NR668 Week 6 Exam Questions AND Correct Answers
According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for ADHD?
yes
no
unable to determine - ✔✔yes
Rationale: His symptoms consistent with ADHD include "non-
stop" energy, speaking out of turn, talkativeness, excessive
running, and interrupting others. The behaviors occur in
school and at home and have been present consistently for
several years. His behaviors have negatively impacted his
academic performance to the extent that he has been
expelled from school.
According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for conduct disorder?
yes
no
unable to determine - ✔✔yes
Rationale: Symptoms consistent with conduct disorder include
a history of repetitive, persistent behavior that violates
,societal norms within the past twelve months, including
bullying, fighting, vandalism, theft, and truancy.
According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for intermittent explosive disorder?
yes
no
unable to determine - ✔✔no
ADHD - ✔✔-long-term disorder characterized by either
hyperactivity & impulsivity or inattention
-affect the development of proper cognitive, behavioral,
emotional, social, & academic function
-Symptoms of the hyperactivity & impulsivity subtype:
• excessive fidgeting or talking, feelings of restlessness &
impatience, frequent interruption, difficultly playing quietly
• reach peak severity when the child is around 8 years of age
-symptoms of inattentive subtype
• difficulty organizing tasks, maintaining a routine, paying
attention to detail
• Children may avoid tasks that are intellectually challenging,
resulting in poor academic or cognitive performance
• may not be distinguishable until 8-9 years of age
,-primarily disrupts neuronal connections within the frontal
lobe & prefrontal cortex
Amy is a 14-year-old who frequently echoes what she just
heard, saying that word or phrase over and over.
match the clinical scenario with the appropriate tic:
-Simple vocal tics
-Complex vocal tics: Coprolalia
-Complex motor tics
-Simple motor tics
-Complex motor tics: Copropraxia
-Complex vocal tics: Echolalia - ✔✔Complex vocal tics:
Echolalia
Aniyah is a 7-year-old who presents to the emergency
department with complaints of abdominal pain. Her mother
endorses a reduced appetite over the past three days, and
she has not had a bowel movement in five days. Aniyah has
no past medical history. She lives with her mother and older
brother; her parents are separated, and her father moved out
two months ago. Aniyah is in second grade; her
developmental progress is age-appropriate. The medical team
completed an assessment including an abdominal x-ray, which
shows multiple rectangular radiopaque foreign bodies in the
large intestine. After the x-ray was completed, Aniyah
, admitted to eating pencil erasers daily for the past two
months.
Which of the following is the most appropriate ICD-10-CM for
Aniyah?
F32.9
F50.8
F50.9
F98.3 - ✔✔F98.3
Rationale: Aniyah meets the diagnostic criteria for pica:
persistent eating of nonfood substances for at least a month,
inappropriate to developmental level, and not a part of a
culturally supported practice. The ICD-10-CM code for pica in
children is F98.3 and for adults is F50.8.
Anorexia Nervosa - ✔✔-eating disorder characterized by:
• restrictive eating patterns
• extremely low body weight
• intense fear of gaining weight
• may engage in excessive exercise as a means of controlling
their weight
-affects 1-2% of population
• 0.3% of adolescents
According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for ADHD?
yes
no
unable to determine - ✔✔yes
Rationale: His symptoms consistent with ADHD include "non-
stop" energy, speaking out of turn, talkativeness, excessive
running, and interrupting others. The behaviors occur in
school and at home and have been present consistently for
several years. His behaviors have negatively impacted his
academic performance to the extent that he has been
expelled from school.
According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for conduct disorder?
yes
no
unable to determine - ✔✔yes
Rationale: Symptoms consistent with conduct disorder include
a history of repetitive, persistent behavior that violates
,societal norms within the past twelve months, including
bullying, fighting, vandalism, theft, and truancy.
According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for intermittent explosive disorder?
yes
no
unable to determine - ✔✔no
ADHD - ✔✔-long-term disorder characterized by either
hyperactivity & impulsivity or inattention
-affect the development of proper cognitive, behavioral,
emotional, social, & academic function
-Symptoms of the hyperactivity & impulsivity subtype:
• excessive fidgeting or talking, feelings of restlessness &
impatience, frequent interruption, difficultly playing quietly
• reach peak severity when the child is around 8 years of age
-symptoms of inattentive subtype
• difficulty organizing tasks, maintaining a routine, paying
attention to detail
• Children may avoid tasks that are intellectually challenging,
resulting in poor academic or cognitive performance
• may not be distinguishable until 8-9 years of age
,-primarily disrupts neuronal connections within the frontal
lobe & prefrontal cortex
Amy is a 14-year-old who frequently echoes what she just
heard, saying that word or phrase over and over.
match the clinical scenario with the appropriate tic:
-Simple vocal tics
-Complex vocal tics: Coprolalia
-Complex motor tics
-Simple motor tics
-Complex motor tics: Copropraxia
-Complex vocal tics: Echolalia - ✔✔Complex vocal tics:
Echolalia
Aniyah is a 7-year-old who presents to the emergency
department with complaints of abdominal pain. Her mother
endorses a reduced appetite over the past three days, and
she has not had a bowel movement in five days. Aniyah has
no past medical history. She lives with her mother and older
brother; her parents are separated, and her father moved out
two months ago. Aniyah is in second grade; her
developmental progress is age-appropriate. The medical team
completed an assessment including an abdominal x-ray, which
shows multiple rectangular radiopaque foreign bodies in the
large intestine. After the x-ray was completed, Aniyah
, admitted to eating pencil erasers daily for the past two
months.
Which of the following is the most appropriate ICD-10-CM for
Aniyah?
F32.9
F50.8
F50.9
F98.3 - ✔✔F98.3
Rationale: Aniyah meets the diagnostic criteria for pica:
persistent eating of nonfood substances for at least a month,
inappropriate to developmental level, and not a part of a
culturally supported practice. The ICD-10-CM code for pica in
children is F98.3 and for adults is F50.8.
Anorexia Nervosa - ✔✔-eating disorder characterized by:
• restrictive eating patterns
• extremely low body weight
• intense fear of gaining weight
• may engage in excessive exercise as a means of controlling
their weight
-affects 1-2% of population
• 0.3% of adolescents
