PRITE - CHILD PSYCHIATRY
(GARNET HEALTH MEDICAL
CENTER) EXAM QUESTIONS
WITH 100% SCORED A+
SOLUTIONS!!
PRITE
Evatee 9/30/24 PRITE
,PRITE - CHILD PSYCHIATRY (GARNET HEALTH
MEDICAL CENTER) EXAM QUESTIONS WITH
100% SCORED A+ SOLUTIONS!!
4. Pharmacological treatment in autism spectrum disorder is most likely to
have a positive effect on which of the following?
A. Aggressiveness
B. Gaze aversion
C. Prosodic modulation
D. Gestural communication Answer - A. Aggressiveness
27. The parents of a toddler are concerned about a recent increase in the
frequency, intensity and duration of the child's temper tantrums. The parents
report that the toddler gets on the floor, kicks and screams when they set
limits. The child's health and developmental history is unremarkable. Family
history is significant for mood and anxiety disorders on the mother's side, and
attention-deficit hyperactivity disorder (ADHD) and oppositional defiant
disorder (ODD) on the father's side. Which of the following would be the most
appropriate step for the psychiatrist to take next?
A. Administer a Denver developmental screening test to the child.
B. Explore the parents' concerns about seemingly normal behavior.
C. Inquire about early separations and traumatic events in the child's life.
D. Administer an inventory to assess the parenting style of each parent.
E. Begin parent psychoeducation about ADHD and oppositional d Answer - B.
Explore the parents' concerns about seemingly normal behavior.
Questions 39 — 42 pertain to the following vignette.
,A 9-year-old girl is brought in by her parents for an outpatient psychiatric
evaluation due to behavior difficulties at home. When frustrated, the girl
screams, yells, curses and threatens to
kill herself. This behavior has been occurring more frequently whenever the girl
does not get her way. The parents usually give in and allow the girl to do what
she wants. Similar episodes have occurred at school. The girl is often irritable,
argumentative and provocative. Her schoolwork is on grade level. The girl has
friends and interacts well with them, though she is described as "bossy." Her
appetite, energy and sleep patterns have been normal and stable. There are no
other problems. When seen with her parents and individually, the child is calm,
cooperative and interactive. She denies suicidal or homicidal ideation and says
that she "just gets mad." Her mood is euthymic w Answer - A. Send the patient
home with the parents.
40 Which of the following would be the most appropriate initial diagnostic step
by the physician?
A. Neuroimaging
B. Genetic testing
C. Psychological testing
D. Neurological evaluation
E. Obtain a teacher report Answer - E. Obtain a teacher report
41. At a follow-up interview, the physician learns that the recent exacerbation
of symptoms appears to be related to increasing parental disagreement about
how the patient's
outbursts should be handled. It would be most appropriate for the physician to
next
obtain additional information about parental discipline and:
A. explore reasons for parental differences.
B. reinforce the parent with the best approach.
C. Explain the options for psychiatric interventions.
, D. explore the parents' slowness in obtaining care.
E. Elicit the child's opinion about which parent's discipline style works best
Answer - A. explore reasons for parental differences.
42 The psychiatrist educates the parents about possible reasons for the
perpetuation of the child's temper tantrums. The psychiatrist teaches the
parents how to develop and implement an age-appropriate behavioral
management plan with clear expectations and consequences. Over the next
month, the child's behavior improves. The parents state that whenever the
child has a temper tantrum they ignore the behavior, wait for the child to calm
down and then expect the child to obey the rules. The behavior has most likely
improved because the child has:
A. had negative reinforcement of the tantrums removed.
B. developed insight into the reasons for the oppositional behaviors.
C. realized how inappropriate and maladaptive the behavior had been.
D. learned to identify the maladaptive ideas that motivate the behavior.
E. acquired mindfulness and the ability to use the senses to self soothe Answer
- A. had negative reinforcement of the tantrums removed.
98. Parents report that their child who is almost 3 years old has not yet begun
to talk. Since birth the child has been distractible with an aversion to novelty
and transitions. The
parents report that their child seems to have problems empathizing with
siblings and
playmates at daycare. Which of the following questions should the psychiatrist
ask first to
decide what type of advice to give the parents?
A. "Did you have a normal pregnancy?"
B. "Has your child's hearing been tested?"
C. "Has your child had a severe, traumatic loss?"
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