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1
Q
A child is able to eat for using spoon and fork by herself by
A) First 3 moths of life only 
B) First 12 - 18 months of life 
C) 2 Years of age 
D) 3 years of age 
E 4 years of age
A

Answer: C 2 years old

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2
Q
The palmar grasp reflex is present at birth. At what age does it normally disappear?
A) 2 months 
B) 3 Months 
C) 4 months 
D) 12 month
A

D 12 months

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3
Q
Roger lives in California with his parent and two older siblings. On examination him for a neurological assessment, the doctor finds that on eliciting the plantar reflex, Roger's big toe dorsiflexes and the other 4 toes fan out. The doctor tell his parent that it was abnormal for his age and that he would have to carry out more mother function test on Roger. Roger probably is: 
A) 2 Months 
B) 6 Months 
C) 10 month 
D) 24 month
A

D 24 months

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4
Q

A 67 year old woman visits her physician two months after the death of her husband. She reports that she difficulty sleeping and often finds herself crying at the smallest things.” The physician notices that she has lose weight and seem to avoid eye contact when interviewed. With some embarrassment, she confesses that she came to see the physician after thinking that she saw her husband across the street in a crowd, an experience that left her confused and shaken. At this point, the physician’s best response would be to:
A) ask her if she has much interest in sex likely
B) ask her to talk about her relationship with her husband prior to his death
C) detain her for observation as a suicide precaution
D) tell her that these are normal reaction and that adjustment takes time

A

Answer is D

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5
Q
A 10 yr old child has an IQ of 60. The mental ability of this child is equivalent to that of a child aged: 
A) 4
B) 6
C) 8
D)10
A

Answer is B

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6
Q

Mother is concerned about her son because he is engages in behavior that is dangerous and potentially life threatening. The age of child is most likely:

A) 11
B) 13
C) 15
D) 18
E) 20
A

Answer is C

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7
Q

A terminally ill patient who uses a statement such as “ its is the doctor’s fault that i become ill. Doc didn’t do EKG when I am for my last office visit”, is most likely in which stage of dying, according to Elizabeth Kubler-Ross?

A) Denial
B) Anger 
C) Bargaining 
D) depression 
E) Acceptance
A

Answer is B

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8
Q

A physician conduct a physical exam on an active independent 75 year old women. Which of following is most likely?

A) decrease in size of brain ventricle 
B) Increase brain mass
C) Increase immune response 
D) Decrease bladder control 
E) Severe memory problem
A

Answer: D

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9
Q

Although much of human behavior is learned, infants are born with certain capacities. Which of the following important behavioral skills are present in most infants at birth?

A) following objects to midline 
B) laughing aloud 
C) putting feet into mouth 
D) reaching and grasping 
E) recognition of the mother
A

Answer is D or A

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10
Q

A 8 year old girl attains a score of 35 on a stand intelligence test. A table showing median test score for specific ages.

Age       Median Score 
7              25
8              29
9              32
10             35
11              40

Based on the table, mostly likely IQ for the 8 year old:

A) 85
B)100
C)110
D)125
E)140
A

Answer is d

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11
Q

Which of the following is not a projective test?

A) MMP
B) Rorschach test
C) Sentence completion test
D) Thematic apperception

A

Answer is A

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12
Q

Increase in penis width development of the glans, and darkening of scrotal skin characterized tanner stage:

A)1
B)2
C)3
D)4

A

Answer is D

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13
Q

Six months after the death of loved one. Which one of following is most likely indicated that person is experiencing a complicated grief reaction?

A) crying 
B) irritability 
C) Illusion 
D) Hallucination 
E) Decline that the love is died
A

Answer is E and D

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14
Q

Jane, a 17 year old New yorker, presents to the obestertics clinic for regular ante natal check up 1 week after her scheduled appointment. She seem a little depressed and sad. She say could not visit on time as there was no one to bring her to the clinic. A factor which is probably not associated with Jane;s pregnancy is:

A) increased risk of birth of the child than 37 week gestation
B) increased risk of blood pressure lower than normal limits
C) increased risk of antepartum hemorrhage
D) increased risk of the child weighing less than 2000 grams

A

Answer is B

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15
Q

Conformity with peers is a core characteristic of a number of normative developmental stages. In general, conformity of children to the norms of their peer groups is most intense at a time of development that also feature:

A) toilet training 
B) use of transition object 
C) focal attachment to the caretaker 
D) beginning of formal schooling 
E) puberty
A

Answer is E

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16
Q
A 10 yr old child has an IQ of 60. Mild mental retardation is an IQ between: 
A) 70-100
B) 50-69- mild
C) 35-49- moderate
D) 20-34
A

Answer is B

17
Q

Laura is very energetic girl who take care of herself very well. Her language ability and ability to comprehend to situations is appropriate to her age. Her favorite game is soccer, which she plays with her friends who love in the same building. She ask you how she is different from her friend Peter. She also talk about Anne, her friend. But, there is no Anne in her friend’s circle. Laura is probably aged:

A) 3
B)4
C)5
D)6

A

Answer is B

18
Q

Control of the bowels is attained at

A) first 3 months of life only 
B) first 12 to 18 months of life 
C) 2 years of age 
D) 3 years of age 
E) 4 years of age
A

Answer is D

19
Q

Gregory is a child who can say his own name and also has the motor strength to throw a ball on his own. When you call him towards you, he take a few step toward you, but then goes back to his mother Gregory is probably:

A) 15 months
B) 18 months
C) 24 months
D) 30 months

A

Answer is B

20
Q

A girl tells her mother that she “ hate the boys because they are noisy and stupid”

The age of this girl is most likely:

A) 4
B)6
C) 9
D) 13
E) 15
A

Answer is C

21
Q

A child’s pet has recently died. The child believes that pet will soon com back to life. This child is most likely to be age of:

A) 4 years
B) 6 years 
C) 7 years
D) 9 years
E) 11 years
A

Answer is A

22
Q

A couple who are first time parents present to your office with concerns about their 3 month old boy. They report that on ben picked up from his crib, he extends his arms and legs and they feel this is not a natural response. You then tell them that this normal reception is know as the

A) Babinski reflex
B) Moro reflex 
C) Palmar grasp 
D) Rooting reflex 
E) Tracking reflex
A

Answer is B

23
Q

Ben is going to be 2 year old in one months time. However, his parents are very concerned because he has been having frequent temper tantrums in public. They discuss the problem with their family physician. What should the physician recommend?

A) Avoiding taking him to public place
B) Ignoring the tantrums as much as possible
C) Punishing him after the tantrum has stopped
D) Spanking him while he is throwing a tantrum
E) Threatening to reset him in the place where the tantrum occur

A

Answer is B

24
Q

John is healthy 2 month old infant, who has appropriate motor and social development for his age. Whenever someone gets his attention, he coos and also gurgles. He also follows his fathers’ face as his father moves from one side to the other. This pattern of following his father’s face disappears at :

A) 3 months
B) 4 months
C) 12 months
D) Continues to adulthood

A

Answer is D

25
Q
A 3-year old boy speaks in sentences.He can ride a tricycle but cannot ride a bicycle.He scribbles spontaneously but cannot copy a line.He knows his name and gender but does not play competitive games.Which of the following developmental aspects is likely delayed in this patient?
A.A. Social
B.B. Gross motor
C.C. Language
D.D. Fine motor
E.E. Behavioral
A

Answer: D

26
Q

A 60-year-old man comes to the doctor because he has been feeling depressed after the death of his wife 2 months ago. He says he has had a hard time sleeping and even has imagined that she is still in their home with him. He has not been able to return to work yet and has difficulty motivating himself to resume his normal activities. What additional symptom would cause the physician to diagnose the patient with abnormal grieving?

(A) Delusions that his wife is controlling his thoughts
(B) Depressive symptoms
(C) Experiences the “anniversary reaction,” in which symptoms of grief reoccur on anniversaries or holidays
(D) Guilt that causes him to blame himself for his wife’s death
(E) Initial denial that his wife had died

A

Answer is A

27
Q
A child is observed walking down the stairs using alternating feet, can throw and catch a ball, states her gender accurately and is able to correctly name the colors of presented objects. Based on this evidence, which of the following geometric shapes did the child most recently learn to draw?

A) Cross
B) Diamond
C) Square
D) Triangle
E) Circle
A

Answer is A

28
Q

Two young boys are playing at daycare center. One hold a ball on top of some blocks that the other child has placed on the floor. The second child helps steady the blocks, then the first child lets go of the ball, knocking blocks down to the floor. They both watch and then repeat the process. These children are most likely:

A) 10 months
B) 16 months 
C) 18 months 
D) 24 months 
E) 48 months
A

Answer is E

29
Q

A 7-year-old child has been exhibiting impulsivity and disruptive behaviors at school. When further evaluation reveals that the child has been unable to sleep at night for at least 3 months out of fear that his parents may divorce, which of the following is an important diagnostic possibility?
A anaclitic depression
B attention deficit hyperactivity disorder
C conduct disorder
D generalized anxiety disorder
E separation anxiety disorder

A

Answer is E

30
Q

A young child is able to walk when held by one hand and speaks in strings of unrecognizable words. When placed in a room with other children, the child stays close to his mother but plays by himself. Based on these observa­tions, in the next six to eight months the child is most likely to learn to

(A) Ride a tricycle
(B) stand on his tiptoes
(C) Draw acircle
(D) build a tower of three blocks 
(E) play peek-a-boo
A

Answer is D