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15 Cards in this Set
- Front
- Back
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A 22 yo woman has just delivered her first child, a healthy boy, by cesarean section under general anesthesia. When she awakens, she is frantic because she did not have the opportunity to "bond to her child" The physician's best course of action is to
A)Reassure the pt that bonding is a lengthy process B) Suggest that the mother breastfeed in order to offset the effects of poor postnatal bonding C) Return in 1 day to see if the pts concerns have dissipated D) Recommend psychiatric counseling aimed at helping the pt bond to her child E) Dismiss her concern as expectable, new parent anxiety |
A)Reassure the pt that bonding is a lengthy process
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The etiology of childhood schizophrenia is most accurately described as
A) developmental B) Environmental C) Familial D) Genetic E) Multifactorial |
E) Multifactorial
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Anaclitic depression classically occurs
A) Btw birth-6mo B) Btw 7-30 mo C) btw 31-48 mo D) in elementary school ages (5-11 y) E) In adolescence (12-18y) |
B) Btw 7-30 mo
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Which of the following statements about the etiology of encopresis is most accurate? The sx often...
A) is conscious and deliberate B) derives from delayed nervous system maturation C) indicates underlying GI path D) derives from an underlying psychotic disorder E) derives from constipation and fecal impaction |
E) derives from constipation and fecal impaction
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Which of the following statements regarding diagnostic criteria for learning disorders is most accurate?
A) They are usually associated with low-average intelligence B) it is an equivalent but less pejorative term than MR C) achievement testing and intelligence testing reflect differential profiles among individuals with these disorders D) They fall within the broader spectrum of pervasive developmental disorders E) Subtypes of the disorder include reading, writing, mathematics, history, and humanities |
C) achievement testing and intelligence testing reflect differential profiles among individuals with these disorders
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A 7yo boy is brought to a child psychiatrist by his parents on a referral by the school where the child is in 2nd grade. The boy does not have a discipline problem, but he frequently answers questions without being called on and is often out of his seat without permission. His schoolwork is adequate, but the teacher believes he is capable of better. He has difficulty completing tasks and appears to spend much of the class time day dreaming.
Which additional piece of info would support the most likely etiology for his sx? A) hx of head injuries B) history of neurologic sx C) a history of tics D) his mediation history E) family psychiatric history |
E) family psychiatric history
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A 7yo boy is brought to a child psychiatrist by his parents on a referral by the school where the child is in 2nd grade. The boy does not have a discipline problem, but he frequently answers questions without being called on and is often out of his seat without permission. His schoolwork is adequate, but the teacher believes he is capable of better. He has difficulty completing tasks and appears to spend much of the class time day dreaming.
The most likely diagnosis is A) ADHD B) Conduct disorder C) Impulse control disorder D) learning disorder E) receptive language disorder |
A) ADHD
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A 7yo boy is brought to a child psychiatrist by his parents on a referral by the school where the child is in 2nd grade. The boy does not have a discipline problem, but he frequently answers questions without being called on and is often out of his seat without permission. His schoolwork is adequate, but the teacher believes he is capable of better. He has difficulty completing tasks and appears to spend much of the class time day dreaming.
Regarding tx, the best advice to the family would be that A) he has a diagnosable disorder, so he should not be held accountable for his sx B) they should alter his diet immediately C) he needs intensive, probably long-term psychotherapy D) medications might be helpful E) they should probably not discuss his diagnosis with his teacher because it might be stigmatizing |
D) medications might be helpful
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A 4 yo girl is brought to the ED by her mom with a swollen and discolored forearm. Radiographs reveal an ulnar fracture. Her mother reports that the child had been jumping on the bed, lost her balance, and fell. The physician observes that the mother is apparently in her 7th or 8th mo of pregnancy. He also observes that the child is quite thin and somewhat disheveled in appearance, and her hygiene is poor. When he asks if anyone else lives in their home, the mother acknowledges that her boyfriend does and then hastens to state "But he wasn't even home when this happened"
After the radiographs, thy physician's most appropriate next step is to A) obtain a detailed developmental hx from mom B) insist that the mother's boyfriend come in to be interviewed C) interview the child separate from her mom D) examine the child's genitalia for signs of sexual abuse E) ask the hospital's child protection team to investigate |
C) interview the child separate from her mom
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A 4 yo girl is brought to the ED by her mom with a swollen and discolored forearm. Radiographs reveal an ulnar fracture. Her mother reports that the child had been jumping on the bed, lost her balance, and fell. The physician observes that the mother is apparently in her 7th or 8th mo of pregnancy. He also observes that the child is quite thin and somewhat disheveled in appearance, and her hygiene is poor. When he asks if anyone else lives in their home, the mother acknowledges that her boyfriend does and then hastens to state "But he wasn't even home when this happened"
Which statement best describes the physician's obligation to report the incident to the local child protective service agency? A) if the physician suspects that the injuries might derive from abuse, then the incident must be reported B) If the physician finds additional evidence of deprivation and neglect, then he must report it C) If the physician finds additional evidence of physical abuse, then he must report it D) if the physician finds evidence of sexual abuse, then he must report it E) If in addition to the physician's findings, the child alleges abuse, hen he must report it |
A) if the physician suspects that the injuries might derive from abuse, then the incident must be reported
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A 4 yo girl is brought to the ED by her mom with a swollen and discolored forearm. Radiographs reveal an ulnar fracture. Her mother reports that the child had been jumping on the bed, lost her balance, and fell. The physician observes that the mother is apparently in her 7th or 8th mo of pregnancy. He also observes that the child is quite thin and somewhat disheveled in appearance, and her hygiene is poor. When he asks if anyone else lives in their home, the mother acknowledges that her boyfriend does and then hastens to state "But he wasn't even home when this happened"
It is ultimately determined that the child's injury was inflicted by her mother's boyfriend. At this time, the most approp intervention with regard to the mother is to A) remove the child from her care and placer her in a foster home B) leave the child in her care as long as the perpetrator is not in the home C) insist on parenting classes as part of a court ordered tx plan D) evaluate her ability to effectively parent her yet unborn child E) be certain that her potential "silent" participation in the abuse investigated |
E) be certain that her potential "silent" participation in the abuse investigated
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The etiology of autistic disorder is best understood to be
A) Infections B) Neurologic C)psychogenic D) psychologic E) toxicologic |
B) Neurologic
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Which of the following antidepressant meds would be the best 2nd line tx for the sx of ADHD
A)Bupropion B) Fluoxetine C) Fluvoxamine D) Nefazodone E) Paroxetine |
A)Bupropion
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Match the following meds with the correct clinical indication
A)ADHD B) Bipolar disorder C) Encopresis D) Enuresis E) Tourette disorder 14. Risperidone 15. Methyphenidate 16. Valproic-acid 17. Desmopressin |
14. Risperidone: E) Tourette disorder
15. Methyphenidate: A)ADHD 16. Valproic-acid: B) Bipolar disorder 17. Desmopressin: D) Enuresis |
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match the following childhood disorders with the most likely clinical etiology
A) adult-spectrum disorder B) maturational delays C) neuropathology D) Parental pathology E) Parent loss 18. Narcolepsy 19. Feeding disorder of infancy or early childhood 20. Enureisis 21. Schizophrenia |
18. Narcolepsy: C) neuropathology
19. Feeding disorder of infancy or early childhood: D) Parental pathology 20. Enureisis: B) maturational delays 21. Schizophrenia: A) adult-spectrum disorder |
