ASD/BD

Question 1

Strong correlation between Asperger’s and? (7x)

Answer 1

NONVERBAL LEARNING DISABILITY

Question 2

What is most important when trying to differentiate between autism and Asperger’s? (6x)

Answer 2

LANGUAGE DEVELOPMENT

Question 3

Which of the following is seen most frequently as a comorbid condition in children with autism? (7x)

Answer 3

MENTAL RETARDATION / INTELLECTUAL DISABILITY

Question 4

Pharmacological treatment in autism spectrum disorder is most likely to have a positive effect on? (5x)

Answer 4

AGGRESSIVENESS

Question 5

Decreased attention to social cues is most common among children with: (2x)

Answer 5

AUTISM

Question 6

Superficial self harm, monotone speech, “too loud,” socially awkward

Answer 6

AUTISM SPECTRUM DISORDER

Question 7

Most heritable mental disorder

Answer 7

AUTISM

Question 8

7yo M w aggression was referred by school for eval after IQ of 68 discovered. Pt was temperamentally inhibited and avoidant as an infant, difficulty interacting w peers and preoccupation with trains at age 2. No stereotypes or tic. Which aspect of this presentation is most indicative of autism spectrum disorder?

Answer 8

SYMPTOMS PRESENT BEFORE AGE 3

Question 9

Which is a symptom of autistic disorder but NOT of Asperger’s?

Answer 9

DELAY OF SPOKEN LANGUAGE OR COMMUNICATIVE GESTURES

Question 10

The long-term outcome in autism is most closely correlated with?

Answer 10

LANGUAGE DEVELOPMENT

Question 11

8 y/o boy has marked social delay, difficulty maintaining relationships d/t odd interpersonal style, preoccupied with small electronic devices, talks on and on about them, and excludes other age appropriate interests, has difficulty w/ transitioning from one activity to another, has poor eye contact, and oblivious to personal space. DX?

Answer 11

ASPERGER’S SYNDROME

Question 12

Abnormality in what domains is the most important in establishing the Dx of autistic do?

Answer 12

INTERPERSONAL RELATIONS

Question 13

3 y/o not speaking intelligibly. Normal hearing. Parents worried about autism.

Answer 13

EXPRESS SOME CONCERN TO PARENTS

Question 14

8 y/o is evaluated due to problems at school. Child’s vocabulary is normal and his conversation focuses on video games. He has social difficulties due to insisting on directing play w/ peers and being very controlling. He b/c agitated and disruptive when a substitute teacher is present and if there are even small changes in his daily routine. Dx?

Answer 14

PERVASIVE DEVELOPMENTAL DISORDER NOS

Question 15

Which of the following is a positive prognostic predictor of overall outcome for children with autism?

Answer 15

COMMUNICATIVE SPEECH BY AGE 5

Question 16

MC Speech/Language abnormality in autism spectrum disorder

Answer 16

IMPAIRED PROSODY

Question 17

Autism spectrum disorders in children and adolescents are most highly comorbid with which of the following types of disorder?

Answer 17

ANXIETY

Question 18

Risk that a subsequent child will be autistic in a family with one autistic child is:

Answer 18

5%

Question 19

10yo boy primary nocturnal enuresis, is dry during day, no urgency, frequency, dysuria. Father had same at age 12. No other issues, wants to stop bed wetting to go to camp. What is the next step?

Answer 19

TRIAL OF DDAVP

Question 20

Strategy best grounded in social psychological principles for scenario in which you are a psychiatrist dealing with anti vax parents who think that vaccines cause autism

Answer 20

SHOW HOW VACCINATION CAN BE CONGRUENT WITH THE GROUP’S CORE VALUES

Question 21

Child argues with mom, is angry and rude. Has no trouble at school and completes schoolwork. Dx? (3x)

Answer 21

OPPOSITIONAL DEFIANT DISORDER

Question 22

14y/o from juvenile hall, getting aggressive. Long h/o behavior problems but no psych or medical hx. In addition to diagnosing behavior problem, what is first step for psychiatrist? (2x)

Answer 22

EVALUATE THE PATIENT FOR ADDITIONAL PSYCHOPATHOLOGY

Question 23

What increase risk of conduct d/o?

Answer 23

PARENTAL CRIMINALITY

Question 24

6 yo w/ breaking curfew, violate parental rules, on edge, inpatient, unkind to sibling.

Answer 24

OPPOSITIONAL DEFIANT

Question 25

Psychiatric assessment of child or teen should always include

Answer 25

PARENTAL INTERVIEWS

Question 26

WHO indicated intervention (universal, selective, indicated)

Answer 26

PROVIDING PARENTING TRAINING FOR PARENTS OF CHILDREN WITH CONDUCT PROBLEMS

Question 27

6 y/o presents with a 3 yrs hx of disruptive behaviors at home and school. Parents report he has difficulty paying attention and completing tasks. Recently pt has b/c more oppositional and angry with adults and peers. He often states, “I am no good.” What comorbid condition is most likely explanation for the child recent behaviors?

Answer 27

DEPRESSION

Question 28

Diagnosis for child w/ behavioral inhibition

Answer 28

SOCIAL PHOBIA

Question 29

Sign of pyromania

Answer 29

FEELING RELIEF ON SETTING A FIRE

Question 30

Which of the following is the most effective evidence-based treatment of oppositional defiant disorder (ODD):

Answer 30

PARENT MANAGEMENT TRAINING

Question 31

A 10 yo child presents with explosive outbursts at home when asked to complete tasks or when told no. These behaviors are not present while playing with siblings. Which of the following treatments has the largest body of evidence supporting its use to treat this condition?

Answer 31

PARENT MANAGEMENT TRAINING

Question 32

Treatment of schizophrenia that focuses on social awareness and basic mental processes to help patients understand intellectual capacity, strength, and limitations?

Answer 32

SOCIAL (PRAGMATIC) COMMUNICATION DISORDER