PRITE PSYCHOPHARMACOLOGY ACTUAL
TEST QUESTIONS WITH COMPLETE
SOLUTION VERIFIED RESOURCE
●● B. Explore the parents' concerns about seemingly normal behavior.
Answer: 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 defiant
disorder
●● A. Send the patient home with the parents.
Answer: 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 with an appropriate affect. Her
statements are logical and goal directed.
39 Which of the following would be the most appropriate level of care?
A. Send the patient home with the parents.
B. Send the patient to emergency respite care.
C. Send the patient to the emergency department.
D. Admit the patient to an inpatient psychiatric unit.
E. Admit the patient to a residential treatment facility
●● E. Obtain a teacher report
Answer: 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
●● A. explore reasons for parental differences.
Answer: 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
●● A. had negative reinforcement of the tantrums removed.
Answer: 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
●● B. "Has your child's hearing been tested?"
Answer: 98. Parents report that their child who is almost 3 years old has
not yet begun to talk. Since birth the child has been distractible with an
aversion to novelty and transitions. The
parents report that their child seems to have problems empathizing with
siblings and
playmates at daycare. Which of the following questions should the
psychiatrist ask first to
decide what type of advice to give the parents?
A. "Did you have a normal pregnancy?"
B. "Has your child's hearing been tested?"
C. "Has your child had a severe, traumatic loss?"
D. "Does your child experience separation anxiety?"
TEST QUESTIONS WITH COMPLETE
SOLUTION VERIFIED RESOURCE
●● B. Explore the parents' concerns about seemingly normal behavior.
Answer: 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 defiant
disorder
●● A. Send the patient home with the parents.
Answer: 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 with an appropriate affect. Her
statements are logical and goal directed.
39 Which of the following would be the most appropriate level of care?
A. Send the patient home with the parents.
B. Send the patient to emergency respite care.
C. Send the patient to the emergency department.
D. Admit the patient to an inpatient psychiatric unit.
E. Admit the patient to a residential treatment facility
●● E. Obtain a teacher report
Answer: 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
●● A. explore reasons for parental differences.
Answer: 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
●● A. had negative reinforcement of the tantrums removed.
Answer: 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
●● B. "Has your child's hearing been tested?"
Answer: 98. Parents report that their child who is almost 3 years old has
not yet begun to talk. Since birth the child has been distractible with an
aversion to novelty and transitions. The
parents report that their child seems to have problems empathizing with
siblings and
playmates at daycare. Which of the following questions should the
psychiatrist ask first to
decide what type of advice to give the parents?
A. "Did you have a normal pregnancy?"
B. "Has your child's hearing been tested?"
C. "Has your child had a severe, traumatic loss?"
D. "Does your child experience separation anxiety?"
