2020 QUESTION BOOK 13TH EDITION WHO WE ARE Welcome to the thirteenth edition of the Ninja’s Guide to PRITE! Loma Linda University Medical Center is located in sunny Southern California. about 60 miles east of Los Angeles. A part of the Adventist Health System, we provide patient care in one of the largest non-profit health systems in the nation. Loma Linda's mission is to excel in medical education, global healthcare, and community outreach, all under a central tenant: "To Make Man Whole." At the Loma Linda Department of Psychiatry, our residents are trained in many diverse patient care settings. As an official World Health Organization Collaboration Center, our department funds resident electives in Global Mental Health at locations around the world. Additionally, our residents can participate in national and international disaster relief on the LLU Behavioral Health Trauma Team. We were proud to welcome our first group of Child and Adolescent Psychiatry fellows in the Summer of 2019 and work collaboratively with 3 other residency programs within the region. Our residency didactic education is constantly evolving based upon resident feedback, and our residents have the opportunity to aid in course development. More than anything, our residency fosters an environment where residents and faculty treat each other like family. Our faculty are dedicated to resident education and professional development. We believe in "taking 'No' off the table", encouraging innovative change, and passionately supporting our residents to achieve anything they set their minds to. For over a decade our residents have volunteered their time to create The Ninja's Guide to PRITE at our Annual Ninja PRITE Workshop. We are excited to present this 13th edition with new content contributed directly by our residents. Dr Melissa Pereau Associate Residency Training Director Created The Ninja’s Guide to PRITE in 2007 on her kitchen table, when residents converted 6 years of PRITE exams to a Q&A format. She spent her Chief Resident Year writing and organizing the original guide and for the past decade has continued to edit and update the guide. Dr Bianca Rebolledo Child and Adolescent Psychiatry Fellow Contributor to the Ninja’s Guide to PRITE since senior year of medical school. In intern year formed a squad to edit and organize over 3,600 PRITE questions to reflect changes in PRITE format. Continues to edit and produce the guide yearly. THANK YOU TO ALL THE RESIDENTS WHO HAVE CONTRIBUTED TO “THE NINJA’S GUIDE TO PRITE” SINCE 2007: • Class of 2008: Andy Hayton, Bryan Wick, Lucia Cheng, Tao Yan, Melissa Pereau • Class of 2009: Serina Srikureja, Katie Roman • Class of 2010: Timothy Lee, Christoff Le Roux, Aimee Ellison, Daman Brar • Williams, Nabi Latif, Carolina Osorio Photo from 2007: Our current Program Director, Timothy Lee, MD with fellow LLU attending Carolina • Class of 2012: Frank Randall. Serafin Osorio, MD at the first PRITE workshop Lalas • Class of 2013: Claudia Carmona, Joseph Liu • Class of 2015: Darcy Trenkle, Jared Gorsuch • Class of 2016: Piotr Pelc, JD Lii, Martin Wu • Class of 2017: Melissa Urquhart, Shannon Remick, Laura Obit, Rachel Nguyen, Rebecca White, Tagbo Arene • Class of 2018: Jamian Reed, Maryellen Eller, Brent Willard, Tanya Josic, Mohsin Rajani, Pharez Rolle, Mona MojtahedZadeh • Class of 2019: Rajiv Johnson, Aaron Heffner, Neil Abidi, Andrew Dornan, Sam Althauser, Rayek NaliZ, Rachel Huso • Class of 2020: Hans von Walter, Aaron Gilmore, Kevin Nowrangi, Anthony Yeo, Mark Ard, Eric McDonald, Sam Lee, Neal Christopher • Class of 2021: Tyler Cottrell, Blaire Heath, Jeeyoon Jung, Rosa Chung, Bianca Rebolledo, Tom Parisi, Tonie Beltran, Monique Harrison, Amanda Lim, Mamdouh Hanna, Natalie Artinian • Class of 2022: David Sheely, Joy Launio, Caleb Ho-a-Shoo, Vivian Nguyen, Ariana Martinez, Willa Song, Christian Bernardo • Class of 2023: Gretchen Ascher, Elizabeth Ma, Nate Hoyt, Chetan Bhat, Sith Riantawan, Mohamed El-Menshawi, Max Schaurmann • Class of 2024: Sunpreet Singh, Victoria Burghart, Victoria Agee, Mikyla Cho TO THE LOMA LINDA MEDICAL STUDENT PRITE EDITORS FOR 2020: Lauren Lightbourne (Leader), Adriana Alvarez, Kyle Logan, Steven Zane, Lauren Miller, Lauren Geoffrion, Benjamin Robinson, Ryan Holas, Julie Pham 2 ABOUT THIS GUIDE This guide contains all PRITE questions from 2001-2019. It is divided into sections based on relevance and further categorized by frequency of questions. If a question has been featured more than once, a (#x) appears at the end of the question. Thus, a question with (4x) means the question has been featured in 4 PRITE exams. All questions that were disputed or have more than one accepted answer have been deleted. While the questions are summaries of the PRITE questions, the answers are the actual answers from the PRITE exams. Therefore, some of these do not make good flashcards (e.g. Question: A risk factor for child abuse? Answer: Financial stress). These should be read through, especially the ones with multipliers, for exposure and priming of recall. Best of Ninja Luck! 3 Table of Contents WHO WE ARE ............................................................................................................................................... 1 THANK YOU .................................................................................................................................................. 2 ABOUT THIS GUIDE .................................................................................................................................... 2 Neuroscience ............................................................................................................................................... 6 Neuroanatomy ................................................................................................................................................. 6 Neurophysiology ............................................................................................................................................... 10 Neurotransmitters ........................................................................................................................................ 10 Neurology .................................................................................................................................................. 13 Brain Lesions .................................................................................................................................................. 13 CVA ...................................................................................................................................................................... 17 Dementia .......................................................................................................................................................... 20 Headache .......................................................................................................................................................... 23 Memory/Amnesia ......................................................................................................................................... 25 Miscellaneous Medicine .............................................................................................................................. 27 Muscle/Nerve ................................................................................................................................................. 28 Neuropharmacology .................................................................................................................................... 35 Radiology ......................................................................................................................................................... 37 Seizure/EEG .................................................................................................................................................... 37 Sleep .................................................................................................................................................................. 40 Movement/Tic Disorders ........................................................................................................................... 42 Diagnoses .................................................................................................................................................. 46 ADHD ................................................................................................................................................................. 46 Anxiety .............................................................................................................................................................. 48 Bereavement/Loss ........................................................................................................................................ 50 Bipolar Disorder ............................................................................................................................................ 51 Chemical Dependency/Abuse ................................................................................................................... 53 Misc Substances ................................................................................................................................................................................. 53 Alcohol ..................................................................................................................................................................................................