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What are the most common causes of intellectual disability? - ANSWER ✓ Fragile
X
Downs syndrome
Fetal alcohol syndrome
What percentage of adolescents with MDD will develop Bipolar I - ANSWER ✓
10-15%
What is the most common inherited form of intellectual disability in males -
ANSWER ✓ Fragile X
It is associated with FMRI gene on the X chromosome - ANSWER ✓ Fragile X
Most common acquired form of intellectual disability - ANSWER ✓ Fetal alcohol
syndrome
Prevalence of intellectual disability in the community is between - ANSWER ✓ 1-
3%
Most common genetic form of intellectual disability - ANSWER ✓ Down
syndrome (trisomy 21)
Mixed episodes of bipolar 1 are more common in - ANSWER ✓ adolescents
women
,Concerta is _____% IR and ____% ER - ANSWER ✓ 22
78
Metadate CD is _____% IR and ____% ER - ANSWER ✓ 70
30
Ritaline LA is _____% IR and _____% ER - ANSWER ✓ 60
40
Prevalence of alcohol abuse and dependence in bipolar patients - ANSWER ✓
46% (compared to 13% in general population)
Individuals with OCD and intellectual disability have - ANSWER ✓ increase
anxiety with response-blocking intervention
Who will have increased anxiety with response-blocking intervention - ANSWER
✓ pts with OCD and intellectual disability
pts with stereotypy
In patients with intellectual disability, if there is an acute change from baseline
behavior, what needs to be considered - ANSWER ✓ trauma
posttraumatic stress
(population is particularly vulnerable to exploitation by others)
To be dx with autism spectrum disorder, the child must have disturbances in
which of the following domains - ANSWER ✓ social relatedness
communication
restricted interests and activities
What period dramatically increases the risk of recurrence in female pts with
bipolar disorder - ANSWER ✓ postpartum
The DSM-5 now states that symptoms must be present before age of ______ in
ADHD - ANSWER ✓ 12
Ritalin LA is ______% IR and _____% ER - ANSWER ✓ 60
40
,In DSM-5 absence of ____ is captured in a specified with body dysmorphic
disorder - ANSWER ✓ insight
Clonidine is particularly helpful in pts with these comorbid disorders - ANSWER
✓ ADHD
tic disorder
conduct disorder or oppositional defiant disorder
At low doses clonidine is associated with - ANSWER ✓ the stimulation of
inhibitory presynaptic auto receptors in the CNS
_________ is helpful for ADHD pts with ADHD-associated sleep disturbances
and may be helpful for reducing anxiety and hyper vigilance in traumatized
children - ANSWER ✓ Clonidine
Pts with _____ and _____ may need their lithium dose held to avoid toxic levels -
ANSWER ✓ diarrhea
vomiting
Which medication has demonstrated efficacy in the management of chronic
anxiety in patients with severe lung disease and may assist with improvement in
respiratory status (improves exercise tolerance) - ANSWER ✓ Buspirone
Have been reported to result in interstitial lung disease - ANSWER ✓ Venlafaxine
SNRI
also SSRIs
This type of antidepressant is not recommended in pts with difficulty clearing
secretions (anticholinergic effects) - ANSWER ✓ TCA
Modafinil is FDA approved for - ANSWER ✓ narcolepsy
shift work disorder
excessive tiredness from obstructive sleep apnea
Diminished and confabulatory self reporting is characteristics of patients with -
ANSWER ✓ intellectual disability
, The Star D study found that ______% of pts taking citalopram had decreased
libido - ANSWER ✓ 54
The Star D study found that _____% of males taking citalopram had erectile
dysfunction - ANSWER ✓ 37
The Star D study found that ___%_ of pts taking citalopram had difficulty
achieving orgasm - ANSWER ✓ 36
Separation anxiety is a normal developmental process commonly seen at
________ of age - ANSWER ✓ 10-18 mo
Stranger anxiety is typically seen at around ______ of age - ANSWER ✓ 8
months
______ nerve carries motor fibers to most of the extra ocular muscles of the eye -
ANSWER ✓ oculomotor (CN III)
elevates upper eyelid - ANSWER ✓ levator palpebrae superioris (CN III)
elevates eyeball - ANSWER ✓ superior rectus (CN III)
moves eyeball medially (adduction) - ANSWER ✓ medial rectus (CN III)
moves eyeball downward - ANSWER ✓ inferior rectus (CN III)
moves eyeball superiorly and laterally - ANSWER ✓ inferior oblique (CN III)
moves eyeball inferiorly - ANSWER ✓ superior oblique (CN IV)
eyeball adduction - ANSWER ✓ lateral rectus (CN VI)
carries visual fibers only - ANSWER ✓ Optic Nerve (CN II)
innervates superior oblique muscles which moves eyeball downwards and slightly
laterally - ANSWER ✓ Troclear nerve (CN IV)