibility D. Ecocentrism E. Object permanance
E. Prader-Willi - ANSWER 25yo, hx developmental delays, presents for eval of anger outbursts. Prior karyotyping has demonstrated a microdeletion of genetic material. This finding is most likely to be seen in which of the following disorders? A. Phenylketonuria B. Down syndrome C. Tuberous sclerosis D. Fragile X E. Prader-Willi
Amygdala/septal area and hypothalamus - ANSWER Which of the following areas are connected by the stria terminalis? A. Broca's/Wernickes B. Hippocampus/subgenual cingulate C. Lat. habenular/ventral tegmental area D. Amygdala/medial dorsal thalamic nucleus E. Amygdala/septal area and hypothalamus
D. Family psychoeducation - ANSWER Evidence-based practice which most available
A. Anxiety B. Dementia C. Schizophrenia D. Substance use E. PTSD
C. Advance directives - ANSWER Which of the following legal mechanisms best conveys a dying patient's instructions about wishes regarding medical interventions when the patient is no longer able to make decisions? A. Living will B. Health proxy C. Advance directives D. Surrogate decision maker E. Durable POA
A. Zyprexa - ANSWER Heavy smoking is most likely to affect the dosing of which of the following antipsychotics? A. Zyprexa B. Geodon C. Abilify D. Risperdal E. Seroquel
B. Veracity - ANSWER 29F presents to ED with partner reporting worsening mania after stopping Depakote. Wants to get pregnant, but partner is not sure if patient is psychologically ready. OP psychiatrist and patient have not discussed desire to get pregnant, nor has she inquired about psych tx while pregnant. ED psychiatrist documents in EMR the full set of concerns raised by patient and partner. What ethical principle is being applied? A. Fidelity
B. Veracity C. Compassion D. Confidentiality E. Nonmaleficence
C. MDD - ANSWER In epileptic pts, which of the following is the most common comorbid psych disorder? A. Schizophrenia B. BP C. MDD D. GAD E. BPD
C. Tuberomammillary - ANSWER Histaminergic neurons that regulate sleep originate in which of the following brain nuclei? A. Raphe nucleus B. Locus coeruleus C. Tuberomammillary D. Ventrolateral preoptic E. Laterodorsal tegmental
A. Encourages spontaneity while protecting the child from harm - ANSWER According to Winnicott's theory of the development of infants' assertiveness and sense of competence, which of the following best describes the critical function of the "holding environment"? A. Encourages spontaneity while protecting the child from harm B. Uses "scaffolding" as a technique to facilitate cognitive development C. Anticipates the child's wishes before the child experiences frustration D. Reinforces prosocial behavior in relationships with caretakers and peers
treatment. During a study visit, the coordinator requests that the pt's spouse participates in the study as a healthy control. IF the spouse agrees to participate in the study, which of the following features of informed consent is potentially being violated? A. Autonomy B. Voluntarism C. Confidentialiy D. Decisional capacity E. Information provision
A. Goodness of fit - ANSWER Which of the following terms describes the relevance of understanding temperament in working with parent-child relational problems? A. Goodness of fit B. Slow to warm up C. Social referencing D. Intensity of reaction E. Affective attunement
A. Gait apraxia - ANSWER MRI shown below is from a 65yo w/ progressive cognitive decline. LP shows normal opening pressure and is normal. What is likely to be found on exam?
A. Gait apraxia B. Cogwheeling C. Expressive aphasia D. Alien hand syndrome E. Reduced vertical eye movements
D. Preferential loss of excitatory synapses - ANSWER The cortical synaptic remodeling characteristic of normal adolescence is also believed to be associated with which of the following neurobiological changes?
A. Increased brain glucose metabolism B. Increased overall EEG amplitude B. Predominant synaptic changes in the temporal cortex D. Preferential loss of excitatory synapses E. Loss of cortical volume in the parietal cortex
D. Urea and electrolytes (hyponatremia in older ppl) - ANSWER 70yo pt with depression presents with confusion 2 weeks after starting Prozac and an adverse effect from the drug is suspected. Neuro exam normal. Which of the following evaluations would be most useful to confirm this suspicion? A. CT Head B. EKG C. CPK D. Urea and electrolytes E. Hepatic panel
E. Normative response to stress associated w/ school transition - ANSWER Shortly after 5yo enters kindergarten, parents report to pediatrician that child is more emotionally reactive at home, regressive behavior, more demanding of attention. Teacher describes no behavioral or academic concerns. Which of the following factors most likely accounts for change? A. Modeling of immature behaviors by peers? B. Unrecognized learning disability in the child C. Effects of poor parent-school communication D. Incipient syndrome of separation anxiety disorder E. Normative response to stress associated w/ school transition
C. Dopamine - ANSWER In individual with persistent pain, which neurotransmitter receptor is downregulated in ventral striatum? A. Cortisol
D. Glutamate - ANSWER The AMPA receptor is stimulated by the presence of what neurotransmitter? A. GABA B. Glycine C. Serotonin D. Glutamate E. Adenosine
D. Conditioned response - ANSWER Man repeatedly hears song before riding roller coaster. Becomes sick and vomits. Now hears song and becomes nauseated. Example of which of the following elements of learning? A. Operant B. Positive reinforcer C. Negative reinforcer D. Conditioned response E. Unconditioned response
B. 4 - ANSWER Which of the following ages is most closely asso. w/ beginning to develop concern for others and learning to share? A. 2 B. 4 C. 6 D. 8 E. 10
D. Dopaminergic - ANSWER Which of the following neurotransmitter systems facilitates sexual arousal? A. GABA
B. Glycinergic C. Serotonergic D. Dopaminergic E. Glutamatergic
A. Cognitive deficits - ANSWER In utero exposure to cannabis during neuronal development is associated with which of the following in the infant? A. Cognitive deficits B. Language delays C. Abstinence syndrome D. Slowed physical growth E. Congenital abnormalities
E. PTSD - ANSWER In children w/ cancer, inadequate prophylaxis of pain and stress during difficult procedures, such as BM biopsies, is most likely to result in which of the following conditions? A. Panic disorder B. Nightmare disorder C. Somatization disorder D. GAD E. PTSD
A. Schizophrenia (diGeorge syndrome) - ANSWER 1/4 individuals with the 22q11. deletion develop which of the following psychiatric disorders? A. Schizophrenia B. Panic d/o C. Bipolar d/o D. BPD E. OCD
circuit formation of the developing brain and scavenging for damaged neurons, plaques, and infectious agents? A. Microglia B. Schwann C. Astrocyte D. Ependymal E. Oligodendrocyte
B. It is important that you continue going to your church group." - ANSWER Adult daughter + primary caregiver of 70yo w/ Alzheimers brings patient to OP psych. Psychiatrist meets privately with daughter who expresses distress regariding her parent's increasing dependence on her. Describes feeling frustrated and often tearful and is thinking of leaving a church group that is important to her in order to make more time for the increasing demands of being a caregiver. In meeting with the daughter to provide psychoeducation, which of the following would be the most appropriate initial response by the psychiatrist? A. "You are doing a great job and things will get easier." B. It is important that you continue going to your church group." C. "It seems like you may not be cut out for the job of caregiver." D. "The problem is that you are expecting too much from your parent." E. "Your parent can sense your frustration and is acting out in response to this."
E. Exemption from course requirements - ANSWER Which of the following school accommodations may be included as part of an Individualized Education Program, but would not be included in a 504 plan as supported by the Section 504 of the Rehabilitation Act of 1973 of The American with Disabilities Rehabilitation Act? A. Extra time on tests B. Hearing/listening devices C. Preferential classroom seating D. Extra breaks between assignments E. Exemption from course requirements
E. Declarative (memory of facts and events, can be consciously recalled) - ANSWER Reduction in hippocampal volume is associated with what kind of memory impairment? A. Iconic B. Implicit C. Working D. Procedural E. Declarative
B. Narcolepsy - ANSWER The multiple sleep latency test is used to diagnose which of the following? A. Cataplexy B. Narcolepsy C. Night terrors D. Sleep walking E. Sleep-phase delay
C. Clear and convincing evidence - ANSWER What is the minimal degree of legal certainty that is constitutionally required for an involuntary mental health commitment? A. Up to individual states B. Beyond a reasonable doubt C. Clear and convincing evidence D. Preponderance of the evidence E. Likelihood of dangerous behavior
A. Oxybutynin - ANSWER Considering prescribing donepezil for 87yo pt. Which of the following medications would most significantly interfere with its efficacy? A. Oxybutynin B. Loratadine
B. 450 - ANSWER A patient has failed several antidepressants and the psychiatrist is interested in starting a patient on a nortriptyline trial. Which QTc interval is shortest recommended to withhold nortriptyline? A. 430 B. 450 C. 470 D. 490 E. 500
B. Concurrent psychosis - ANSWER Aggressive behavior in patients with Alzheimer disease is most often associated with which of the following? A. Word-finding difficulty B. Concurrent psychosis C. Premorbid anxiety disorder D. Late stage of Alzheimer disease E. Earlier onset of Alzheimer disease
A) Accept the cookie and thank the patient - ANSWER During the medication management appointment, a patient with schizotypal personality disorder who is often guarded and paranoid offers a cookie to the psychiatrist. Which of the following is the psychiatrist's best response to this patient's boundary crossing? A) Accept the cookie and thank the patient B) Ignore the gift and proceed with the visit C) Accept the gift but pay the patient for the cost of the cookie D) Refuse the cookie and explore the meaning of the gift with the patient E) Refuse the cookie and tell the patient that the psychiatrist does not accept gifts from patients
A) Acyclovir - ANSWER 72yo patient, w/ 2 days of confusion and fever is evaluated in the
ED for new-onset seizure. MRI shows hemorrhage and swelling in temporal lobes. CSF shows increased lymphocytes and protein. Which medication should you use? A) Acyclovir B) Prednisone C) CTX D) Amphotericin E) Pyrimethamine
B) Switch to methadone prior to surgery - ANSWER A patient who takes Suboxone is admitted following MVA and requires surgery for femur fx. What is most appropriate step in treating pain? A) Continue Suboxone at lower dose B) Switch to methadone prior to surgery C) Switch to NSAID D) Continue Suboxone at maintenance dose E) Discontinue pain meds and treat withdrawal symptoms symptomatically
B) Serotonergic - ANSWER Which of the following neurotransmitter systems most directly regulates impulsive or affective aggression? A) GABAergic B) Serotonergic C) Oxytocinergic D) Dopaminergic E) Noradrenergic
C) Death is permanent and the pet will not be returning - ANSWER Which of the following best describes a 10 year old's understanding of the death of a pet? A) The pet can be brought back by wishful thinking B) The pet's death is a punishment for bad behavior
