Week2- Child Psychiatry
Developmental disorders,motor skills disorders, communication disorders, mental retardation
- 1.
A 4-year-old female who lives at the homeless shelter with her mother displays developmentally inappropriate social relatedness. For example, she displays indiscriminate sociability by being reluctant to get to know her caregivers at the daycare and displays excessive resistance to comforting. After getting the patients social history, you determine that the child's basic emotional needs for comfort, stimulation, and affection have not been met by her primary caregiver. What would your diagnosis be?
- A.
Autism
- B.
Reactive Attachment disorder of Infancy or Early Childhood
- C.
Expressive Language disorder
- D.
Asperger's Disorder
Correct Answer
B. Reactive Attachment disorder of Infancy or Early Childhood -
- 2.
A 3-year-old male has been eating kitty litter for a period of at least 1 month although his mother constantly scolds him for doing so. You determine that this behavior is not a culturally sanctioned practice and give him what diagnosis?
- A.
Pica
- B.
Rumination
- C.
Encopresis
- D.
Mental Retardation
Correct Answer
A. Pica -
- 3.
A 5-year-old child presents with repeated regurgitation of food for a period of at least 1 month following a period of normal functioning. After further evaluation, you determine that this behavior is not due to a GI disorder or another general medical condition (GMC). What is your diagnosis based on the information provided?
- A.
Pica
- B.
Rumination
- C.
Elimination Disorder
- D.
Pervasive Developmental Disorder
Correct Answer
B. Rumination -
- 4.
What are the two elimination disorders?
- A.
Encopresis and Enuresis
- B.
Pica and Rumination
- C.
Bulimia and Anorexia Nervosa
- D.
Encofeces and Enuria
Correct Answer
A. Encopresis and Enuresis -
- 5.
What minimum chronological age (or equivalent developmental level) does a child need to be to be a candidate for encopresis?
- A.
5 years
- B.
4 years
- C.
3 years
- D.
7 years
Correct Answer
B. 4 years -
- 6.
Mental Retardation is determined by what score on the Stanford Binet test?
- A.
67 or below
- B.
52 or below
- C.
67 or above
- D.
52 or above
Correct Answer
A. 67 or below -
- 7.
A 5 year old male and his mother present to your office for the child's unintentional defecation during kindergarten once a month for the last 3 months. The child has told his mother that 'it hurts to go to the bathroom'. After further evaluation, you determine that the spontaneous defecation is not due to a laxative and may be due to the child holding in his stool to avoid having a painful bowel movement. What is your diagnosis and a reasonable treatment plan?
- A.
Diagnosis: Encopresis with constipation and overflow incontinence Treatment plan: Educate the parent, design a program and provide the child with a system of positive reinforcement for successful use of the toilet as well as initiate treatment of underlying constipation with suppositories and enemas
- B.
Diagnosis Encopresis without constipation and overflow incontinence Treatment: Provide the child with a system of positive reinforcement for successful use of the toilet
- C.
Diagnosis: Diurnal Enuresis Treatment: Anticholinergics
- D.
Diagnosis: Encopresis with constipation Treatment plan: behavioral therapy and anticholinergics
Correct Answer
A. Diagnosis: Encopresis with constipation and overflow incontinence Treatment plan: Educate the parent, design a program and provide the child with a system of positive reinforcement for successful use of the toilet as well as initiate treatment of underlying constipation with suppositories and enemas -
- 8.
A 7-year-old and his mother present to your office for the child's intentional spontaneous defecation during inappropriate times and at inappropriate places at least once a month for the last three months. The child does not take any laxatives and has no other GMC. What would your diagnosis and treatment be?
- A.
Diagnosis: Encopresis without overflow incontinence Treatment: Educate the child and parents, design a program for toilet use, and provide the child with a system of positive reinforcement for successful toilet use
- B.
Diagnosis: Encopresis without overflow incontinence Treatment: Educate the child and parents, design a program for consistent toilet use, and restrict fluids throughout the day
- C.
Diagnosis: Encopresis with constipation and overflow incontinence Treatment: Educate the child and parents, design a program for successful toilet use, and provide the child with a system of positive reinforcement for successful use of the toilet as well as initiate treatment of underlying constipation with suppositories and enemas
- D.
Diagnosis: Encopresis without constipation Treatment plan: behavioral therapy and anticholinergics
Correct Answer
A. Diagnosis: Encopresis without overflow incontinence Treatment: Educate the child and parents, design a program for toilet use, and provide the child with a system of positive reinforcement for successful toilet use -
- 9.
A 5-year-old female presents with her mother for the child's urination during church on several occasions. These incidences have caused the child significant distress and inhibit her from wanting to go to church with the family on Sundays. You have determined that the behavior is not due to a medication (diuretic) or a GMC. Based on this information, what would your diagnosis and treatment be?
- A.
Diagnosis: Diurnal (only) Enuresis Treatment: behavioral therapy and anticholinergics
- B.
Diagnosis: Diurnal (only) Enuresis Treatment: fluid restriction and broad spectrum antibiotics
- C.
Diagnosis: Diurnal (only) Enuresis Treatment: fluid restriction and anticholinergics
- D.
Diagnosis: Diurnal (only) Enuresis Treatment: behavioral therapy and trycyclic antidepressants
Correct Answer
A. Diagnosis: Diurnal (only) Enuresis Treatment: behavioral therapy and anticholinergics -
- 10.
A 6-year-old and his mother present to your office to address the mother's concern that the child has been wetting the bed and having multiple accidents with urination at school. The child is not taking any medication. What GMCs would you screen for in a patient with repeated voiding in bed or clothes?
- A.
Diabetes, trisomy 21, acrocephalosyndactyly, Fragile X
- B.
Diabetes, spina bifida, and seizure disorders
- C.
Spina bifida, mental retardation, and diabetes
- D.
Seizure disorders, mental retardation, and spina bifida
Correct Answer
B. Diabetes, spina bifida, and seizure disorders -
- 11.
What IQ score on the Stanford Binet Intelligence Scale would someone with mild mental retardation have?
- A.
52-67
- B.
36-51
- C.
20-35
- D.
67-79
Correct Answer
A. 52-67 -
- 12.
What IQ score on the Stanford Binet Intelligence Scale would someone with moderate mental retardation have?
- A.
52-67
- B.
36-51
- C.
20-35
- D.
68-80
Correct Answer
B. 36-51 -
- 13.
What IQ score on the Stanford Binet Intelligence Scale would someone with severe mental retardation have?
- A.
20-35
- B.
36-51
- C.
52-67
- D.
Less than 20
Correct Answer
A. 20-35 -
- 14.
What IQ score on the Stanford Binet Intelligence Scale would someone with profound mental retardation have?
- A.
Less than 20
- B.
Less than 15
- C.
Less than 10
- D.
Less than 30
Correct Answer
A. Less than 20 -
- 15.
List the best treatment options for mental retardation
- A.
Improved environmental provisions, cognitive and educational interventions, and individual, family, and group psychotherapy
- B.
Positive reinforcement techniques for appropriate behavior, family counseling, and intensive behavior modification programs
- C.
Parent management training to empower parents, functional family therapy, pharmacotherapy
- D.
Primary goal is to facilitate general developmental progress and adaptation; symptom reduction is only relevant in the context of this primary objective
Correct Answer
A. Improved environmental provisions, cognitive and educational interventions, and individual, family, and group psychotherapy -
- 16.
List the pervasive developmental disorders
- A.
Austism, Asperger's, Rett's Syndrome, Childhood Disintegrative disorder
- B.
Austism, Asperger's, Rett's Syndrome, Expressive Language Disorder
- C.
Austism, Mental Retardation, Rett's Syndrome, Childhood Disintegrative disorder, Selective Mutism
- D.
Austism, Asperger's,Tic disorders, Childhood Disintegrative disorder
Correct Answer
A. Austism, Asperger's, Rett's Syndrome, Childhood Disintegrative disorder -
- 17.
What defines a pervasive developmental disorder?
- A.
Symptoms that appear before the age of three which reflect delayed or abnormal development in language, social skills, and behavioral repertoire
- B.
Symptoms that include a markedly limited vocabulary, errors in tense, difficulty recalling words or producing sentences with developmentally appropriate length or complexity
- C.
Symptoms that include failure to speak in specific social situations despite speaking in other situations
- D.
Symptoms that include markedly disturbed and developmentally inappropriate social relatedness in most contexts, beginning before age 5
Correct Answer
A. Symptoms that appear before the age of three which reflect delayed or abnormal development in language, social skills, and behavioral repertoire -
- 18.
A 2-year-old male shows a lack in emotional reciprocity, an increase in repetitive idiosyncratic speech, and continues to be distracted with spinning tops while other children play around him. What would be your initial diagnosis?
- A.
Asperger's Disorder
- B.
Autism
- C.
Expressive Language disorder
- D.
Mixed Receptive-Expressive Language Disorder
Correct Answer
A. Asperger's Disorder -
- 19.
A 4 year old child who had been developing normally has a decrease in normal development and exhibits symptoms such as impaired social interaction, impaired communication, and engages in activities that are repetitive, restricted and stereotyped. What diagnosis would you consider?
- A.
Childhood disintegrative Disorder
- B.
Asperger's Disorder
- C.
Autism
- D.
A Communication disorder
Correct Answer
A. Childhood disintegrative Disorder -
- 20.
What are the three lists involved in diagnosis Autism?
- A.
Impaired social interaction, impaired communication, and activities, behavior and interests are repetitive, restricted and stereotyped
- B.
Impaired social interaction, no significant general delay in language, and activities, behavior and interests are repetitive, restricted and stereotyped
- C.
Impaired social interaction, impaired cognitive functioning, and activities, behavior and interests are repetitive, restricted and stereotyped
- D.
Impaired social interaction, disterbances in the nrmal fluency and time patterning of speech, and activities, behavior and interests are repetitive, restricted and stereotyped
Correct Answer
A. Impaired social interaction, impaired communication, and activities, behavior and interests are repetitive, restricted and stereotyped -
- 21.
A 7 year old female presents with a preoccupation with abnormal interests, limited play with others, but displays excessive, although non-interactive, speech when asked about a topic that interests her. She has extreme sensitivities to touch and has difficulty understanding the world around her. What diagnosis does she display characteristics of?
- A.
Asperger's Disorder
- B.
Autism
- C.
Childhood Disintegrative Disorder
- D.
Expressive Language Disorder
Correct Answer
A. Asperger's Disorder -
- 22.
Name the communication disorders
- A.
Expressive language disorder, mixed receptive-expressive language disorder, phonological disorder, stuttering
- B.
Reading disorders, mathematics disorders, disorders of written expression
- C.
Autism, Asperger's Disorder, Childhood disintegrative disorder
- D.
Stuttering, Phonological Disorder, Selective Mutism
Correct Answer
A. Expressive language disorder, mixed receptive-expressive language disorder, phonological disorder, stuttering -
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Feb 14, 2017Quiz Edited by
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Oct 02, 2009Quiz Created by
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