NR 606 MIDTERM EXAM - DIAGNOSIS &
MANAGEMENT IN PSYCHIATRIC
MENTAL HEALTH II (2026/2027)
1. A 10-year-old child presents with persistent irritability and frequent developmental
inappropriate temper outbursts occurring 3-4 times a week for the past 14 months. Which
diagnosis is most appropriate according to DSM-5-TR?
A. Bipolar I Disorder
B. Oppositional Defiant Disorder
C. Disruptive Mood Dysregulation Disorder (DMDD)
D. Conduct Disorder
Answer: C
Conceptual Explanation: DMDD is characterized by chronic, severe persistent irritability
and frequent temper outbursts. The diagnosis should not be made for the first time before
age 6 or after age 18, and symptoms must be present for at least 12 months.
,2. Which of the following is an FDA-approved medication for the treatment of depression in a
9-year-old child?
A. Fluoxetine
B. Escitalopram
C. Sertraline
D. Venlafaxine
Answer: A
Conceptual Explanation: Fluoxetine is FDA-approved for the treatment of Major
Depressive Disorder in children aged 8 and older. Escitalopram is approved for ages 12 and
older.
3. When evaluating a child for Autism Spectrum Disorder (ASD), which symptom falls under
the ‘Restricted, repetitive patterns of behavior’ domain?
A. Deficits in social-emotional reciprocity
B. Deficits in nonverbal communicative behaviors
C. Highly restricted, fixated interests that are abnormal in intensity
D. Failure to develop and maintain peer relationships
Answer: C
, Conceptual Explanation: DSM-5-TR criteria for ASD include two domains: Social
Communication/Interaction and Restricted/Repetitive Behaviors. Fixated interests fall
under the latter.
4. A 7-year-old child with ASD is experiencing significant aggression and self-injury. Which
two medications are FDA-approved for treating irritability associated with autism in this age
group?
A. Methylphenidate and Guanfacine
B. Haloperidol and Lithium
C. Quetiapine and Olanzapine
D. Risperidone and Aripiprazole
Answer: D
Conceptual Explanation: Risperidone (ages 5-16) and Aripiprazole (ages 6-17) are the
only two FDA-approved medications for irritability in ASD.
5. A 14-year-old boy is brought to the clinic for stealing, physical cruelty to animals, and fire-
setting. He shows no remorse for his actions. What is the most likely diagnosis?
A. Oppositional Defiant Disorder
B. Intermittent Explosive Disorder
C. Conduct Disorder
D. Antisocial Personality Disorder
MANAGEMENT IN PSYCHIATRIC
MENTAL HEALTH II (2026/2027)
1. A 10-year-old child presents with persistent irritability and frequent developmental
inappropriate temper outbursts occurring 3-4 times a week for the past 14 months. Which
diagnosis is most appropriate according to DSM-5-TR?
A. Bipolar I Disorder
B. Oppositional Defiant Disorder
C. Disruptive Mood Dysregulation Disorder (DMDD)
D. Conduct Disorder
Answer: C
Conceptual Explanation: DMDD is characterized by chronic, severe persistent irritability
and frequent temper outbursts. The diagnosis should not be made for the first time before
age 6 or after age 18, and symptoms must be present for at least 12 months.
,2. Which of the following is an FDA-approved medication for the treatment of depression in a
9-year-old child?
A. Fluoxetine
B. Escitalopram
C. Sertraline
D. Venlafaxine
Answer: A
Conceptual Explanation: Fluoxetine is FDA-approved for the treatment of Major
Depressive Disorder in children aged 8 and older. Escitalopram is approved for ages 12 and
older.
3. When evaluating a child for Autism Spectrum Disorder (ASD), which symptom falls under
the ‘Restricted, repetitive patterns of behavior’ domain?
A. Deficits in social-emotional reciprocity
B. Deficits in nonverbal communicative behaviors
C. Highly restricted, fixated interests that are abnormal in intensity
D. Failure to develop and maintain peer relationships
Answer: C
, Conceptual Explanation: DSM-5-TR criteria for ASD include two domains: Social
Communication/Interaction and Restricted/Repetitive Behaviors. Fixated interests fall
under the latter.
4. A 7-year-old child with ASD is experiencing significant aggression and self-injury. Which
two medications are FDA-approved for treating irritability associated with autism in this age
group?
A. Methylphenidate and Guanfacine
B. Haloperidol and Lithium
C. Quetiapine and Olanzapine
D. Risperidone and Aripiprazole
Answer: D
Conceptual Explanation: Risperidone (ages 5-16) and Aripiprazole (ages 6-17) are the
only two FDA-approved medications for irritability in ASD.
5. A 14-year-old boy is brought to the clinic for stealing, physical cruelty to animals, and fire-
setting. He shows no remorse for his actions. What is the most likely diagnosis?
A. Oppositional Defiant Disorder
B. Intermittent Explosive Disorder
C. Conduct Disorder
D. Antisocial Personality Disorder
