2024 PRITE Overview

The PRITE, which stands for the Psychiatry Resident-In-Training Examination, is an annual exam taken by psychiatry residents in the United States. This examination is designed to assess the general psychiatric knowledge of residents at various stages of their training. It covers a wide range of topics within psychiatry, including neurology, psychopathology, psychopharmacology, neurodevelopment, and other relevant fields.

The results of the PRITE are used by residency programs to gauge the progress of their residents, identify areas where improvement might be needed, and prepare residents for the American Board of Psychiatry and Neurology (ABPN) certification exam. Let’s take a look at the 2024 PRITE blueprint:

Here is the overview of the exam:

Highlights Number of Questions Percentage
Total Number of Questions 300 100%

Clinical Neurosciences

69 23%

Clinical Neurology

30 10%

Clinical Psychiatry

201 67%

A. Clinical Neurosciences (69 Questions)

  • Neurodevelopment
  • Neuroanatomy
  • Neurophysiology
  • Genetics
    • Epigenetics
    • Types of genetic abnormalities
    • Methods to identify genes and genetic disorders

B. Clinical Neurology (30 Questions)

  • Diagnostic procedures
  • Neuroimaging
  • Neurophysiological testing for neurological evaluation
  • Diagnostic and clinical evaluation of neurologic disorders/syndromes
  • Common neurological disorders/syndromes
  • Comorbid psychiatric disorders
  • Management and treatment of neurological disorders/syndromes

C. Clinical Psychiatry  (200 Questions)

Development and Maturation across the Lifespan (30 Questions)

  • Physical, Cognitive, Social, Sexual, Life transitions and environmental influences

Behavioral and Social Sciences (15 Questions)

  • Psychology
  • Behavioral/Cognitive psychology
  • Neuropsychology/Learning theory
  • Psychoanalytic/Psychodynamic theory
  • Social psychology/Sociology/Anthropology/Ethnology
  • Other behavioral/social sciences

Epidemiology (9 Questions)  

  • Core concepts and major research studies
  • Prevention and risk factors
  • Other epidemiology

Diagnostic Procedures (15 Questions)

  • Interview
  • Mental Status
  • Diagnostic assessments and rating scales
  • Psychological/Neuropsychological testing
  • Laboratory testing/Monitoring
  • Imaging
  • Neurophysiological testing (eg. Sleep, EEG, EMG)

Psychopathology and Associated Conditions Across the Lifespan (39 Questions)

  • Disorders (eg. Anxiety, Bipolar, ADHD, Sleep-wake, Personality etc.)
  • High-Risk Behaviors
  • Environmental Factores

Treatment across the Lifespan (45 Questions)

  • Patient Engagement
  • Case Formulation/Differential Diagnosis/Treatment Planning
  • Management of difficult patients and nonadherence to treatment
  • Somatic Therapies

Consultation and Collaborative-Integrated Care (10 Questions)

Issues in Practice (20 Questions)

  • Quality improvement/Patient safety/Risk management/Use of Technology
  • Ethics/Professionalism
  • Forensics/Legal issues
  • History of psychiatry

Research and Scholarship Literacy (9 Questions)

  • Research design/Methods
  • Accessing/Evaluating/Applying evidence to practice
  • Statistics

Administration and Systems (9 Questions)

PRITE Prep 2024

Antidepressant Induced Emergencies

overdose on antidepressant effects

This blog will examine emergencies due to improper antidepressant use, and cases one might see in the emergency department related to antidepressants. This is important information for the PRITE and the psychiatry board exam, and critical to know as a practicing psychiatrist!

Irreversible priapism that requires surgical intervention is most commonly associated with which of the following medications? [thiothixene, thioridazine, tranylcypromine, trazadone, trimipramine]

Buproprion is contraindicated in patients with a seizure disorder and either of these two Axis 1 disorders
Anorexia or Bulimia

The antidepressant most associated with sudden cardiac death in children.

The tricyclic antidepressant with the greatest seizure risk
Maprotiline (Ludiomil)

Continue reading Antidepressant Induced Emergencies

Extrapyramidal Symptoms Review

review of extrapyramidal symptoms EPS

This blog will take a look at extrapyramidal symptoms (EPS), the epidemiology of EPS, and medications that cause and treat EPS. This is important information for the PRITE and the psychiatry board exam!

Very high doses of Haldol have this association with EPS.
Decreased incidence of EPS

Which patients in terms of gender and age are at high risk for Neuroleptic induced Parkinsonism or Akathisia?
Elderly females (and those that have a h/o neuroleptic induced movement disorder)

An acutely psychotic patient is admitted to the hospital and started on risperidone 1 mg at bedtime. Over the next few days dosage is increased to 2 mg twice daily. The patient becomes increasingly anxious, restless, and is unable to stop moving his legs. Which of the following is the most appropriate intervention?
A. Increase risperidone to 4mg twice daily
B. Switch to quetiapine 100mg at bedtime
C. Add propranolol 10mg three times daily
D. Add trazodone 50mg at bedtime
E. Add diphenhydramine 25mg at bedtime

Continue reading Extrapyramidal Symptoms Review

Epidemiology of Eating Disorders

epidemiology of eating disorders for the psychiatry board exam and PRITE

In this blog, we will take a look at eating disorders including Binge Eating Disorder, Bulimia Nervosa, and Anorexia Nervosa. Let’s review the epidemiology of these disorders. This information should help you on the PRITE and quite possibly on the psychiatry board exam, so pay attention!

What is the most common eating disorder?
Binge Eating Disorder (2-25%) > Bulimia Nervosa (1-2% in women) > Anorexia Nervosa (0.5-1.0 % in women)

Which of the above disorders has the lowest female to male ratio?
Binge Eating Disorder (60% in females) – 90% of patients with either anorexia or bulimia are female

Which of the above disorders is more heritable?
Anorexia (concordance rate of 56% compared to 8-23% in Bulimia)

Is the incidence of anorexia and bulimia increasing, decreasing, or unchanging?

Continue reading Epidemiology of Eating Disorders