Which of the following acutely inhibits the release of glucocorticoids in the adrenal glands?
a. GABA
b. Cortisol
c. Estrogen
d. Serotonin
e. Acetylcholine - ANSWERSa. GABA
A teacher assigns the children in class to solve as many math problems as they can on their own in 20 minute period....
Child PRITE 2019 Questions & Answers
Which of the following acutely inhibits the release of glucocorticoids in the adrenal
glands?
a. GABA
b. Cortisol
c. Estrogen
d. Serotonin
e. Acetylcholine - ANSWERSa. GABA
A teacher assigns the children in class to solve as many math problems as they can on
their own in 20 minute period. Teacher makes a note of each student's progress, divides
the class into groups to further work on the problems together, and provides help to
each group when members are stuck. This strategy most directly makes use of which of
the following educational concepts?
a. Transfer of learning
b. Collective socialization
c. attunement to learning styles
d. transformative learning theory
e. zone of proximal development - ANSWERSe. zone of proximal development
By age of 3 years, toddlers can typically perform which of the following tasks?
a. tie shoelaces
b. fasten buttons
c. close a zipper
d. manipulate scissors
e. draw a person with realistic proportions - ANSWERSd. manipulate scissors
An adolescent boy was engaged in therapy lasting 10 weeks. During this therapy the
boy was able to relate to his test taking anxiety, chronic feeling of interpersonal
inadequacy, and inaccurate sense of physical unattractiveness to an earlier relationship
with his father who was often critical and harsh, and unpredictably embarrassed the boy
in social settings. Which of the following therapies was most likely utilized?
a. behavioral
b. cognitive behavioral
c. dialectical behavioral
d. motivational interviewing
e. short term psychodynamic - ANSWERSe. short term psychodynamic
,During psychiatric evaluation, which of the following methods would best help develop
the therapeutic alliance between a psychiatric and a new immigrant patient and family?
a. consulting with the immigrant family's traditional healers
b. conducting the initial appointment with the identified patient only
c. relying on previous clinical experiences with this immigrant population
d. using a qualified interpreter who has proficiency in the family's language of origin
e. maintaining consistent individualistic boundary practices across spectrum of cultures
- ANSWERSd. using a qualified interpreter who has proficiency in family's language of
origin
Children typically demonstrate the most overt sexual interest and behavior during which
of the following developmental stages?
a. infancy
b. toddlerhood
c. preschool
d. early school age
e. late school age - ANSWERSc. preschool
research on typical development has focused on acquisition of language as a
foundation for cognitive and other areas of development. which of the following has
been demonstrated to be most significantly related to language proficiency in
preschoolers in the US?
a. parental age
b. geographical location
c. socioeconomic status
d. parental native language
e. contact with other children - ANSWERSc. socioeconomic status
youth who has been on long term risperidone treatment develops TD which continues
despite initially reducing dose, and then sequential optimal trials of aripiprazole,
olanzapine, quetiapine, each for sufficient duration and dose. Most appropriate next
step is to start which of the following treatments?
a. switch neuroleptic to clozapine
b. add Vit E to neuroleptic use
c. switch neuroleptic to fluphenazine
d. add benztropine to neuroleptic use
e. add botox injections to neuroleptic use - ANSWERSa. switch neuroleptic to clozapine
7 y.o. presents with speech difficulties. On exam, examples of child's speech include
pronouncing "dat" for cat and "pay" for play. Parents report that this problem bothers
their child and also results in child being bullied at school. The child has no hearing
,difficulties, and otherwise excels in academics. Which of the following is the most likely
dx?
a. stuttering
b. normal development
c. speech sound disorder
d. childhood apraxia of speech
e. social (pragmatic) communication disorder - ANSWERSc. speech sound disorder
According to DSM, dx of premenstrual dysphoric disorder should be confirmed by...
a. daily rating of severity of problems
b. prospective symptom rating log over 2 months
c. premenstrual tension syndrome rating scale
d. visual analogue scales of premenstrual mood symptoms
e. validated depression rating scale during week prior to menses - ANSWERSb.
prospective symptom rating log over 2 months
longitudinal, prospective study of a large group of healthy infants of mothers with
postpartum depression finds that 3% of the study population meet criteria for a mood
disorder by age 6 yrs, a proportion that increased to 6% by age 12. This measure of
mood disorder occurrence among the children is best described as the...
a. base rate
b. odds ratio
c. prevalence
d. cumulative incidence
e. positive predictive value - ANSWERSd. cumulative incidence
Which of the following is the most important guide when arranging the infrastructure
necessary to provide telepsychiatric consultation to a school?
a. Rehabilitation act
b. family educational rights and privacy act
c. patient protection and affordable care act
d. health information portability and accountability act
e. individuals with disabilities education improvement act - ANSWERSb. family
educational rights and privacy act
An adolescent is referred for substance use treatment after being found unresponsive in
the bathroom by a younger sibling at home. The adolescent relapsed and used
substances 2 days prior to the visit with the psychiatrist. At the visit, the adolescent
states, "I feel like such a failure". Using motivational interviewing approach, which of the
following statements would be the next best response by a psychiatrist?
a. "I wonder if your choice to use substances again may represent self sabotage"
, b. "you do not fully understand the negative consequences of your substance use"
c. "this recent relapse is making you upset because you were trying so hard to stay
sober"
d. "this choice was more about peer pressure and you need to find a new group of
friends"
e. "let us try to view your recent relapse as a 1 time occurrence and move forward
together" - ANSWERSc. "this recent relapse is making you upset because you were
trying so hard to stay sober"
An 8 yo with severe anxiety has benefited from weekly in person psychotherapy to date,
but the long distance between the patient's home and clinic precludes continuing this
treatment. Based on the available evidence, web based therapy for this child would
most likely have the most beneficial effect if which of the following occurs?
a. augmentation with pharmacotherapy
b minimization of pictures and game play to avoid distraction
c. multiple sessions are digitally recorded for viewing at home
d. implementation with the support of a parent, caregiver or teacher
e. utilization of text based input by the child to log events and feelings - ANSWERSd.
implementation with the support of a parent, caregiver or teacher
Which of the following non-pharmacological interventions for ADHD has been most
consistently validated in treatment trials?
a. neurofeedback
b. social skills training
c. behavioral parent training
d. CBT
e. removal of sugar and food additives from the diet - ANSWERSc. behavioral parent
training
Which of the following psychiatric d/o is most likely comorbid in an adolescent with
diabetes?
a. Bipolar d/o
b. conduct d/o
c. MDD
d ODD
e. ADHD - ANSWERSc. MDD
which of the following psychiatric symptoms is most common in pediatric patients who
have survived a brain tumor?
a. anxiety
b. psychosis
c. impulsivity
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