Week2- Child Psychiatry

1. What IQ score on the Stanford Binet Intelligence Scale would someone with profound mental retardation have?

Less than 20

Less than 15

Less than 10

Less than 30

2. 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?

Autism

Reactive Attachment disorder of Infancy or Early Childhood

Expressive Language disorder

Asperger's Disorder

3. 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?

Pica

Rumination

Encopresis

Mental Retardation

4. What IQ score on the Stanford Binet Intelligence Scale would someone with severe mental retardation have?

20-35

36-51

52-67

Less than 20

5. What are the two elimination disorders?

Encopresis and Enuresis

Pica and Rumination

Bulimia and Anorexia Nervosa

Encofeces and Enuria

6. 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?

Pica

Rumination

Elimination Disorder

Pervasive Developmental Disorder

7. What IQ score on the Stanford Binet Intelligence Scale would someone with moderate mental retardation have?

52-67

36-51

20-35

68-80

8. What defines a pervasive developmental disorder?

Symptoms that include failure to speak in specific social situations despite speaking in other situations

Symptoms that include markedly disturbed and developmentally inappropriate social relatedness in most contexts, beginning before age 5

9. Name the communication disorders

Expressive language disorder, mixed receptive-expressive language disorder, phonological disorder, stuttering

Reading disorders, mathematics disorders, disorders of written expression

Autism, Asperger's Disorder, Childhood disintegrative disorder

Stuttering, Phonological Disorder, Selective Mutism

10. What IQ score on the Stanford Binet Intelligence Scale would someone with mild mental retardation have?

52-67

36-51

20-35

67-79

11. What are the three lists involved in diagnosis Autism?

Impaired social interaction, impaired communication, and activities, behavior and interests are repetitive, restricted and stereotyped

Impaired social interaction, no significant general delay in language, and activities, behavior and interests are repetitive, restricted and stereotyped

Impaired social interaction, impaired cognitive functioning, and activities, behavior and interests are repetitive, restricted and stereotyped

12. 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?

Diagnosis: Diurnal EnuresisTreatment: Anticholinergics

Diagnosis: Encopresis with constipation Treatment plan: behavioral therapy and anticholinergics

13. 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?

Diagnosis: Encopresis without constipation Treatment plan: behavioral therapy and anticholinergics

14. List the pervasive developmental disorders

Austism, Asperger's, Rett's Syndrome, Childhood Disintegrative disorder

Austism, Asperger's, Rett's Syndrome, Expressive Language Disorder

Austism, Mental Retardation, Rett's Syndrome, Childhood Disintegrative disorder, Selective Mutism

Austism, Asperger's,Tic disorders, Childhood Disintegrative disorder

15. Mental Retardation is determined by what score on the Stanford Binet test?

67 or below

52 or below

67 or above

52 or above

16. 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?

Diagnosis: Diurnal (only) EnuresisTreatment: behavioral therapy and anticholinergics

Diagnosis: Diurnal (only) EnuresisTreatment: fluid restriction and broad spectrum antibiotics

Diagnosis: Diurnal (only) EnuresisTreatment: fluid restriction and anticholinergics

Diagnosis: Diurnal (only) EnuresisTreatment: behavioral therapy and trycyclic antidepressants

17. List the best treatment options for mental retardation

Improved environmental provisions, cognitive and educational interventions, and individual, family, and group psychotherapy

Positive reinforcement techniques for appropriate behavior, family counseling, and intensive behavior modification programs

Parent management training to empower parents, functional family therapy, pharmacotherapy

18. 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?

Diabetes, trisomy 21, acrocephalosyndactyly, Fragile X

Diabetes, spina bifida, and seizure disorders

Spina bifida, mental retardation, and diabetes

Seizure disorders, mental retardation, and spina bifida

19. What minimum chronological age (or equivalent developmental level) does a child need to be to be a candidate for encopresis?

5 years

4 years

3 years

7 years

20. 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?

Childhood disintegrative Disorder

Asperger's Disorder

Autism

A Communication disorder

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?

Asperger's Disorder

Autism

Childhood Disintegrative Disorder

Expressive Language Disorder

22. 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?

Asperger's Disorder

Autism

Expressive Language disorder

Mixed Receptive-Expressive Language Disorder

Week2- Child Psychiatry

1. What IQ score on the Stanford Binet Intelligence Scale would someone with profound mental retardation have?

2.

What first name or nickname would you like us to use?

3. 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?

4. What IQ score on the Stanford Binet Intelligence Scale would someone with severe mental retardation have?

5. What are the two elimination disorders?

7. What IQ score on the Stanford Binet Intelligence Scale would someone with moderate mental retardation have?

8. What defines a pervasive developmental disorder?

9. Name the communication disorders

10. What IQ score on the Stanford Binet Intelligence Scale would someone with mild mental retardation have?

11. What are the three lists involved in diagnosis Autism?

14. List the pervasive developmental disorders

15. Mental Retardation is determined by what score on the Stanford Binet test?

17. List the best treatment options for mental retardation

19. What minimum chronological age (or equivalent developmental level) does a child need to be to be a candidate for encopresis?

20. 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?

22. 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?