(Test Bank) Dulcan’s Textbook Of Child And Adolescent Psychiatry

Dulcan, 1

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Test Bank for Dulcan’s Textbook Of Child And Adolescent Psychiatry, The downloadable file consists of 383 pages, and the total size of the file is 1.26 MB. Purchase now only for highly discounted price.

Author(s): Dulcan

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STUDY GUIDE TO CHILD AND ADOLESCENT PSYCHIATRY A Companion to Dulcan’s Textbook of Child and Adolescent Psychiatry. STUDY GUIDE TO CHILD AND ADOLES- CENT PSYCHIATRY A Companion to Dulcan’s Textbook of Child and Adolescent Psychiatry Hong Shen, M.D. Clinical Associate Professor of Psychiatry, Department of Psychiatry and Behavioral Sciences University of California, Davis School of Medicine Sacramento, California Robert E. Hales, M.D., M.B.A. Joe P. Tupin Chair, Department of Psychiatry and Behavioral Sciences Interim Director, M.I.N.D. Institute University of California, Davis School of Medicine Sacramento, California Narriman C. Shahrokh Chief Administrative Officer, Department of Psychiatry and Behavioral Sciences University of California, Davis School of Medicine Sacramento, California 2 | Note: The authors have worked to ensure that all information in this publication is accurate at the time of publi- cation and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical re- search and practice continue to advance, however, therapeutic standards may change. Moreover, specific situa- tions may require a specific therapeutic response not included in this publication. For these reasons and be- cause human and mechanical errors sometimes occur, we recommend that readers follow the advice of physi- cians directly involved in their care or the care of a member of their family. Publications of American Psychiatric Publishing, Inc. (APPI), represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Association. If you would like to buy between 25 and 99 copies of this or any other APPI title, you are eligible for a 20% dis- count; please contact APPI Customer Service at appi@psych.org or 800-368-5777. If you wish to buy 100 or more copies of the same title, please email us at bulksales@psych.org for a price quote. Copyright © 2010 American Psychiatric Publishing, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 13 12 11 10 09 5 4 3 2 1 ISBN 978-1-58562-353-2 First Edition Typeset in Revival BT and Adobe's The Mix American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org Contents Preface .............................................................................................................................. xv Questions C H A P T E R 1 Assessing Infants and Toddlers .......................................................................................... 1 C H A P T E R 2 Assessing the Preschool-Age Child .................................................................................... 2 C H A P T E R 3 Assessing the Elementary School–Age Child ..................................................................... 4 C H A P T E R 4 Assessing Adolescents ....................................................................................................... 5 C H A P T E R 5 Classification of Psychiatric Disorders ................................................................................ 7 C H A P T E R 6 The Process of Assessment and Diagnosis ........................................................................ 9 C H A P T E R 7 Diagnostic Interviews ........................................................................................................ 11 C H A P T E R 8 Rating Scales .................................................................................................................... 13 C H A P T E R 9 Pediatric Evaluation and Laboratory Testing .................................................................... 14 C H A P T E R 1 0 Neurological Examination, Electroencephalography, and Neuroimaging ......................... 16 C H A P T E R 1 1 Psychological and Neuropsychological Testing ................................................................ 18 C H A P T E R 1 2 Intellectual Disability (Mental Retardation) ........................................................................ 20 4 | C H A P T E R 1 3 Autism Spectrum Disorders .............................................................................................. 22 C H A P T E R 1 4 Developmental Disorders of Learning, Communication, and Motor Skills ........................ 23 C H A P T E R 1 5 Attention-Deficit/Hyperactivity Disorder ............................................................................. 25 C H A P T E R 1 6 Oppositional Defiant Disorder and Conduct Disorder ....................................................... 27 C H A P T E R 1 7 Substance Abuse and Addictions ..................................................................................... 28 C H A P T E R 1 8 Depression and Dysthymia ............................................................................................... 30 C H A P T E R 1 9 Bipolar Disorder ................................................................................................................ 32 C H A P T E R 2 0 Generalized Anxiety Disorder, Specific Phobia, Panic Disorder, Social Phobia, and Selective Mutism ................................................................................ 34 C H A P T E R 2 1 Separation Anxiety Disorder and School Refusal ............................................................. 36 C H A P T E R 2 2 Posttraumatic Stress Disorder .......................................................................................... 38 C H A P T E R 2 3 Obsessive-Compulsive Disorder ....................................................................................... 39 C H A P T E R 2 4 Early-Onset Schizophrenia ............................................................................................... 41 C H A P T E R 2 5 Obesity .............................................................................................................................. 43 C H A P T E R 2 6 Anorexia Nervosa and Bulimia Nervosa ........................................................................... 45 C H A P T E R 2 7 Tic Disorders ..................................................................................................................... 47 C H A P T E R 2 8 Elimination Disorders ........................................................................................................ 48 C H A P T E R 2 9 Sleep Disorders ................................................................................................................ 49 C H A P T E R 3 0 Evidence-Based Practices ................................................................................................ 51 C H A P T E R 3 1 Child Abuse and Neglect .................................................................................................. 52 C H A P T E R 3 2 HIV and AIDS ................................................................................................................... 53 C H A P T E R 3 3 Bereavement and Traumatic Grief .................................................................................... 54 C H A P T E R 3 4 Ethnic, Cultural, and Religious Issues .............................................................................. 56 C H A P T E R 3 5 Youth Suicide .................................................................................................................... 58 C H A P T E R 3 6 Gender Identity and Sexual Orientation ............................................................................ 60 C H A P T E R 3 7 Aggression and Violence .................................................................................................. 62 C H A P T E R 3 8 Genetics: Fundamentals Relevant to Child and Adolescent Psychiatry ............................ 64 C H A P T E R 3 9 Psychiatric Emergencies ................................................................................................... 66 C H A P T E R 4 0 Family Transitions: Challenges and Resilience ................................................................ 68 C H A P T E R 4 1 Psychiatric Aspects of Chronic Physical Disorders ........................................................... 70 C H A P T E R 4 2 Children of Parents With Psychiatric and Substance Abuse Disorders ............................ 72 6 | C H A P T E R 4 3 Legal and Ethical Issues ................................................................................................... 74 C H A P T E R 4 4 Telepsychiatry ................................................................................................................... 75 C H A P T E R 4 5 Principles of Psychopharmacology ................................................................................... 76 C H A P T E R 4 6 Medications Used for Attention-Deficit/Hyperactivity Disorder .......................................... 78 C H A P T E R 4 7 Antidepressants ................................................................................................................ 79 C H A P T E R 4 8 Mood Stabilizers ............................................................................................................... 81 C H A P T E R 4 9 Antipsychotic Medications ................................................................................................. 83 C H A P T E R 5 0 Alpha-Adrenergics, Beta-Blockers, Benzodiazepines, Buspirone, and Desmopressin ..... 85 C H A P T E R 5 1 Medications Used for Sleep .............................................................................................. 87 C H A P T E R 5 2 Electroconvulsive Therapy, Transcranial Magnetic Stimulation, and Deep Brain Stimulation .............................................................................................. 88 C H A P T E R 5 3 Individual Psychotherapy .................................................................................................. 90 C H A P T E R 5 4 Parent Counseling, Psychoeducation, and Parent Support Groups ................................. 91 C H A P T E R 5 5 Behavioral Parent Training ............................................................................................... 93 C H A P T E R 5 6 Family Therapy ................................................................................................................. 94 C H A P T E R 5 7 Interpersonal Psychotherapy for Depressed Adolescents ................................................ 95 C H A P T E R 5 8 Cognitive-Behavioral Treatment for Anxiety Disorders ..................................................... 97 C H A P T E R 5 9 Cognitive-Behavioral Therapy for Depression .................................................................. 99 C H A P T E R 6 0 Motivational Interviewing ................................................................................................. 101 C H A P T E R 6 1 Systems of Care, Wraparound Services, and Home-Based Services ............................ 102 C H A P T E R 6 2 Milieu Treatment: Inpatient, Partial Hospitalization, and Residential Programs .............. 104 C H A P T E R 6 3 School-Based Interventions ............................................................................................ 106 C H A P T E R 6 4 Collaborating With Primary Care .................................................................................... 108 C H A P T E R 6 5 Juvenile Justice .............................................................................................................. 110 Answer Guide C H A P T E R 1 Assessing Infants and Toddlers ...................................................................................... 111 C H A P T E R 2 Assessing the Preschool-Age Child ................................................................................ 114 C H A P T E R 3 Assessing the Elementary School–Age Child ................................................................. 118 C H A P T E R 4 Assessing Adolescents ................................................................................................... 121 C H A P T E R 5 Classification of Psychiatric Disorders ............................................................................ 125 C H A P T E R 6 The Process of Assessment and Diagnosis .................................................................... 128 8 | C H A P T E R 7 Diagnostic Interviews ...................................................................................................... 131 C H A P T E R 8 Rating Scales .................................................................................................................. 134 C H A P T E R 9 Pediatric Evaluation and Laboratory Testing .................................................................. 138 C H A P T E R 1 0 Neurological Examination, Electroencephalography, and Neuroimaging ....................... 143 C H A P T E R 1 1 Psychological and Neuropsychological Testing .............................................................. 146 C H A P T E R 1 2 Intellectual Disability (Mental Retardation) ...................................................................... 149 C H A P T E R 1 3 Autism Spectrum Disorders ............................................................................................ 153 C H A P T E R 1 4 Developmental Disorders of Learning, Communication, and Motor Skills ...................... 157 C H A P T E R 1 5 Attention-Deficit/Hyperactivity Disorder ........................................................................... 160 C H A P T E R 1 6 Oppositional Defiant Disorder and Conduct Disorder ..................................................... 165 C H A P T E R 1 7 Substance Abuse and Addictions ................................................................................... 168 C H A P T E R 1 8 Depression and Dysthymia ............................................................................................. 171 C H A P T E R 1 9 Bipolar Disorder .............................................................................................................. 175 C H A P T E R 2 0 Generalized Anxiety Disorder, Specific Phobia, Panic Disorder, Social Phobia, and Selective Mutism .............................................................................. 178 C H A P T E R 2 1 Separation Anxiety Disorder and School Refusal ........................................................... 183 C H A P T E R 2 2 Posttraumatic Stress Disorder ........................................................................................ 187 C H A P T E R 2 3 Obsessive-Compulsive Disorder ..................................................................................... 190 C H A P T E R 2 4 Early-Onset Schizophrenia ............................................................................................. 194 C H A P T E R 2 5 Obesity ............................................................................................................................ 199 C H A P T E R 2 6 Anorexia Nervosa and Bulimia Nervosa ......................................................................... 202 C H A P T E R 2 7 Tic Disorders ................................................................................................................... 205 C H A P T E R 2 8 Elimination Disorders ...................................................................................................... 209 C H A P T E R 2 9 Sleep Disorders .............................................................................................................. 212 C H A P T E R 3 0 Evidence-Based Practices .............................................................................................. 216 C H A P T E R 3 1 Child Abuse and Neglect ................................................................................................ 219 C H A P T E R 3 2 HIV and AIDS ................................................................................................................. 222 C H A P T E R 3 3 Bereavement and Traumatic Grief .................................................................................. 225 C H A P T E R 3 4 Ethnic, Cultural, and Religious Issues ............................................................................ 229 C H A P T E R 3 5 Youth Suicide .................................................................................................................. 232 C H A P T E R 3 6 Gender Identity and Sexual Orientation .......................................................................... 236 10 | C H A P T E R 3 7 Aggression and Violence ................................................................................................ 239 C H A P T E R 3 8 Genetics: Fundamentals Relevant to Child and Adolescent Psychiatry .......................... 242 C H A P T E R 3 9 Psychiatric Emergencies ................................................................................................. 245 C H A P T E R 4 0 Family Transitions: Challenges and Resilience .............................................................. 248 C H A P T E R 4 1 Psychiatric Aspects of Chronic Physical Disorders ......................................................... 251 C H A P T E R 4 2 Children of Parents With Psychiatric and Substance Abuse Disorders .......................... 255 C H A P T E R 4 3 Legal and Ethical Issues ................................................................................................. 258 C H A P T E R 4 4 Telepsychiatry ................................................................................................................. 261 C H A P T E R 4 5 Principles of Psychopharmacology ................................................................................. 264 C H A P T E R 4 6 Medications Used for Attention-Deficit/Hyperactivity Disorder ........................................ 267 C H A P T E R 4 7 Antidepressants .............................................................................................................. 271 C H A P T E R 4 8 Mood Stabilizers ............................................................................................................. 274 C H A P T E R 4 9 Antipsychotic Medications ............................................................................................... 278 C H A P T E R 5 0 Alpha-Adrenergics, Beta-Blockers, Benzodiazepines, Buspirone, and Desmopressin ... 281 C H A P T E R 5 1 Medications Used for Sleep ............................................................................................ 284 C H A P T E R 5 2 Electroconvulsive Therapy, Transcranial Magnetic Stimulation, and Deep Brain Stimulation ............................................................................................ 287 C H A P T E R 5 3 Individual Psychotherapy ................................................................................................ 291 C H A P T E R 5 4 Parent Counseling, Psychoeducation, and Parent Support Groups ............................... 294 C H A P T E R 5 5 Behavioral Parent Training ............................................................................................. 297 C H A P T E R 5 6 Family Therapy ............................................................................................................... 300 C H A P T E R 5 7 Interpersonal Psychotherapy for Depressed Adolescents .............................................. 304 C H A P T E R 5 8 Cognitive-Behavioral Treatment for Anxiety Disorders ................................................... 307 C H A P T E R 5 9 Cognitive-Behavioral Therapy for Depression ................................................................ 312 C H A P T E R 6 0 Motivational Interviewing ................................................................................................. 315 C H A P T E R 6 1 Systems of Care, Wraparound Services, and Home-Based Services ............................ 318 C H A P T E R 6 2 Milieu Treatment: Inpatient, Partial Hospitalization, and Residential Programs .............. 322 C H A P T E R 6 3 School-Based Interventions ............................................................................................ 326 C H A P T E R 6 4 Collaborating With Primary Care .................................................................................... 329 C H A P T E R 6 5 Juvenile Justice .............................................................................................................. 332 12 | Preface The purpose of this study guide is to provide individuals who have purchased Dulcan’s Textbook of Child and Adolescent Psychiatry an opportunity to evaluate their understanding of the material contained in the textbook. Whenever possible, the selected questions emphasize the major points of each chapter. In addition, every effort is made to select those questions of most relevance to psychiatrists who see patients in a variety of clinical prac- tice settings. We encourage the readers of the textbook to answer the questions after reading each chapter. The format for the questions is similar to what candidates would expect to encounter when taking Part I of the American Board of Psychiatry and Neurology initial certification examination or the maintenance-of-certification examination in psychiatry that is required every 10 years. At the end of the study guide, the questions are repeated along with detailed answers. The answer section includes an explanation of the correct response for each question, as well as an explanation, in most cases, for why the other responses were incorrect. An online version is available in addition to the printed study guide. Psychiatrists who wish to earn continuing medical education credits may purchase the online version and obtain CME credit by completing it. We hope you will find the study guide a useful addition to Dulcan’s Textbook of Child and Adolescent Psychiatry. Our goal is to have an assessment instrument that is helpful for your understanding of the material and for clari- fication of important concepts. Although the questions are reviewed numerous times, both by the authors and by editors at American Psychiatric Publishing, Inc., occasionally an incorrect response may be included. If this is the case, we would appreciate your notifying the publisher of the error so it can be corrected in the online ver- sion of the self-assessment examination. If you have other suggestions concerning this study guide, please e-mail Dr. Hales at rehales@ucdavis.edu. Best of luck with your self-examination. Hong Shen, M.D. Robert E. Hales, M.D., M.B.A. Narriman C. Shahrokh C h a p t e r 1 Assessing Infants and Toddlers Select the single best response for each question. 1.1 Infant psychiatry focuses on which of the following age groups? A. From birth to first birthday. B. From birth through age 3 years. C. From birth to preschool years. D. From conception to age 3 years. E. From conception to preschool years. 1.2 Which of the following is the strongest outcome predictor of early childhood development? A. Presence or absence of pregnancy complications. B. Birth weight. C. Child’s temperament. D. Parental relationship. E. Primary caregiving relationship. 1.3 Which of the following assessment or diagnostic tools uses the DSM-IV multiaxial system? A. Diagnostic Criteria: Zero to Three, Revised (DC:0–3R). B. Child Behavior Checklist 1½–5. C. Infant-Toddler Social and Emotional Assessment (ITSEA). D. Ages and Stages Questionnaires: Social-Emotional. E. None of the above. 1.4 Which of the following is not considered a key element of the infant/toddler assessment? A. History of presenting problem. B. Medical history. C. Developmental history. D. IQ. E. Family history. 1.5 Which of the following is the only diagnostic interview with published data to support its reliability for as- sessing infants and toddlers? A. Preschool Age Psychiatric Assessment (PAPA). B. Diagnostic Infant Preschool Structured Interview. C. Crowell procedure. 14 | D. Beck Depression Inventory. E. Parenting Stress Index.