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PRITE 2020 CORRECT QUESTIONS & ANSWERS (GRADED A+)
“By what age is cisgender identity well established? a) one yr b) three yrs c) five yrs d) seven yrs
e) nine yrs - CORRECT ANSWER b) three yrs
Urethral Transition Stage (between anal 1-3 yrs and phallic stages 3-5yrs) Release vs. retendon. There is the potendal for regression in this transidon from anal stage (balance of control, autonomy) moving onto phallic stage. Regressive enuresis can occur here. Pathology: compeddveness/ambidon, feminine shame due to lack of strong urine stream (seriously...) Resoludon: pride and self-competence, sets the stage for gender idendty" "Erikson theorized that a successful developmental task in the 40-60 yr old age group is to: a) master intimate relationships despite the demands of work b) learn to love people without a desire for them to be different c) become comfortable with one's identity as perceived by society d) feel useful to society through behaviors that protect future generations
e) develop a sense of integrity that is able to tolerate the knowledge of impending death -
CORRECT ANSWER d) feel useful to society through behaviors that protect future
generations 40s to 60s Erikson: Generavity vs. Stagnation (guiding the next generation), tribal leaders, caring, newly achieved personal intimacy with social groups, knowledge and skills. Pathology: develops when a person cannot generate of skills and share knowledge with the next generadon Stagnadon leads to "escapism" into alcohol/substances, infidelity and mid-life crisis Society suffers, the padent suffers, leading to depression and disappointment Contemplation of past failures, current problems, and losing hope for the future" "a surge of which of the following hormones initiates pubertal development in adolescents? a) prolactin b) testosterone c) somatostatin d) follicle stimulating hormone
e) gonadotropin-releasing hormone - CORRECT ANSWER e) GNRH"
"a patient has ambiguous results on a multiple sleep latency test. Which of the following would confirm the suspected diagnosis of narcolepsy? a) genetic analysis b) auto antibody test
c) EEG d) CSF orexin
e) positron emmision tomography scan - CORRECT ANSWER d) CSF orexin"
"which of the following changes that often occur in the brains of people age 65 and older, is most likely to be responsible for an increased susceptibility to chronic subdural hematomas? a) cortical atrophy b) lacunae in the basal ganglia c) thickening and ossification of the dura mater d) occlusion of small penetrating cerebral arteries
e) increased permeability of the BBB - CORRECT ANSWER a) cortical atrophy"
"During a therapy session with a patient, the therapist coughs while the patient is speaking. The patient angrily states "if you disagree with me just tell me but don't be a passive aggressive jerk!" In the ensuing discussion, the therapist shares the interpretation that the patient is consistently treating the therapist like an aggressor. Which of the following modalities of therapy best
classifies this therapy session? - CORRECT ANSWER transference focused psychotherapy"
"A 79 year old man sought psychotherapy after becoming alarmed by the financial costs of his repeated online purchases of works of art, a behavior he seemed unable to control. In psychotherapy the patient began understanding how each purchase gave a brief lift to his mood that soothed his loneliness. This behavioral pattern is best explained by which of the following
learning theories? - CORRECT ANSWER Operant conditioning"
"Which of the following circuits mediates the ability to resist responding to aggravating
situations with hostility? - CORRECT ANSWER orbitofrontal"
"Which of the following is a key component of collaborative care programs that integrate mental
health services into primary care settings? - CORRECT ANSWER care management"
"The psychiatrist examines a confused 81 year old patient twice daily, mid morning and late afternoon. In comparing the two examinations, a finding of which of the following would suggest
that the patient is delirious? - CORRECT ANSWER logical and coherent speech on the first
examination but disorganized speech on the second"
"Which of the following listed medical specialties has the highest risk for suicide? - CORRECT
ANSWER psychiatry"
"antidepressant for adhd - CORRECT ANSWER bupropion"
"with respect to adhd symptoms, the 1999 multimodal study of children with adhd was most
notable for demonstrating - CORRECT ANSWER THE EQUIVALENCE OF COMBINED
METHYLPHENIDATE AND PSYCHOSOCIAL
TREATMENT COMPARED TO MEDICATION ALONE"
"Which of the following instruments is most helpful in the assessment of children suspected of
having ADHD? - CORRECT ANSWER CONNERS TEACHER RATING SCALE"
"What med used for ADHD has been associated with liver damage? - CORRECT ANSWER
ATOMOXETINE (STRATTERA)"
"11 y/o with reading disability. Most likely comorbid dx: - CORRECT ANSWER ADHD"
"Describes the relationship of stimulant treatment of children with ADHD and the emergence
and/or presence of tic d/o: - CORRECT ANSWER TREATMENT WITH STIMULANTS HAS
BEEN
SHOWN TO REDUCE TICS IN CHILDREN WITH
COMORBID ADHD AND TIC D/O."
"12 yo comes in for worsening attention, impulsive, and hyperactive. He is snoring and hard to wake in the AM. Central adiposity, broad based neck and enlarged tonsils. exam is unremarkable. In child with ADHD and sleep problems, what is the most accurate about ADHD and sleep in this
patient? - CORRECT ANSWER CORRECTING THE UNDERLYING SLEEP DISORDER
CAN IMPROVE ADHD SYMPTOMS"
"5 y/o is evaluated for ADHD. Parents complain that the child has multiple symptoms of hyperactivity, impulsivity, inattention, and distractibility. Parents also bring teacher feedback reports that confirm these symptoms and state child is failing academically and having social problems. In psych MD office child is quiet, calm and cooperative, and very engaging. The
difference in clinical presentation from parent and school reports is most likely because: -
CORRECT ANSWER CHILDREN WITH ADHD CAN PRESENT WITH BRIEF
PERIODS OF HEIGHTENED FOCUS AND CALM,
ESPECIALLY IN A STRUCTURED SETTING."
"Failing grades, poor organization, spending sprees, spontaneous trips ditching class, fidgety,
euthymic. No change in sleep, appetite, no anhedonia. Dx? - CORRECT ANSWER ADHD"
"When compared to the other subtypes of ADHD, children with the inattentive subtype have
higher rates of anxiety and somatic complaints and - CORRECT ANSWER learning disorders"
"Increased rate of comorbidity with ADHD? - CORRECT ANSWER anxiety, ODD"
"10yr old child, 3 yr hx of involuntary movements and vocalizations, symptoms wax and wane but never disappeared, child is aware of symptoms and only mildly distressed, academic performance is below average, what is the co-occurring disorder most likely causing this
functional impairment at school? - CORRECT ANSWER ADHD"
"What distinguishes ADHD in children vs adults? - CORRECT ANSWER hyperactivity"
"Best neuropsych test of sustained attention - CORRECT ANSWER CONNER'S CONTINUOUS
PERFORMANCE TEST"
"The primary taste cortex in humans is located in which of the following cortical areas a) dorsolateral b) orbitofrontal c) anterior insular d) somatosensory
e) posterior temporal - CORRECT ANSWER c) anterior insular"
"which of the following assumes a theoretical model of the condition being measured and includes an explanation of how the components of the model are related? a) face validity b) content validity c) criterion validity d) construct validity
e) concurrent validity - CORRECT ANSWER d) construct validity"
"a 32-yr-old pt with schizophrenia, stable on clozapine, gained over 20 pounds in one year (BMI now at 31 kg/m) and has elevated fasting glucose and triglycerides. Which of the following in the best supported treatment for the metabolic side effects? a) insulin b) orlistat c) metformin d) gemfibrozil
e) atrovastatin - CORRECT ANSWER c) metformin"
"which of the following entities mandates that public schools provide educational searches to children with identified disabilities? a) school b) school district c) state legislatures
"which of the following abnormal elevated metabolic findings has been associated with increased risk of stroke in patients under the age of 50? a) thyrotropin-releasing hormone b) plasma homocysteine c) aldolase levels d) tyrosine levels
e) serum iron - CORRECT ANSWER b) plasma homocysteine
Homocystinuria
- Mutation on 21q22.3 → cystathionine- Βsynthase gene → elevated homocysteine, homocysteine, methionine Skeletal abnormalities (tall, long extremity, pectus excavatum, scoliosis), Ectopic lens, Risk of thrombus formation, Increased rates of schizophrenia, depression, OCD, learning disorder, ID" "Who is considered the pioneer of cognitive behavioral therapy? a) Aaron Beck b) Carl Rogers c) Gerald Klerman d) Marsha Linehan
e) Nathan Ackerman - CORRECT ANSWER A) Aaron Beck - CBT
b) Carl Rogers - humanistic approach c) Gerald Klerman - interpersonal psychotherapy d) Marsha Linehan - DBT e) Nathan Ackerman - family therapy" "An overweight teenager is seen for headache and visual disturbance. She describes the headache as 4/10 pain intensity over her entire head and worse with coughing and sneezing. She has been noticing worsening of vision described as periods of blurring and darkening of vision. MRI of the brain is normal. Which of the following would confirm the suspected diagnosis? a) LP b) carotid US c) CT scan of brain d) EEG
e) ESR - CORRECT ANSWER a) LP - normopressure hydrocephalus"
"a patient in his thirties is undergoing a mental status exam after developing cognitive difficulties. He is asked to produce, in one minute, as many words as possible starting with the letter P. He is able to come up with nine words. However, when asked to name as many animals as possible in one minute, he can name twelve. What would these findings by themselves suggest? a) normal b) frontal lobe injury c) parietal lobe injury d) factitious disorder
e) temporal lobe injury - CORRECT ANSWER b) frontal lobe injury
I do not understand this" "a 43 yr old pt with newly diagnosed acquired immune deficiency syndrome (AIDS) has increasing social withdrawal and irritability over several weeks. The patient has not been able to remember phone numbers, has not been doing household chores and appears distracted. Motor examination reveals mild right hemiparesis, left limb ataxia, and bilateral visual field defects. an LP reveals nl cell count, protein, glucose. a t2 weighted MRI scan is shown. Which of the following is the most likely diagnosis? a) transmissible spongiform encephalopathy b) progressive multifocal leukoencephalitis c) subacute sclerosing panencephalitis d) HSV encephalitis
e) CMV encephalitis - CORRECT ANSWER b) PML"
"which of the following quality improvement tools in used to identify many possible causes for an effect or problem and sort those ideas into useful categories? a) histogram b) pareto chart c) control chart d) scatter diagram
e) fishbone diagram - CORRECT ANSWER e) fishbone diagram
b) a bar chart showing how much each cause contributes to an outcome or effect c)a graph used to study how a process changes over time. By comparing current data to these lines, you can draw conclusions about whether the process variation is consistent (in control) or is unpredictable. d) look for relationships between two variables" "during a therapy session with a patient, the therapist coughs while the patient is speaking. The patient angrily states, "if you disagree with me just tell me, but don't be a passive aggressive jerk!" In the ensuing discussion, the therapist shares the interpretation that the patient is consistently treating the therapist like an aggressor. Which of the following modalities of therapy best classifies this therapy session? a) interpersonal psychotherapy b) CBT c) DBT d) transference- focused psychotherapy
e) systems training for emotional predictability and problem solving - CORRECT ANSWER d)
transference-focused psychotherapy" "a 79 yo man sought psychotherapy after becoming alarmed by the financial costs of his repeated online purchases of works of art, a behavior he seemed unable to control. In psychotherapy the
"Which of the following entities mandates that public schools provide educational services to
children with identified disabilities? - CORRECT ANSWER federal government"
"According to Kohut, which of the following traits is normal in children and a significant aspect of
healthy personality development? - CORRECT ANSWER narcissism"
"Which of the following behavioral techniques should be utilized in the de-escalation of an
agitated patient? - CORRECT ANSWER acknowledge the patient's frustrations"
"The family of an eight year old child drives to a hospital so the child can receive chemotherapy for acute leukemia. The child begins to develop nausea and vomits every time they visit the
hospital for repeat chemotherapy. According to learning theory, this is an example of: -
CORRECT ANSWER classical conditioning"
"Which of the following abnormal elevated metabolic findings has been associated with
increased risk of stroke under the age of 50? - CORRECT ANSWER plasma homocysteine"
"Who is considered to be the pioneer of cognitive behavior therapy? - CORRECT ANSWER
Aaron Beck" "An overweight teenager is seen for headache and visual disturbance. She describes the headache as a 4/10 pain intensity over her entire head and worse with coughing and sneezing. She has been noticing worsening of vision described as periods of blurring and darkening of vision. MRI of the
brain is normal. Which of the following would confirm the suspected diagnosis? - CORRECT
ANSWER lumbar puncture"
"A patient in his thirties is undergoing a mental status exam after developing cognitive difficulties. He is asked to produce in one minute as many words as possible starting with the letter P without using any proper names or words from a single stem, such pot, pots, potter. He is able to come up with 9 words. However, when asked to name as many animals as possible in one
minute, he can name 12. What would these findings by themselves suggest? - CORRECT
ANSWER Frontal lobe injury"
"A surge of which of the following hormones initiates pubertal development in adolescents? -
CORRECT ANSWER gonadotropin-releasing hormone"
"A patient has ambiguous results on a multiple sleep latency test. Which of the following would
confirm the suspected diagnosis of narcolepsy? - CORRECT ANSWER cerebrospinal fluid
orexin"
"Which of the following changes that occur in the brains of people age 65 years and older is most
likely to be responsible for an increased susceptibility to chronic subdural hematomas? -
CORRECT ANSWER cortical atrophy"
"Which of the following quality improvement tools is used to identify many possible causes for an
effect or problem and sort those ideas into useful categories? - CORRECT ANSWER fishbone
diagram"
"Involuntary outpatient commitment is most effective when - CORRECT ANSWER assertive
community treatment is included"
"Feelings of persecution are most reflective of which of the following defense mechanisms? -
CORRECT ANSWER projection"
"Which of the following factors contributes most to decreasing social networks in the elderly? -
CORRECT ANSWER physical disability and reduced mobility"
"A patient who presents to a follow up appointment smelling like cigarette smoking while asking for literature references on effective nicotine cessation therapies is in which of the following
stages of change? - CORRECT ANSWER preparation"
"An 84 year old patient presents to the emergency department with fever, dry mouth and visual hallucinations. The patient is tachycardic and restless. The toxicity of which of the following
medications is most likely to explain the patient's symptoms? - CORRECT ANSWER
benztropine" "Patients with which of the following paraphilic disorder are most likely to avoid involvement
with law enforcement? - CORRECT ANSWER fetishistic"
"During an initial appointment, a 23 year old patient reports frequently engaging in shopping sprees and binge eating. The patient cycles through moods quickly, sometimes as frequently as hourly. Within the first ten minutes of the visit, the patient voices appreciation that the intake doctor is "the only one" who has ever genuinely listened, sharing that everyone else has stopped
visiting. What is the patient's most likely diagnosis? - CORRECT ANSWER borderline
personality disorder" "A 25 year old patient reports having visual hallucinations described as similar to the wavy distortions produced by heat rising from asphalt and affecting the whole of both visual fields. These episodes of visual disturbance are accompanied by vertigo, dysarthria, and tingling in both hands and feet and sometimes around both sides of the mouth, followed by occipital headache.
Which of the following is the most like explanation of the this patient's symptoms? - CORRECT
ANSWER basilar migraine"
Which diagnosis is frequently preceded by the development of this sleep disorder? - CORRECT
ANSWER Parkinson disease"
"After a stroke the patient does not recognize his wife believing that the person in front of him is a double who is impersonating her. He acknowledges that she looks like his wife, but he feels no emotional connection to her. From a learning theory perspective, which of the following
processing errors leads to the delusional conviction? - CORRECT ANSWER prediction"
"Which of the following structures has a direct connection to the amygdala and is involved in the
neural processing of pain signals from the peripheral nervous system? - CORRECT ANSWER
periacueductal gray"
"Which of the following psychiatric disorders is most commonly comorbid with epilepsy? -
CORRECT ANSWER major depressive disorder"
When compared to adol, 8-12 y/o children with depression most often show which
symptom? (3x) - CORRECT ANSWER somatic compliants"
"AACAP Diagnosis of Bipolar I in children requires (3x)? - CORRECT ANSWER A distinct
period of abnormal mood and episodic symptoms" "Which of the following is the initial treatment of choice for mild anxiety disorders
in children? (2x) - CORRECT ANSWER psychotherapy alone"
"Instead of depressed mood, children w MDD may primarily show: (2x) - CORRECT ANSWER
Irritability" "The treatment for adolescents with depression study recommended which of the
following treatments for patients with moderate to severe depression? (2x) - CORRECT
ANSWER fluoxetine and CBT"
"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: (2x) - CORRECT
ANSWER Address pt's feeling of depression and screen for SI"
"When compared with adult-onset schizophrenia, children with schizophrenia
have: (2x) - CORRECT ANSWER Similar deficits in attention learning and abstraction"
"Longitudinal studies have shown that obesity in later childhood, adol and adulthood can be predicted most commonly by presence of which psychiatric d/o
in childhood and adol? (2x) - CORRECT ANSWER depressive"
"Primary advantage of treating childhood enuresis with behavioral modifications vs
desmopressin - CORRECT ANSWER lower rates of relapse"
"Which concerns is the most common reason for referral of children and adol (6-
y/o) to mental health professionals? (2x) - CORRECT ANSWER disruptive behavior"
"Most distinguishable aspect of childhood separation anxiety d/o when compared
to other childhood anxiety disorders (2x) - CORRECT ANSWER fear that something bad with
happen to them or their primary caretaker"
"Most commonly reported SE of stimulants in kids (2x) - CORRECT ANSWER APPETITE
SUPPRESSION AND SLEEP
DISTURBANCES"
"An association has been reported in adol with BPD between serotonin
dysregulation, suicidal behavior, aggression and ... (2x) - CORRECT ANSWER impulsivity"
"8yo p/w "always worried" and fearing getting lost or being kidnapped, frequently insisting on sleeping in parents room (does well academically & interacts with circle of friends, but frequently c/o HA and visiting school nurse office to call
parent) (2x) - CORRECT ANSWER separation anxiety disorder"
"Strong correlation between Asperger's and? (7x) - CORRECT ANSWER nonverbal learning
disability" "What is most important when trying to differentiate between autism and
Asperger's? (6x) - CORRECT ANSWER language development"
"Which of the following is seen most frequently as a comorbid condition in children
with autism? (7x) - CORRECT ANSWER mental retardation/ intellectual disability"
"Pharmacological treatment in autism spectrum disorder is most likely to have a
positive effect on? (5x) - CORRECT ANSWER aggressiveness"
"relationship between adhd in children and adults - CORRECT ANSWER children go on to
adults with adhd" "8yo boy with adhd, odd, chonic motor tic disorder has worsening of tics on good dose of
stimulant that seens to control adhd. how to manage? - CORRECT ANSWER monitor tics
only"
