NRNP 6665 PRACTICE EXAM - CHILD
AND ADOLESCENT PSYCHIATRY
QUESTIONS AND ANSWERS
1. According to DSM-5, how many symptoms of inattention or hyperactivity-impulsivity are
required for a diagnosis of ADHD in children up to age 16?
A. At least 6 symptoms
B. At least 5 symptoms
C. At least 7 symptoms
D. At least 4 symptoms
Answer: A
Conceptual Explanation: For children up to age 16, the DSM-5 requires at least 6
symptoms in either the inattention or hyperactivity-impulsivity categories. For adolescents
17 and older, only 5 symptoms are required.
2. Which of the following medications is FDA-approved for the treatment of irritability
associated with Autism Spectrum Disorder in children as young as 5 years old?
A. Risperidone
B. Quetiapine
,C. Olanzapine
D. Ziprasidone
Answer: A
Conceptual Explanation: Risperidone is FDA-approved for irritability in children with
ASD aged 5 to 16. Aripiprazole is also approved but for ages 6 to 17.
3. A 9-year-old child presents with persistent irritability and frequent episodes of extreme
behavioral dyscontrol occurring 3 or more times per week. Which diagnosis should be
considered first under DSM-5?
A. Bipolar I Disorder
B. Oppositional Defiant Disorder
C. Disruptive Mood Dysregulation Disorder
D. Conduct Disorder
Answer: C
Conceptual Explanation: Disruptive Mood Dysregulation Disorder (DMDD) was
specifically added to the DSM-5 to address children with chronic, severe irritability and
temper outbursts, reducing the potential overdiagnosis of Bipolar Disorder in children.
4. What is the FDA-approved minimum age for the use of Fluoxetine in the treatment of
Major Depressive Disorder in children?
A. 6 years old
, B. 8 years old
C. 10 years old
D. 12 years old
Answer: B
Conceptual Explanation: Fluoxetine is FDA-approved for the treatment of MDD in
children aged 8 years and older.
5. To meet the DSM-5 diagnostic criteria for Tourette’s Disorder, tics must be present for at
least how long?
A. 1 year
B. 6 months
C. 3 months
D. 2 years
Answer: A
Conceptual Explanation: Tourette’s Disorder requires the presence of both multiple
motor tics and one or more vocal tics for more than 1 year, with onset before age 18.
6. Which of the following describes the ‘Stage of Industry vs. Inferiority’ in Erikson’s
developmental theory?
A. Age 1 to 3 years: Developing a sense of personal control
B. Age 6 to 12 years: Focusing on learning new skills and school performance
AND ADOLESCENT PSYCHIATRY
QUESTIONS AND ANSWERS
1. According to DSM-5, how many symptoms of inattention or hyperactivity-impulsivity are
required for a diagnosis of ADHD in children up to age 16?
A. At least 6 symptoms
B. At least 5 symptoms
C. At least 7 symptoms
D. At least 4 symptoms
Answer: A
Conceptual Explanation: For children up to age 16, the DSM-5 requires at least 6
symptoms in either the inattention or hyperactivity-impulsivity categories. For adolescents
17 and older, only 5 symptoms are required.
2. Which of the following medications is FDA-approved for the treatment of irritability
associated with Autism Spectrum Disorder in children as young as 5 years old?
A. Risperidone
B. Quetiapine
,C. Olanzapine
D. Ziprasidone
Answer: A
Conceptual Explanation: Risperidone is FDA-approved for irritability in children with
ASD aged 5 to 16. Aripiprazole is also approved but for ages 6 to 17.
3. A 9-year-old child presents with persistent irritability and frequent episodes of extreme
behavioral dyscontrol occurring 3 or more times per week. Which diagnosis should be
considered first under DSM-5?
A. Bipolar I Disorder
B. Oppositional Defiant Disorder
C. Disruptive Mood Dysregulation Disorder
D. Conduct Disorder
Answer: C
Conceptual Explanation: Disruptive Mood Dysregulation Disorder (DMDD) was
specifically added to the DSM-5 to address children with chronic, severe irritability and
temper outbursts, reducing the potential overdiagnosis of Bipolar Disorder in children.
4. What is the FDA-approved minimum age for the use of Fluoxetine in the treatment of
Major Depressive Disorder in children?
A. 6 years old
, B. 8 years old
C. 10 years old
D. 12 years old
Answer: B
Conceptual Explanation: Fluoxetine is FDA-approved for the treatment of MDD in
children aged 8 years and older.
5. To meet the DSM-5 diagnostic criteria for Tourette’s Disorder, tics must be present for at
least how long?
A. 1 year
B. 6 months
C. 3 months
D. 2 years
Answer: A
Conceptual Explanation: Tourette’s Disorder requires the presence of both multiple
motor tics and one or more vocal tics for more than 1 year, with onset before age 18.
6. Which of the following describes the ‘Stage of Industry vs. Inferiority’ in Erikson’s
developmental theory?
A. Age 1 to 3 years: Developing a sense of personal control
B. Age 6 to 12 years: Focusing on learning new skills and school performance
