Which of the following acutely inhibits the release of glucocorticoids in the adrenal glands?
a. GABA
b. Cortisol
c. Estrogen
d. Serotonin
e. Acetylcholine - ANSWERa. GABA
A teacher assigns the children in class to solve as many math problems as they can on their own in 20 minute period. Te...
Which of the following acutely inhibits the release of glucocorticoids in the adrenal glands?
a. GABA
b. Cortisol
c. Estrogen
d. Serotonin
e. Acetylcholine - ANSWERa. 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 - ANSWERe. 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 - ANSWERd. manipulate scissors
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 - ANSWERc. 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 - ANSWERa. 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 - ANSWERc. 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 - ANSWERb. 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 - ANSWERd. 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 - ANSWERb. 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" -
ANSWERc. "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 - ANSWERd. implementation
with the support of a parent, caregiver or teacher
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 - ANSWERe. 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 - ANSWERd.
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 - ANSWERc. preschool
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