PSYCHIATRIC EVALUATION

Question 1

Example of projective interviewing

technique when assessing a child? (5x)

Answer 1

“Who is your favorite movie character?"
“Which character in this book are you
most like?” "What kind of superpower
would you most like to have?" "Who is
your favorite super-hero?"

Question 2

What part of the MSE in school age
children is best approached by direct
questioning vs. observation? (2x)

Answer 2

Mood

Question 3

Most efficient manner of performing

MSE on 6 year old child? (2x)

Answer 3

Individual play interview to gather info

Question 4

Best approach to establish an accurate
time frame for a school-age child’s
events or symptoms? (2x)

Answer 4

Anchor the chronology in relation to

major life events

Question 5

In MSE in infants, observe specifically

for? (2x)

Answer 5

Feeding behaviors

Question 6

A 14 yo girl says “I went to the dentist
today and my favorite TV show is Family
Feud.” Describe this thought process.
(2x)

Answer 6

Loose association

Question 7

16 yo and parent show for initial intake,
parent excessively answers questions
for patient. Course of action? (2x)

Answer 7

Ask parent to leave, interview patient

alone

Question 8

Mother brings her kids for you to give
second opinion on treatment by their
current psychiatrist. Children feel fine
about treatment. Appropriate next step?

Answer 8

Clarify why mother wants second opinion

Question 9

What should a psychiatrist do when a
father is insistent that he meets with the
psychiatrist before meeting his 15 yo son?

Answer 9

Encourage family to come in as a group and
reassure that everyone can share their
views.

Question 10

Way to describe patient’s affect who
initially smiles then becomes tearful when
talking about bullying and smiles at end of
the session?

Answer 10

full range

Question 11

Technique to improve engagement during

the interview of a child or adolescent?

Answer 11

Praising Adaptive Skills

Question 12

13 yo pt is superficial, dismissive, and
responds with short answers, such "I don't
know" or "whatever." This strategy would
most engage pt to discuss thoughts and
feelings?

Answer 12

Talk about patients likes and dislikes

Question 13

Best approach to eliciting accurate areas of
improvement in psychiatrists wanting to
improve skills in interviewing
uncooperative teens?

Answer 13

A colleague observing the physician

interview and giving feedback

Question 14

Counting backwards from 20 to 1 on a

mental status exam can help to assess?

Answer 14

Concentration

Question 15

Compared to older children and adults,
what is a possible indication of cognitive
delay found on an MSE for a school-age
child?

Answer 15

Difficulty differentiating fantasy from

reality

Question 16

What is the perpetuating factor in an
adolescent with anxiety and depression,
worsening since starting high school, poor
grades due to learning disorder, active in
varsity sport team, elected to student
government, and multiple family members
with mood disorders?

Answer 16

Learning issues

Question 17

Perpetuating factor for 16 yo in foster care,
past abuse, mother died of drug overdose,
hospitalized several times for cutting and
suicide attempts, currently being
hospitalized for benzo detox prior to going
to rehab?

Answer 17

Poor response to treatment

Question 18

5 yo old with symptoms of ADHD raised by
grandparents. Child has behavior just like
the father who is incarcerated and has
psych and substance use disorder. What is a
social factor in the Biopsychosocial model?

Answer 18

Grandparent’s view of the child

Question 19

er AACAP Practice Parameters, second
opinion needed before starting ECT in
underaged patient to?

Answer 19

Review history of treatments and whether

they were adequate

Question 20

Aspect of MSE in young child that reflect

parent rather than child?

Answer 20

Grooming and hygiene