Test Four
Questions
1. In interpersonal psychotherapy, clinical depression is conceptualized with which of the following THREE components?
A. Symptom formation
B. Gradual exposure
C. Transference
D. Social functioning
E. Personality
2. Which of the following is the principal metabolite of dopamine?
A. Vanillylmandelic acid
B. 3-Methoxy-4-hydroxy-phenyl glycol
C. Homovanillic acid
D. Monoamine oxidase (MAO)
E. L-Dopa
3. When is sexual preference established typically?
A. At birth
B. During middle childhood
C. In adolescence
D. In college
E. By age 3
4. Which of the following treatment programs has significant empirical support for adolescents with depression?
A. Multisystemic therapy
B. Dialectical-behavior therapy
C. Interpersonal psychotherapy (IPT)
D. Electroconvulsive therapy
E. Mentalization-based treatment
5. True or False: In preschool children with attention deficit hyperactivity disorder (ADHD), the inattentive subtype is more common.
A. True
B. False
6. What proportion of children in sub-Saharan Africa are infected with HIV?
A. One-half
B. One-third
C. Three-fourths
D. One-quarter
E. One-fifth
7. Which of the following statements is true?
A. The mean length of sleep for high school students is approximately 12.3 hours a night
B. Adolescents experience an increase in appetite, referred to as developmental hyperphagia, which is seen across species
C. The sleep phase shift seen in adolescence occurs due to earlier night-onset and earlier morning-termination of melatonin secretion
D. Adolescents with sleep problems are less likely to develop learning difficulties or have impaired academic performance
8. What is the range suggested by epidemiological studies for the percentage of children with diagnosable psychiatric disorders?
A. 1% to 2%
B. 3% to 5%
C. 5% to 10%
D. 10% to 20%
E. 20% to 30%
9. In assessing a child who presents with somatic symptoms it is important to:
A. Enlist the patient’s view by making a statement such as “nothing is wrong, so what do you think is wrong?”
B. Refrain from asking about prior treatment experiences, which have likely been alienating or discouraging
C. Try to convey over time how the symptoms are purely psychological
D. Explore timing, context, and social reinforcement of any symptoms
E. See the child before the parents
10. True or False: More than 50% of children who experiment with drugs go on to become regular users.
A. True
B. False
11. Which of the following statements reflects the result of epidemiological findings?
A. Children are more accurate reporters of their externalizing symptoms and parents more accurate reporters of their child’s internalizing symptoms
B. Children are more accurate reporters of their internalizing symptoms and parents more accurate reporters of their child’s externalizing symptoms
C. Children and parents are more accurate reporters of the child’s internalizing symptoms and other adults are better reporters of externalizing symptoms
D. Children and parents are more accurate reporters of the child’s externalizing symptoms and other adults are better reporters of internalizing symptoms
E. None of the above
12. In the multisite study, Treatment of ADHD in Children with Tourette’s syndrome (TACT), 136 children (ages 7-14) with ADHD and a chronic tic disorder were randomized to one of four treatments: clonidine, methylphenidate, clonidine and methylphenidate, or placebo. What was the major result of the study?
A. Clonidine treatment was superior to placebo on teacher and parent measures of ADHD
B. Methylphenidate treatment was superior to placebo on teacher and parent measures of ADHD
C. Combined treatment with clonidine and methylphenidate was superior to placebo on teacher and parent measures of ADHD
D. All three active treatments were superior to placebo on teacher and parent measures of ADHD
E. None of the above
13. True or False: There is a higher rate of psychosis among patients with epilepsy.
A. True
B. False
14. ALL of the following are reasons why scores among tests assessing psychological functioning may vary EXCEPT:
A. The scores on the tests are reported in different units of measurement
B. The tests lack enough easy items to discriminate between low scorers and enough hard items to assess upper levels of ability
C. The tests may not be correlated or only moderately related
D. Scores may improve because of familiarity with the test or test items or prior exposure
E. The tests may have the same content despite differing in their name
15. Speece and Brent concluded that most studies found the age of acquisition of the three concepts of death they reviewed—irreversibility, nonfunctionality, and universality—to occur between:
A. Ages 3 and 5
B. Ages 5 and 7
C. Ages 8 and 10
D. Ages 10 and above
16. What is the minimum acceptable level of reliability for a neuropsychological or psychological test?
A. 95%
B. 85%
C. 80%
D. 75%
E. 60%
17. Which of the following is true of acute otitis media and its sequelae?
A. It affects about 10% of children ages 6 to 24 months
B. It is very uncommon after age 6 years
C. About 10% of children with acute otitis media have a middle ear effusion 1 month after an episode of infection
D. Surgical insertion of primary ear care tubes is indicated when middle ear effusion associated hearing loss is greater than 5 dB
E. All of the above
18. ALL of the following represent the community-based system-of-care principles outlined by the Child and Adolescent Service System Program initiative, EXCEPT:
A. Treatment of children who are seriously emotionally disturbed, as exhibited by the presence of an Axis I diagnosis under the Diagnostic and Statistical Manual of Mental Disorders (DSM)
B. Treatment of children who are seriously emotionally disturbed, as exhibited by the child’s inability to function in at least one of his or her life domains (school, home, society)
C. Access to a comprehensive array of services
D. Treatment in the least restrictive environment possible
E. Focus on access to mental health expertise rather than reliance on community resources
19. In the 1980s, which federal program assisted all 50 states in the development of an infrastructure for publicly funded community-based services?
A. The Community Health Act
B. The Help, Not Hate, Your Neighbor Act
C. The Homer Simpson Donut Act
D. The Child and Adolescent Service System Program
E. The Child and Adolescent Mental Health Act
20. Which of the following terms defines the patterns of behaviors, acquired and transferred over time, which prescribe the norms, customs, roles, and values inherent in political, economic, religious, and social aspects of family life?
A. Culture
B. Ethnicity
C. Cultural context
D. Cultural identity
E. Cultural mask
21. The diagnosis of which of the following was the first major clinical application of diffusion tensor imaging, a relatively new neuroimaging modality?
A. Bipolar disorder
B. Glial brain tumors
C. Childhood autism
D. Temporal lobe seizures
E. Ischemic stroke
22. True or False: When a child learns two languages, each language is represented in its own language center.
A. True
B. False
23. According to DSM-IV-TR, a person with a diagnosis of moderate mental retardation would have which of the following.
A. An IQ of 90
B. An IQ of 75
C. An IQ of 60
D. An IQ of 45
E. An IQ of 30
24. True or False: An estimate for the prevalence of a condition can be obtained by the proportion of subjects who score significantly above the cutoff on a screening phase instrument.
A. True
B. False
25. Each of the following has randomized controlled trials supporting its efficacy for anxiety disorders in children EXCEPT:
A. Fluvoxamine
B. Clonazepam
C. Fluoxetine
D. Sertraline
E. Paroxetine
26. The Pediatric OCD (Obsessive-Compulsive Disorder) Treatment Study (POTS), the largest pediatric trial of cognitive-behavioral therapy (CBT) for OCD to date, found which of the following results with regard to efficacy?
A. CBT + SSRI > CBT alone > SSRI alone
B. CBT + SSRI > SSRI alone > CBT alone
C. CBT + SSRI > CBT alone = SSRI alone
D. CBT + SSRI = SSRI alone > CBT alone
E. CBT alone > CBT + SSRI > SSRI alone
27. In a review of 22 studies on fire behavior in children and adolescents, researchers found that 82% of identified firesetters were male, and the average age of these children was:
A. 5 years
B. 10 years
C. 13 years
D. 16 years
E. 18 years
28. In infant and toddler assessments, the TWO most common types of scoring used to provide a representation of the child’s performance relative to other children are:
A. Standard scores
B. t-scores
C. Age equivalent scores
D. Deviation scores
E. z-scores
29. An assessment of the adaptive behavior of a child or adolescent patient provides information about which of the following?
A. What potential of doing the child has in day-to-day life
B. What the child is capable of doing in day-to-day life
C. What the child actually does in day-to-day life
D. How adaptive the child can be in the face of adverse circumstances
E. How resilient the child can be in the face of adverse circumstances
30. Which of the following accounts for most in the success of solid organ transplantations?
A. Increased health insurance coverage for transplantations
B. Increased psychosocial supports for parents allowing for better management
C. The introduction of cyclosporine in 1980
D. The improvement of sutures
E. More pleasant healthcare staff
31. True or False: Linkage analysis assesses the probability that a given phenotype and a particular genetic marker (or series of markers) are transmitted together from one generation to another.
A. True
B. False
32. A number of practical behavioral treatments can be implemented for patients with ADHD even upon first contact, which include ALL of the following EXCEPT:
A. Star charts for target behaviors
B. Clearly established house rules
C. Written or pictorial instructions
D. Gradual exposure to the offending stimulus
E. Contingent rewards for accomplishing tasks
33. Which of the following best characterizes the epidemiology of suicide among males 15 to 24 years old?
A. A rapid rise began in the 1960s, peaked in 1977, and has declined since
B. A rapid rise began in the 1980s and continues
C. A decline since the 1950s
D. Intermittent peaks every 10 to 20 years corresponding with economic recessions over the past five decades
E. None of the above
34. ALL of the following are true of a child by age 5 EXCEPT:
A. Interested in sexual differences
B. Enjoys the company of other children
C. Engages in interactional play with rules
D. Names and copies a triangle
E. Judges peers by their qualities
35. Which of the following statistics would most likely be used in associational research?
