Hi Friends.

This thread is dedicated to PRITE (Psychiatry Resident-In-Training Examination) Preparation.
Please contribute important high yield topics and notes here.

INDEX:

Page 1:
• Typical Antipsychotics
• Borderline Personality Disorder
• Schizophrenia
• Dopaminergic Pathway Functions & Effect of Antipsychotics
• Sigmund Freud’s Structural Model- The id, ego, and superego
• Major depression with Atypical features
• Akathisia treatment
• Rabbit Syndrome
• Risperidone vs Clozapine

Page 2:
• Cluster A Personality disorder- differential diagnosis
• Cluster B Personality disorder- differential diagnosis
• Cluster C Personality disorder- differential diagnosis
• Personality disorder in toto (HY Facts)
• Frontotemporal dementia Vs Alzheimer’s dementia
• Autoreceptors Vs Heteroreceptors
• Visual Pathway And Associated Visual Defects
• Myasthenia Gravis
• Jean Piaget's Cognitive Development Stages
• Normal Aging- Facts
• Erikson's Stages of Psychosocial Development
• Cognitive Theory for depression Management

Page 3:
• Interpersonal Therapy (IPT)
• Valproate
• Childhood Onset Schizophrenia
• Recommenda​tions for monitoring adults on atypical antipsycho​tics
• Pediatric Depression- Which SSRI is Superior
• Neuroleptic Malignant Syndrome
• Hispanic culture-bound syndromes
• Elevated Clozapine Levels
• Pervasive Developmental Disorder Not Otherwise Specified (Including Atypical Autism)
• Diagnostic criteria for Attention-Deficit/Hyperactivity Disorder
• Diagnostic criteria for Gender Identity Disorder
• Freud's Topographical Model
• HIV Dementia/Toxoplasmosis/CNS Lymphoma/Cryptococcal Meningitis/PML
• Gait Abnormalities

Page 4:
• Trigeminal neuralgia Vs Post Herpetic Neuralgia
• Carbon Monoxide Toxicity: Brain MRI Findings
• Lumbar & Sacral Nerve Root Compromise
• Classic Conditioning Vs Operant Conditioning
• Observational Study Design: Case control Vs Cohort
• Alexia/Apraxia/Agnosia/Akinesia/Aphasia
• Adjustment Disorders Vs Acute Stress Disorder
• SNRIs: Venlafaxine Vs Duloxetine
• DSM IV Criteria for Manic Episode
• Bipolar Disorder: 15 Minutes CORE Psychiatric Evaluation- 4 Decision Points
• Bipolar Depression Vs Unipolar Depression
• Difference Between Classical Conditioning & Extinction
• "Neurology" Questions/HY Facts for PRITE (Post 1 & 2)

Page 5:
• Catatonia
• CVA
• "Delirium" & "Dementia"
• Seizure
• Obsessive-compulsive disorders
• Role of Ziprasidone in combination therapy for Bipolar maintenance
• Recognition of GAD in Primary Care Setting
• Social Anxiety Disorder
• Panic Disorder
• ADHD (Recent Facts)
• Basics of Nor-Epinephrine, Dopamine & Seretonin Neurons.
• Hyperprolactinaemia With Antipsychotics

***** Updated Daily *****

Regards
Administrator

most common defense mechanisms used by people with borderline personality disorder are
Splitting, denial, projection, projective identification, acting out, idealization, and devaluation.

The CNS structure consistently different in borderline personality-disordered patients with a history
of trauma is the amygdala which is consistently reduced in volume. ALso, there is associated hyperactivity of the amygdala. The hypothalamic pituitary adrenal axis has also been shown to be hyperactive in these individuals.

Admin, Could you please explain more on 2 • In cases of Phencyclidine intoxications: Benzodiazepines should be used instead of DRAs.
Reason: Anticholinergic effect of DRAs

Sigmund Freud’s Structural Model- The id, ego, and superego

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Freud proposed three structures of the psyche or personality:

Id: a selfish, primitive, childish, pleasure-oriented part of the personality with no ability to delay gratification.
Superego: internalized societal and parental standards of "good" and "bad", "right" and "wrong" behaviour.
Ego: the moderator between the id and superego which seeks compromises to pacify both. It can be viewed as our "sense of time and place"

Q. Young female pt
C/C: fatigue
HOPI: For past 2-3 weeks, c/o profound tiredness, increased need for sleep & increased appetite. These symptoms started after a break up with her boyfriend.
Pt's symptoms rapidly improved after she reunited with her boyfriend.

What is the diagnosis:
(a) Bipolar disorder with rapid cycling
(b) Borderline personality disorder
(c) Major depression with Atypical features.

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Answer: Major depression with Atypical features
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Explanation:
This is an important question, because "Major depression with Atypical features" is the most common subtype of depression (so more chances of questions on this topic on PRITE & related exams).

Look for following points:
(1) Mood brightens in response to actual or potential positive events (Compared to Melancholic subtype: mood doesn't brighten even in response to positive events).
(2) 2 or more of following features:
- Significant weight gain/increase in appetite
- Hypersomnia
- Leaden paralysis (heavy, leaden feelings in arms & legs)
- Long standing pattern of interpersonal rejection sensitivity that results in significant social & occupational impairment.

β-Blockers and benzodiazepines are useful for the treatment of akathisia but not dystonia.

Rabbit syndrome is a focal, perioral, Parkinsonian tremor that is a side effect of antipsychotic agents. It usually has a
late onset of presentation and responds to drug dosage decrease or antiparkinsonian agents

Risperidone appears to have higher efficacy in patients with psychosis and depression, but is more likely to cause
mania than clozapine. Clozapine appears to control manic states much better than depressive states.