PRITE Review (Apr)

Neurosciences

Epidemiology

Development

Psychopathology

Systems

Issues in Practice

100

Which of the following is transmitted through the spinothalamic tract?

A. Pain

B. Balance

C. Vibration

D. Joint position

E. Tactile sense

A. Pain

100

The Epidemiological Catchment Area Project examined rates of somatic and psychiatric symptoms in the general population. Subjects with which of the following conditions had significantly higher rates of mood and anxiety symptoms when compared to those with low back pain?

A. Stable angina

B. Migraine headaches

C. Peripheral neuropathy

D. Irritable bowel syndrome

E. Frequent urinary tract infections

D. Irritable bowel syndrome

100

A typically developing child has recently begun to participate in social activities without parents, and has a best friend. The child can display empathy, but sometimes impulsively says things to friends that are not kind. How old is the child?

A. Toddler

B. Preschool-age

C. Elementary school-age

D. Middle school-age

E. High school-age

C. Elementary school-age

100

Which of the following is seen most frequently as a comorbid condition in children with autism spectrum disorder?

A. Selective mutism

B. Intellectual disability

C. Early-onset schizophrenia

D. Obsessive-compulsive disorder

E. Attention-deficit/hyperactivity disorder

B. Intellectual disability

100

Which of the following is the primary purpose of mental health courts?

A. Adjudicate insanity defense

B. Determine fitness to stand trial

C. Divert offenders with mental illness away from incarceration

D. Provide preliminary rulings on psychiatric malpractice cases

E. Civily commit dangerous mentally ill patients to outpatient treatment

C. Divert offenders with mental illness away from incarceration

100

Which of the following is the most common triggering factor for malpractice claims arising from psychiatric care?

A. Suicide

B. Sexual misconduct

C. Harm to a third party

D. Involuntary hospitalization

E. Use of seclusions/restraints

A. Suicide

200

The neurogenic hypothesis of depression postulates that antidepressant efficacy depends on neurogenesis in which of the following areas of the brain?

A. Thalamus

B. Basal ganglia

C. Hippocampus

D. Fusiform gyrus

E. Medial prefrontal cortex

C. Hippocampus

200

In the United States, what percentage of persons older than 65 have severe dementia?

A. 1%

B. 5%

C. 7%

D. 10%

E. 15%

B. 5%

200

Which of the following is NOT considered among the primary psychosocial factors contributing to the increased risk for suicide among older adults?

A. Loneliness

B. Access to potentially lethal medications

C. Advancing medical illness

D. Financial stressors

E. Depression

B. Access to potentially lethal medications

200

Over the course of several months, a 46-year-old patient with no past psychiatric history becomes emotionally labile and irritable. The patient undergoes personality changes, and is observed to inappropriately laugh when neighborhood children taunt a stray cat. Within two years, the patient develops a fear of contamination and greatly decreases food intake due to being convinced that all food has germs. Memory is preserved. The patient is no longer able to work or live independently.
Neuropsychiatric tests show impaired language and attention. Which of the following is the most likely diagnosis?

A. Schizophrenia

B. Alzheimer disease

C. Frontotemporal dementia

D. Dementia with Lewy bodies

E. Obsessive-compulsive disorder

C. Frontotemporal dementia

200

What is the main concept of the Mental Health Parity and Addiction Equity Act of 2008?

A. Mental health care may be provided at a discount, even in the absence of insurance.

B. People with mental health conditions cannot be discriminated against in the workplace.

C. Mental health medications should cost no more than physical health medications.

D. Mental health treatment and substance abuse treatment may be provided simultaneously.

E. Mental health insurance benefits cannot be less favorable than medical or surgical insurance benefits.

200

A patient remains depressed despite psychotherapy and several adequate medication trials. The psychiatrist is unsure what to try next and consults with a supervisor. Which of the following ethical principles is illustrated by this consultation?

A. Justice

B. Paternalism

C. Nonmaleficence

D. Conflict of interest

E. Respect for autonomy

C. Nonmaleficence

300

Which of the following hypothalamic nuclei is key to the integration of neural and nutrient signals with hormonal signals from the small intestine, pancreas, liver, adipose tissue, and brainstem?

A. Arcuate

B. Posterior

C. Paraventricular

D. Anterior hypothalamic

E. Dorsomedial hypothalamic

A. Arcuate

300

Which of the following perinatal factors is specifically associated with the development of attention-deficit/hyperactivity disorder?

A. Macrocephaly at birth

B. Advanced maternal age

C. Thimerosal exposure in utero

D. Maternal tobacco use prenatally

300

A child who has attained object permanence and engages in symbolic play but
does not yet understand that a ball of clay rolled into a log is the same amount
of clay is in which Piaget stage of cognitive development?

A. Sensorimotor

B. Formal operations

C. Concrete operations

D. Preoperational

300

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 likely explanation for this patient's symptoms?

A. Parasinusitis

B. Migraine with aura

C. Cerebellar tumor

D. Vertebrobasilar ischemia

E. Ependymoma of the fourth ventricle

B. Migraine with aura

300

Which of the following is provided as part of low-intensity telemedicine mental health services?

A. Continuing medical education and staff training

B. Collaborative care with primary care physicians

C. An integrated program of mental health screening with therapy on site

D. In-person, telephone, or e-mail doctor-to-doctor "curbside" consultations

E. Collaborative mental health care for children using synchronous telepsychiatry

D. In-person, telephone, or e-mail doctor-to-doctor "curbside" consultations

300

Which of the following examples of documentation of medication dosage is considered confusing and dangerous, and is therefore unapproved by the Joint Commission on Accreditation of Healthcare Organizations?

A. 0.1 mg

B. 40 mg

C. 1.0 units

D. 5,000 units

E. 2,000 international units

C. 1.0 units

400

A 37-year-old patient is evaluated for progressive spastic paraplegia. The patient also reports new-onset visual loss. Magnetic resonance imaging (MRI) of the spine is notable for longitudinal lesion in the cervical spinal cord, and MRI of the brain shows enhancement in the optic nerve. Antibodies to which of the following are associated with this syndrome?

A. Lyme

B. Ganglioside

C. Aquaporin-4

D. Acetylcholine receptor

E. Glutamic acid decarboxylase

C. Aquaporin-4

Neuromyelitis Optica

400

Secondary mania is most likely to arise in the setting of which of the following
illnesses?

A. Hepatitis

B. Addison disease

C. Multiple sclerosis

D. Parkinson disease

E. Hyperparathyroidism

C. Multiple sclerosis

400

A 13-year-old is talking to their best friend about an upcoming move out of state. The child says, "I am sad we are moving away. I am happy for my parents, but !
wish they understood my feelings." This comment is most likely an example of which of the following aspects of emotional development?

A. Altruism

B. Autonomy

C. Self-regulation

D. Emotional ambivalence

E. Self-conscious emotions

D. Emotional ambivalence

400

A 21-year-old patient is brought to the emergency department after having an episode of nausea, sweating and hematemesis. The patient reports recently having severe headaches and numbness in the extremities. Computed tomography scan reveals generalized brain atrophy. Laboratory studies reveal evidence of renal tubular acidosis and a CPK of 3120 mcg/L. This presentation is consistent with chronic use of which of the following substances?

A. Phencyclidine

B. Amphetamines

C. Steroids

D. Cocaine

E. Inhalants

400

Which of the following home-based community services has demonstrated a
robust evidence base in improving outcomes for juvenile offenders and youths
with substance abuse at risk for out-of-home placement?

A. Case management

B. Multisystemic therapy

C. Nurse-family partnership

D. Cognitive behavioral therapy

E. Brief strategic family therapy

B. Multisystemic therapy

400

Placebo effects are most likely to be enhanced when the patient:

A. is optimistic.

B. Is suggestible.

C. has low expectations of treatment success.

D. has a trusting relationship with the clinician.

E. is discouraged from discussing side effects.

D. has a trusting relationship with the clinician.

500

In this image of the ventral surface of the brain, what region is most closely associated with the cortical processing of faces?

500

Which of the following is the most powerful risk factor for the development of
aggression following traumatic brain injury?

A. Depression

B. Penetrating injury

C. Duration of amnesia

D. Parietal lobe damage

E. Premorbid social functioning

A. Depression

500

During which year of life does a child start to show prosocial behaviors and concern toward others?

A. First

B. Second

C. Third

D. Fourth

E. Fifth

A. First

Yes I fact checked this

500

Which of the following neurochemical abnormalities has been described in patients with depressive disorders?

A. Reduced circulating levels of GABA

B. Increased cerebrospinal fluid levels of somatostatin

C. Upregulation of pre-synaptic beta-adrenergic receptors

D. Decreased activity of the hypothalamic-pituitary-adrenal axis

E. Exaggerated thyroid-stimulating hormone in response to thyroid-releasing hormone stimulation

A. Reduced circulating levels of GABA

500

Which of the following best describes a primary objective of Project Extension
for Community Healthcare Outcomes (ECHO)?

A. Conducts clinical trials for rare diseases

B. Provides telemedicine services to urban areas

C. Develops cutting-edge technology for telemedicine

D. Established a network of remote clinics for underserved communities

E. Expands access to specialized health care knowledge through tele-education

500

Which of the following forms of competency requires the highest legal threshold?

A. Creating a will

B. Driving privileges

C. Advanced directives

D. Durable power of attorney

E. Making financial decisions