CHILD AND ADOLESCENT PRITE EXAM
2024/2025 FINAL EXAM
Which of the following acutely inhibits the release of glucocorticoids in the adrenal glands?
* GABA
Cortisol
Estrogen
Serotonin
Acetylcholine
A teacher assigns the children in the class to solve as many math problems as they can on their own in a
20-minute period. The 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?
Transfer of learning
Collective socialization
Attunement to learning styles
Transformative learning theory
* Zone of proximal development
By age three years, toddlers can typically perform which of the following tasks?
Tie shoelaces
Fasten buttons
Close a zipper
* Manipulate scissors
,An adolescent boy was engaged in therapy lasting ten weeks. During this therapy the boy was able to
relate 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?
Behavioral
Cognitive behavioral
Dialectical behavioral
Motivational interviewing
* Short-term psychodynamic
During a psychiatric evaluation, which of the following methods would best help develop the
therapeutic alliance between a psychiatrist and a new immigrant patient and family?
Consulting with the immigrant family's traditional healers
Conducting the initial appointment with the identified patient only
Relying on previous clinical experiences with this immigrant population
* Using a qualified interpreter who has proficiency in the family's language of origin
Maintaining consistent individualistic boundary practices across the spectrum of cultures
Children typically demonstrate the most overt sexual interest and behavior during which of the
following developmental stages?
Infancy
Toddlerhood
* Preschool
Early school-age
Late school-age
,Research on typical development has focused on the 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 United States?
Parental age
Geographical location
* Socioeconomic status
Parental native language
Contact with other children
A youth who has been on long-term risperidone treatment develops tardive dyskinesia which continues
despite initially reducing the dose, and then sequential optimal trials of aripiprazole, olanzapine and
quetiapine, each for sufficient duration and dose. The most appropriate next step is to start which of the
following treatments?
* Switch neuroleptic to clozapine
Add Vitamin E to neuroleptic use
Switch neuroleptic to fluphenazine
Add benztropine to neuroleptic use
Add botulinum toxin injections to neuroleptic use
A seven-year-old presents with speech difficulties. On examination, examples of the child's speech
include pronouncing "dat" for cat, and "pay" for play. The parents report that this problem bothers their
child and also results in the child being bullied at school. The child has no hearing difficulties, and
otherwise excels in academics. Which of the following is the most likely diagnosis?
Stuttering
Normal development
* Speech sound disorder
Childhood apraxia of speech
Social (pragmatic) communication disorder
.
, According to DSM, the diagnosis of premenstrual dysphoric disorder should be confirmed by:
the Daily Rating of Severity of Problems.
* a prospective symptom rating log over two months.
the Premenstrual Tension Syndrome Rating Scale.
the Visual Analogue Scales for Premenstrual Mood Symptoms.
a validated depression rating scale during the week prior to menses.
.
A 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 six years, a
proportion that increases to 6% by age 12. This measure of mood disorder occurrence among the
children is best described as the:
base rate.
odds ratio.
prevalence.
* cumulative incidence.
positive predictive value.
Which of the following is the most important guide when arranging the infrastructure necessary to
provide telepsychiatric consultation to a school?
Rehabilitation Act
* Family Educational Rights and Privacy Act (FERPA)
Patient Protection and Affordable Care Act
Health Information Portability and Accountability Act
Individuals with Disabilities Education Improvement 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 two days prior to the visit
with the psychiatrist. At the visit, the adolescent states, "I feel like such a failure". Using a motivational
interviewing approach, which of the following statements would be the next best response by the
psychiatrist?
"I wonder if your choice to use substances again may represent self-sabotage."
2024/2025 FINAL EXAM
Which of the following acutely inhibits the release of glucocorticoids in the adrenal glands?
* GABA
Cortisol
Estrogen
Serotonin
Acetylcholine
A teacher assigns the children in the class to solve as many math problems as they can on their own in a
20-minute period. The 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?
Transfer of learning
Collective socialization
Attunement to learning styles
Transformative learning theory
* Zone of proximal development
By age three years, toddlers can typically perform which of the following tasks?
Tie shoelaces
Fasten buttons
Close a zipper
* Manipulate scissors
,An adolescent boy was engaged in therapy lasting ten weeks. During this therapy the boy was able to
relate 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?
Behavioral
Cognitive behavioral
Dialectical behavioral
Motivational interviewing
* Short-term psychodynamic
During a psychiatric evaluation, which of the following methods would best help develop the
therapeutic alliance between a psychiatrist and a new immigrant patient and family?
Consulting with the immigrant family's traditional healers
Conducting the initial appointment with the identified patient only
Relying on previous clinical experiences with this immigrant population
* Using a qualified interpreter who has proficiency in the family's language of origin
Maintaining consistent individualistic boundary practices across the spectrum of cultures
Children typically demonstrate the most overt sexual interest and behavior during which of the
following developmental stages?
Infancy
Toddlerhood
* Preschool
Early school-age
Late school-age
,Research on typical development has focused on the 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 United States?
Parental age
Geographical location
* Socioeconomic status
Parental native language
Contact with other children
A youth who has been on long-term risperidone treatment develops tardive dyskinesia which continues
despite initially reducing the dose, and then sequential optimal trials of aripiprazole, olanzapine and
quetiapine, each for sufficient duration and dose. The most appropriate next step is to start which of the
following treatments?
* Switch neuroleptic to clozapine
Add Vitamin E to neuroleptic use
Switch neuroleptic to fluphenazine
Add benztropine to neuroleptic use
Add botulinum toxin injections to neuroleptic use
A seven-year-old presents with speech difficulties. On examination, examples of the child's speech
include pronouncing "dat" for cat, and "pay" for play. The parents report that this problem bothers their
child and also results in the child being bullied at school. The child has no hearing difficulties, and
otherwise excels in academics. Which of the following is the most likely diagnosis?
Stuttering
Normal development
* Speech sound disorder
Childhood apraxia of speech
Social (pragmatic) communication disorder
.
, According to DSM, the diagnosis of premenstrual dysphoric disorder should be confirmed by:
the Daily Rating of Severity of Problems.
* a prospective symptom rating log over two months.
the Premenstrual Tension Syndrome Rating Scale.
the Visual Analogue Scales for Premenstrual Mood Symptoms.
a validated depression rating scale during the week prior to menses.
.
A 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 six years, a
proportion that increases to 6% by age 12. This measure of mood disorder occurrence among the
children is best described as the:
base rate.
odds ratio.
prevalence.
* cumulative incidence.
positive predictive value.
Which of the following is the most important guide when arranging the infrastructure necessary to
provide telepsychiatric consultation to a school?
Rehabilitation Act
* Family Educational Rights and Privacy Act (FERPA)
Patient Protection and Affordable Care Act
Health Information Portability and Accountability Act
Individuals with Disabilities Education Improvement 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 two days prior to the visit
with the psychiatrist. At the visit, the adolescent states, "I feel like such a failure". Using a motivational
interviewing approach, which of the following statements would be the next best response by the
psychiatrist?
"I wonder if your choice to use substances again may represent self-sabotage."
