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PRITE - Emergency Psychiatry/55 Updated Questions and Answers 100% Correct
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PRITE - Emergency Psychiatry/55 UpdatedQuestions and Answers 100% Correct
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.
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