PP6

QUESTION 1

1. Select the neurotransmitter involved in obsessive-compulsive disorder (OCD) in

children and adolescents based on the common comorbidity of tic disorders.

A Norepinephrine

B GABA

C Dopamine

D Acetylcholine

1 points

QUESTION 2

1. Select the class of drugs most effective in treating pain disorder.

A Opioid analgesics

B TCA and SSRI antidepressants

C Beta-adrenergic blockers

D Mood stabilizers

1 points

QUESTION 3

1. Select the most commonly occurring eating disorder.

AAnorexia nervosa

B Bulimia nervosa

C Purging

D Binge

1 points

QUESTION 4

1. Select the disorder in which inflicting injury to self or others is common.

A

.

Pain

B

.

Conversion

C

.

Somatic

symptom

D

.

Factitious

1 points

QUESTION 5

1. Select two imaging methods used to study anxiety disorders.

A

.

CT

B

.

TM

S

C

.

MRI

D

.

EKG

1 points

QUESTION 6

1. Select the two factors that do not cause dissociative amnesia.

A

.

Sexual

abuse

B

.

Substance

abuse

C

.

Surgical pain

D

.

Partner

betrayal

1 points

QUESTION 7

1. Select the correct epidemiologic fact about major depression in children and

adolescents.

A

.

There is a 20% incidence by age 18

B

.

The incidence is equal in adolescent females and males

C

.

There is a decreased incidence after 20

D

.

The incidence is five- to ten-fold greater in children with a parent or sibling

with major depression

1 points

QUESTION 8

1. Select the brain region that is most implicated in the function of memory.

A

.

Hippocampu

s

B

.

Temporal

lobe

C

.

Amygdala

D

.

Corpus

callosum

1 points

QUESTION 9

1. Select the greatest impediment to treating anorexia nervosa patients.

A

.

Drug adverse effects

B

.

Variability of family

therapy

C

.

Patient resistance

D

.

Noncompliance with

therapy

1 points

QUESTION 10

1. Select the most common sleep disorder.

A

.

Parasomni

a

B

.

Hypersom

nia

C

.

Insomnia

D

.

Apnea

1 points

QUESTION 11

1. Select the percentage of untreated PTSD patients who recover after one year.

A 10%

B 20%

C 30%

D 50%

1 points

QUESTION 12

1. Select the factor that is required to cause PTSD from a stressor.

A

.

Intense horror

B

.

Isolated experience

C

.

Concurrent substance

abuse

D

.

Survivor’s guilt

1 points

QUESTION 13

1. Select two causes of dissociative amnesia.

A

.

Sexual

abuse

B

.

Substance

abuse

C

.

Surgical pain

D

.

Partner

betrayal

1 points

QUESTION 14

1. Select the population in which rumination disorder occurs most frequently.

A

.

Male infants aged 3 to 12

months

B

.

Female infants 6 to 18

months

C

.

Children aged 2 to 5 years

D

.

Adolescents aged 13 to 15

years

1 points

QUESTION 15

1. Select the symptom that is least associated with manic and hypomanic episodes.

A

.

Suicidal

ideation

B

.

Inflated selfesteem

C

.

Distractibility

D

.

Pressured

speech

1 points

QUESTION 16

1. Select the two comorbid disorders with which Pica occurs most commonly.

A

.

Enuresis

B

.

Encopresis

C

.

Autism

D

.

Intellectual

disability

1 points

QUESTION 17

1. Select the third most commonly reported psychiatric symptom.

A

.

Depression

B

.

Anxiety

C

.

Psychosis

D

.

Depersonaliza

tion

1 points

QUESTION 18

1. Select the characteristic in long sleepers (more than 9 hours) that is absent in short

sleepers (less than 6 hours).

A

.

Mildly

depressed

B

.

Ambitious

C

.

Socially

adept

D

.

Efficient

1 points

QUESTION 19

1. Select the two most common peripheral symptoms of anxiety.

A

.

Bradycar

dia

B

.

Dizziness

C

.

Constipati

on

D

.

Tremors

1 points

QUESTION 20

1. Select the two methods to treat dissociative amnesia.

A

.

Antipsychotic

drugs

B

.

Cognitive

therapy

C

.

Hypnosis

D

.

Psychoanalysis

1 points

QUESTION 21

1. Select the theorist who is credited with establishing the area of psychosomatic

medicine.

A

.

Freud

B

.

Abraha

m

C

.

Grodde

ck

D

.

Ferencz

i

1 points

QUESTION 22

1. Select the disorder in children and adolescents that is described by depressed or

irritable mood for most of the day for a majority of days in at least one year.

A

.

Major

depression

B

.

Cyclothymia

C

.

Bereavement

D

.

Persistent

depression

1 points

QUESTION 23

1. Select the type of dissociative amnesia described by inability to recall any events in a

particular lifespan period.

A

.

Selective

B

.

Localized

C

.

Generaliz

ed

D

.

Continuo

us

1 points

QUESTION 24

1. Select the frequency range of heritability of bipolar disorder.

A

.

60%-

90%

B

.

50%-

80%

C

.

30%-

60%

D

.

10%-

40%

1 points

QUESTION 25

1. Select the two symptoms that result from prolonged sleep deprivation.

A Ambition

.

B

.

Hallucinati

ons

C

.

Contented

ness

D

.

Irritability

1 points

QUESTION 26

1. Select the most likely stressor to cause an adjustment disorder.

A

.

Medical

illness

B

.

Natural

disaster

C

.

Vehicle

accident

D

.

Substance

abuse

1 points

QUESTION 27

1. Select the medical condition that must be excluded as a cause of somatic symptom

disorder or hypochondriasis.

A

.

Angina

pectoris

B

.

Asthma

C

.

Diabetes

D

.

Multiple

sclerosis

1 points

QUESTION 28

1. Select the function that is most affected by conversion disorder.

A

.

Voluntary

motor

B

.

Hearing

C

.

Involuntary

motor

D

.

Smelling

1 points

QUESTION 29

1. Select the therapy for insomnia that can be effective at up to three years after

discontinuation.

A

.

Cognitivebehavioral

B

.

Sedating

antihistamines

C

.

Benzodiazepines

D

.

Paradoxical

intention

1 points

QUESTION 30

1. Select the mental health model that is most associated with human interpersonal

connection.

A

.

Maturity

B

.

Resilienc

e

C

.

Spiritual

D

.

WellBeing

1 points

QUESTION 31

1. Select the behavior that best describes early onset bipolar disorder in children and

adolescents.

A

.

Aggressi

on

B

.

Withdra

wal

C

.

Panic

D

.

Exhibitio

n

1 points

QUESTION 32

1. Select the two medical conditions in which derealization and depersonalization are

common.

A

.

Anorexia

B

.

Migraine

C

.

Parkinso

n’s

D

.

Seizures

1 points

QUESTION 33

1. Select the age stage of life in which identity crisis typically emerges.

A

.

Childhood

B

.

Adolescen

ce

C

.

Middle

adult

D

.

Elderly

adult

1 points

QUESTION 34

1. Select the two most important factors that guide the decision to prescribe

benzodiazepines to treat generalized anxiety.

A

.

Specific target symptoms

B

.

Patient insistence on a

benzodiazepine

C

.

History of substance abuse

D

.

Duration of therapy

1 points

QUESTION 35

1. Select age after which encopresis may be correctly diagnosed.

A

.

2

B 3

.

C

.

4

D

.

6

1 points

QUESTION 36

1. Select the mg/dL blood alcohol level range that is associated with causing impaired

judgment and coordination.

A

.

20 to 40

B

.

50 to

100

C

.

100 to

130

D

.

140 to

190

1 points

QUESTION 37

1. Select the minimum treatment time to assess the effectiveness of antidepressant

drug therapy.

A

.

1-2

weeks

B

.

3-4

weeks

C

.

6-8

weeks

D

.

10-14

weeks

1 points

QUESTION 38

1. Select the exposure to violence that is excluded as a DSM-5 diagnostic criterion for

PTSD in children and adolescents.

A

.

Electronic media

B

.

Directly witnessed

C

.

Report of family

member

D

.

Repeated natural

disaster

1 points

QUESTION 39

1. Select the psychiatric disorder for which drug and nondrug treatments are least

effective.

A

.

Dissociative

amnesia

B

.

Major

depression

C

.

Depersonalizatio

n

D

.

Dissociative

identity

1 points

QUESTION 40

1. Select the life stage at which emotional and social behavior begin.

A

.

Toddler

B

.

Infancy

C

.

Middle

years

D

.

Preschool

1 points

QUESTION 41

1. Select two events that are excluded as causes of dissociative trance disorder.

A

.

Natural disaster

B

.

Substance abuse

C

.

Experienced

violence

D

.

Appropriate drug

therapy

1 points

QUESTION 42

1. Select the nondrug therapy with the greatest evidence of effectiveness in treating

major depressive disorder.

A

.

Family

B

.

Psychoanal

ytic

C

.

Cognitive

D

.

Behavior

1 points

QUESTION 43

1. Select the theorist who developed the eight stages of psychosocial life cycle.

A

.

Bowlb

y

B

.

Perls

C

.

Erikso

n

D

.

Roger

s

1 points

QUESTION 44

1. Select the two common characteristics of illness anxiety disorder.

A

.

Avoidance of provider

evaluation

B

.

Few or lack of somatic

symptoms

C

.

Frequent provider visits

D

.

Presence of a fixed

delusion

1 points

QUESTION 45

1. Select the serum assessment that is required when prescribing drugs to treat

psychiatric disorders in psychosomatic patients.

A

.

Potassium

B

.

White blood

cells

C

.

Liver enzymes

D

.

Blood urea

nitrogen

1 points

QUESTION 46

1. Select the alternate name for persistent depressive disorder.

A

.

Cyclothy

mia

B

.

Bipolar I

C

.

Bipolar II

D

.

Dysthymi

a

1 points

QUESTION 47

1. Select the serum substance that should be measured to aid the diagnosis of restless

leg syndrome.

A

.

Potassiu

m

B

.

Ferritin

C

.

Magnesi

um

D

.

Albumin

1 points

QUESTION 48

1. Select the scientist who is most associated with the development of learning theory.

A

.

Piaget

B

.

Ainswor

th

C

.

Bowlby

D

.

Pavlov

1 points

QUESTION 49

1. Select the event most associated with the occurrence of dissociative fugue.

A

.

Head trauma

B

.

Substance

abuse

C

.

Partner

betrayal

D

.

Unplanned

travel

1 points

QUESTION 50

1. Select the drug proven most effective in treating PTSD.

A

.

Buspiro

ne

B

.

Paroxeti

ne

C

.

Trazodo

ne

D

.

Clonidin

e

1 points

QUESTION 51

1. Select the percentage that most accurately represents the rate of heritability of

major depression.

A

.

1

5

B

.

3

0

C

.

4

5

D

.

6

0

1 points

QUESTION 52

1. Select two neurotransmitters associated with anxiety.

A

.

Dopami

ne

B

.

Glutam

ate

C

.

Serotoni

n

D

.

GABA

1 points

QUESTION 53

1. Select the drug with the most rapid onset of action to treat acute mania.

A

.

Lithium

B

.

Clonazep

am

C

.

Lamotrigi

ne

D

.

Valproate

1 points

QUESTION 54

1. Select the most likely stressor to cause an adjustment disorder.

A

.

Natural

disaster

B

.

Emergency

surgery

C

.

Vehicle

accident

D

.

Substance

abuse

1 points

QUESTION 55

1. Select the mental health disorder that commonly coexists with generalized anxiety

disorder.

A

.

Bipolar I

B

.

Alzheimer’s

disease

C

.

Major

depression

D

.

Schizophrenia

1 points

QUESTION 56

1. Select the percentage range of correlation between obesity and psychiatric disorders.

A

.

10 to

20

B

.

20 to

30

C

.

40 to

60

D

.

50 to

70

1 points

QUESTION 57

1. Select the obsessive-compulsive disorder for which a patient is likely to initially seek

help from a non-psychiatric provider.

A

.

Hoarding

B

.

Excoriation

C

.

Hair-pulling

D

.

Body

dysmorphia

1 points

QUESTION 58

1. Select two types of theories that have contributed to causes of anxiety.

A

.

Psychoanalytic

theory

B

.

Behavioral

theory

C

.

Family

D

.

Group

1 points

QUESTION 59

1. Select the age group in which adjustment disorders occur most frequently.

A

.

Childhood

B

.

Middle

adult

C

.

Young

adult

D

.

Adolescen

t

1 points

QUESTION 60

1. Select the drug used to treat bipolar disorder that may cause hypothyroidism.

A

.

Lithium

B

.

Risperido

ne

C

.

Lamotrigi

ne

D

.

Valproate

1 points

QUESTION 61

1. Select the psychiatric disorder that occurs most commonly in patients hospitalized for

medical problems and surgery.

A

.

Depressi

on

B

.

Adjustm

ent

C

.

Bipolar

D

.

Anxiety

1 points

QUESTION 62

1. Select the public performance that is most associated with social anxiety in children.

A

.

Dancing

B

.

Speakng

C Athlet. cs

D

.

Eating

1 points

QUESTION 63

1. Select the anxiety disorder that emerges in ages 9 to 18 months.

A

.

Separatin

B

.

Generalized

C

.

Social

D

.

Traumati

c

1 points

QUESTION 64

1. Select the neurodevelopmental disorder typically diagnosed in childhood.

A

.

Bipolar I

B

.

Major

depression

C

.

Intellect

D

.

Agoraphobia

1 points

QUESTION 65

1. Select the maximum time period recommended for treatment of insomnia with

hypnotic drugs.

A

.

1 week

B

.

2

weeks

C

.

1

month

D

.

6

month

s

1 points

QUESTION 66

1. Select the neurotransmitter that is most genetically involved in childhood and

adolescent depression.

A

.

Norepinephrine

B

.

Serotonin

C

.

Dopamine

D

.

Gamma amino butyric acid

(GABA)

1 points

QUESTION 67

1. Select the antidepressant drug that is most likely to cause death when taken in an

overdose.

A

.

Fluoxetin

e

B

.

Mirtazapi

ne

C

.

Imiprami

ne

D

.

Trazodon

e

1 points

QUESTION 68

1. Select the antidepressant drug most likely to cause sexual dysfunction.

A

.

Sertraline

B

.

Amitriptyli

ne

C

.

Duloxetine

D

.

Clomiprami

ne

1 points

QUESTION 69

1. Select the hormone or neurotransmitter that is involved in regulating the 24-hour

circadian sleep-wake cycle.

A

.

Dopamine

B

.

Corticotrophin

releasing

C

.

Serotonin

D

.

Melatonin

1 points

QUESTION 70

1. Select the cognitive function category in a mental status examination that is

represented by the question, “Starting at 3 A.M., count back the time 2 hours at a time.”

A

.

Orientation

B

.

Concentrat

ion

C

.

Calculation

D

.

Alertness

1 points

QUESTION 71

1. Select the therapeutic plasma concentration range for lithium in mEq/L.

A

.

0.1-

0.5

B

.

0.6-

1.2

C

.

1.4-

1.9

D

.

2.0-

2.6

1 points

QUESTION 72

1. Select the rating scale used to assess children and adolescents for ADHD.

A

.

Connors

B

.

CBCL

C

.

Achenba

ch

D

.

DISC

1 points

QUESTION 73

1. Select the primary cause of reactive attachment disorder in children.

A

.

Death of mother

B

.

Bullying by peers

C

.

Negligent

parenting

D

.

Fetal alcohol

syndrome

1 points

QUESTION 74

1. Select the rating scale used to assess significant alcohol problem.

A

.

BPRS

B

.

CAGE

C

.

YBOC

S

D

.

CAPS

1 points

QUESTION 75

1. Select the criterion that differentiates Bipolar II from Bipolar I disorder.

A

.

Major

depression

B

.

Mania

C

.

Psychosis

D

.

Hypomania

1 points

QUESTION 76

1. Select the largest percentage prevalence of psychiatric disorders in patients

hospitalized for medical conditions.

A

.

1

0

B

.

3

3

C

.

5

0

D

.

6

7

1 points

QUESTION 77

1. Select the rating scale used to assess response to antidepressant drug therapy.

A

.

BDI

B

.

MMSE

C

.

BPRS

D

.

HAMD

1 points

QUESTION 78

1. Select the treatment of choice for identity crisis.

A

.

Antidepressant

drugs

B

.

Behavioral

modification

C

.

Antianxiety drugs

D

.

Individual

psychotherapy

1 points

QUESTION 79

1. Select the most exclusive feature rapid eye movement (REM) sleep.

A

.

Bradycardia

B

.

Relaxation of skeletal

muscles

C

.

Dreaming

D

.

Tachypnea

1 points

QUESTION 80

1. Select the DSM-5 disorder formerly called multiple personality disorder.

A

.

Depersonalizati

on

B

.

Dissociative

fugue

C

.

Dissociative

identity

D

.

Derealization

1 points

QUESTION 81

1. Select the two primary psychometric properties of psychiatric rating scales.

A

.

Reproducibil

ity

B

.

Reliability

C

.

Validity

D

.

Variability

1 points

QUESTION 82

1. Select the percent of OCD patients who also have depressive symptoms.

A

.

5

0

B

.

3

0

C

.

1

5

D

.

5

1 points

QUESTION 83

1. Select the potential adverse effect of SSRI antidepressant drugs approved to treat

children with major depressive disorder.

A

.

Weight gain

B

.

Hypomanic

behavior

C

.

Loss of interest

D

.

Inappropriate

guilt

1 points

QUESTION 84

1. Select the two complications in diagnosing patients with anorexia nervosa.

Determining occurrence of

substance abuse

Denial of symptoms

Insisting weight loss has a medical

cause

Secrecy regarding eating rituals

1 points

QUESTION 85

1. Select the two types of symptom patterns common to OCD patients.

A

.

Recurrent

nightmares

B

.

Flight of ideas

C

.

Intrusive

thoughts

D

.

Contamination

1 points

QUESTION 86

1. Select the rating scale used to screen for Alzheimer’s disease and other dementias.

A

.

BPRS

B

.

YBOC

S

C

.

NPI

D

.

BDI

1 points

QUESTION 87

1. Select the most effective treatment for social anxiety disorder in children.

A

.

Bupropion and SNRI antidepressants

B

.

Cognitive-behavior therapy (CBT) and SSRI

antidepressants

C

.

Cognitive-behavior therapy (CBT) and

amitriptyline

D

.

Coaching approach behavior and leading by

modeling

1 points

QUESTION 88

1. Select the two diagnostic criteria of somatic symptom disorder or hypochondriasis.

A

.

Persistence for at least 6

months

B

.

Presence of suicidal

ideation

C

.

Lack of medical evidence

D

.

Co-occurrence of

substance abuse

1 points

QUESTION 89

1. Select the time from occurrence of the stressor in which symptoms must appear to

diagnose an adjustment disorder.

A

.

1 week

B

.

1

month

C

.

3

month

s

D

.

6

month

s

1 points

QUESTION 90

1. Select the two characteristics of impulses that are usually absent from compulsions.

A

.

Pleasure seeking

B

.

Psychosocial

impairment

C

.

Committing actions

D

.

Repetitive

performance

1 points

QUESTION 91

1. Select the period of time after most recent use that THC (marijuana) can be detected

in urine specimens.

A

.

7-12

hours

B

.

36-72

hours

C

.

3 days

D

.

2-7 days

1 points

QUESTION 92

1. Select the delay of time between exposure to the stressor and onset of PYSD

symptoms.

A

.

1 month to 3

years

B

.

6 weeks to 10

years

C

.

6 months to 5

years

D

.

1 week to 30

years

1 points

QUESTION 93

1. Select the nondrug therapy approved for use in patients who have failed to achieve

satisfactory improvement with correctly prescribed antidepressant drugs.

A

.

Transcranial magnetic

stimulation

B

.

Phototherapy

C

.

Vagal nerve stimulation

D

.

Psychoanalysis

1 points

QUESTION 94

1. Select a provider’s most important knowledge area essential to a successful mental

health interview of a child.

A

.

Normal

development

B

.

Cultural

background

C

.

Sibling position

D

.

Medical history

1 points

QUESTION 95

1. Select the drug that has been effective in treating social anxiety in children.

A

.

Bupropion

B

.

Carbamaze

pine

C

.

Amitriptylin

e

D

.

Fluoxetine

1 points

QUESTION 96

1. Select the youngest age range at which alarm therapy is effective to treat enuresis.

A

.

11 to

12

B

.

9 to

10

C

.

6 to 7

D

.

5 to 6

1 points

QUESTION 97

1. Select the most important mediator of the stress response:

A

.

Corticotrophin-releasing

hormone

B

.

Neuropeptide Y

C

.

GABA

D

.

Galanin

1 points

QUESTION 98

1. Select the symptom that is most likely improve early in the drug treatment of major

depression.

A

.

Poor

concentration

B

.

Sleep

problems

C

.

Excessive guilt

D

.

Decreased

appetite

1 points

QUESTION 99

1. Select the criteria in DSM-5 to diagnose a child with major depressive disorder.

A

.

At least three symptoms including suicidal thoughts for

three weeks

B

.

At least five symptoms including violence toward others

for three weeks

C

.

At least three symptoms excluding substance abuse for

two weeks

D

.

At least five symptoms including irritable mood for two

weeks

1 points

QUESTION 100

1. Select two signs and symptoms of bulimia nervosa.

A

.

Weekly binge eating for at least three

months

B

.

Abuse of emetic drugs and substances

C

.

Greater weight loss than with anorexia

nervosa

D

.

Binge eating and purging is most

common in winter