1. An abused child runs to hide in the bedroom closet at the sound of the garage door opening even though the abusive parent no longer lives in the home, and even though hiding never prevented the abuse when that parent was present. This fear response can best be explained with which of the followi...
1. An abused child runs to hide in the bedroom closet at the sound of the garage door opening even
though the abusive parent no longer lives in the home, and even though hiding never prevented the
abuse when that parent was present. This fear response can best be explained with which of the
following learning models?
A. Incentive learning
B. Operant conditioning
C. Learned helplessness
D. Classical conditioning
E. Contingency management - ANSWERD
3. An emergency room physician evaluates a child with new-onset symptoms of obsessions and
compulsions. The physician cannot determine a cause for the child's symptoms. Which of the
following steps taken by the emergency room physician is considered lifelong learning?
A. Obtain a psychiatry consult
B. Pursue further medical evaluation
C. Refer the patient to an outpatient psychiatrist
D. Review evidence-based literature regarding the symptoms
E. Develop a committee to create a standard evaluation for mental illness - ANSWERD
2. A child suddenly screams in the early part of the night with associated diaphoresis and tachypnea,
lasting for 1-2 minutes. The child has no recall of the events the next day. These events are most
associated with which of the following parasomnias?
A. Nightmares
,B. Sleep terrors
C. Sleep talking
D. Confusional arousals
E. REM sleep behavior disorder - ANSWERB
4. The medical director of an outpatient clinic for youth with disruptive behavior disorders was
concerned that patients treated with antipsychotic medications were developing metabolic
syndrome. The clinic implemented a system in the electronic medical record in which charts were
flagged for providers and the clinic manager if the patient's body mass index had increased by more
than 2 points since baseline. This system is an example of:
A. root cause analysis.
B. continuous quality improvement.
C. consumer satisfaction monitoring.
D. health-plan sponsored practice protocol.
E. disease-specific outcome measurement. - ANSWERB
5. An adolescent is found unconscious in the school bathroom. The student has a perioral rash and
perinasal dermatitis. A plastic bag is found on the floor next to the adolescent's backpack. A search
of the backpack is most likely to reveal:
A. alcohol.
B. cannabis.
C. cough syrup.
D. an e-cigarette.
E. an aerosol can. - ANSWERE
6. Which of the following personality disorders is most frequently comorbid in patients with bulimia
nervosa?
A. Avoidant
B. Histrionic
C. Borderline
,D. Narcissistic
E. Obsessive-compulsive - ANSWERC
7. According to psychodynamic theory, which of the following is the main role of the therapist in play
therapy?
A Serve as a surrogate for the absent parent figure
B. Enable the child to discuss feelings towards the aggressor
C. Reduce violence by modelling appropriate gender roles and behavior
D. Provide a setting for the child to develop the capacity for self-observation
E Devise a strategy for the patient to ask for time-out when feeling frustrated - ANSWERD
8. Which of the following is typical of the language development of six-month-old infants?
A. Babbling with consonant and vowel sounds
B. Production of grunting, crying, and gurgling noises
C. Inconsistent and unclear use of the first few words
D. Starting to string words together in a very basic way
E. Using first words with reliable consistency and purpose - ANSWERA
9. What is the primary goal of family therapy for oppositional defiant disorder?
A Allowing the therapist to set limits with the child
B. Monitoring for signs of abuse to ensure child safety
C. Establishing a warm and mutually respectful relationship between parents and child
D. Providing psychoeducation to the parents about features of oppositional defiant disorder
E. Determining whether the family system has diffused or rigid boundaries with external systems -
ANSWERC
10. Which scale for attention-deficit/hyperactivity disorder (ADHD) in children has a validated version
for the child to complete?
, A. ADHD Rating Scale-5
B. Conners 3rd Edition Rating Scale
C. Vineland Adaptive Behavior Scales
D. Swanson, Nolan, and Pelham-IV Rating Scale
E. Strengths and Weaknesses of ADHD Symptoms and Normal Behavior - ANSWERB
11. An adolescent who has been recently diagnosed with non-epileptic seizures has been sent from
school to the emergency department on multiple occasions due to having episodes during class. The
adolescent and parents state that they do not want the school to be informed of the patient's
diagnosis. If the physician wanted to advocate that the diagnosis should be shared with the school,
which of the following statements made by the physician would be best?
A. "There are several potential legal ramifications of not informing the school."
B. "There is real potential risk of inappropriate and invasive medical treatment."
C. "If the school is not informed, the hospital will no longer be able to admit your child."
D. "We will have to make a report to child protective services if you do not disclose the diagnosis."
E. "Due to the potential dangerousness of not informing the school, we are obligated to share the
diagno - ANSWERB
12. Which of the following symptoms is more common in adolescents with depression compared to
younger children with the disorder?
A. Irritability
B. Melancholia
C. Hallucinations
D. Temper outbursts
E. Somatic complaints - ANSWERB
13. An adolescent with insulin-dependent diabetes who is in treatment for medical non-adherence is
pregnant. She wants to keep her pregnancy a secret and not inform her parents, citing the right to
health care confidentiality. The physician feels obligated to inform the parents of the pregnancy.
Which of the following concepts may justify the physician informing the parents of the pregnancy?
A. Rights of the fetus
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