Clinical Practicum I Final Review | 100% Correct
Answers | Verified | Latest 2024 Version
Which of the following is true regarding psychostimulants? - ✔✔First line treatment for ADHD
All of the following are changes that were made to the DSM V regarding ADHD diagnoses EXCEPT: -
✔✔ODD is included as an exclusionary diagnosis (meaning with the DSM V you CANNOT have a
comorbid diagnosis of ODD and ADHD)
ADHD treatment is associated with: - ✔✔Decrease in accidental injury and medical utilization due to
accidents and trauma
Non-stimulant medications should be used first-line in adults with ADHD. - ✔✔** True
Tyler is an 8-year-old male who presents with ADHD and ODD on a referral from his pediatrician who has
been having difficulty managing his medication side effects. Per mom, Tyler is doing well on his 20 mg
dose of Focalin XR (extended release), which he takes at 6:30 am before mom leaves for work. He has
reported appetite suppression, and consequently does not eat breakfast and eats very minimally for
lunch at school. The pediatrician and mom are concerned as Tyler previously was at the 50% percentile
on his growth charts for both height and weight, but has recently dropped to the 25th percentile for
weight. What is the BEST strategy to consider to mitigate this medication side effect? - ✔✔Switch his
stimulant to a short acting stimulant twice a day (morning and lunch) and instruct him to eat meals then
take the short-acting stimulant.
Stimulants have a black box warning for: - ✔✔Drug Dependence
Which of the following is true regarding cortical brain development in children with ADHD compared to
healthy controls? - ✔✔The timing of cortical maturation is different
***Peak thickness of cortex delayed (typically occurs around 7, may not happen until 10 for kids with
ADHD)
A 32-year old patient with major depressive disorder has been treated successfully with paroxetine
(Paxil) for 4 years. He also has a history of ADHD, but is not currently being treated for it. In addition, he
has a history of stimulant abuse, but has been clean for several years. He presents now stating that he is
,having significant work impairment due to inattention and disorganization and is in danger of losing his
job. Full evaluation reveals that he does meet criteria for current ADHD. Because of his history of
substance abuse, atomoxetine (Strattera) is chosen as a treatment. What pharmacokinetic interaction, if
any, would you expect between atomoxetine and paroxetine? - ✔✔Paroxetine is an inhibitor of CYP450
2D6 and atomoxetine is metabolized by CYP450 2D6, so the dose of atomoxetine should be decreased.
***In the presence of paroxetine, the dose of atomoxetine should be decreased.
Which of the following is a risk factor for the development of Conduct Disorder? - ✔✔Poor family
functioning
Which of the following symptom is the MOST frequent reason for referral in child psychiatry clinics? -
✔✔Disruptive behavior
Autism Spectrum Disorder, Severity Level 2, only requires substantial support. - ✔✔True
Deficits in social-emotional reciprocity in someone with ASD: - ✔✔Are clearly evident in young children
with the disorder
(DSM 5 p. 53, within diagnostic features)
All of the following are differences between Schizophrenia and Autism EXCEPT: - ✔✔Only children with
schizophrenia appear aloof, socially isolated or verbally uncommunicative
(The big difference is that Autism is usually diagnosed before age 3 whereas schizophrenia occurs in
adolescence or adulthood, not extremely early childhood and importantly children with autism, but not
schizophrenia have an increased risk of having ID.
Schizophrenia develops after a period of normal behavior. It's more of a regression. The prodromal
period of schizophrenia can have some symptoms that are similar to ASD, problems with social
communication which on the inside may be due to hallucinations but on the outside just looks strange.)
The only two FDA approved atypical antipsychotics for irritability associated with Autism are: -
✔✔Aripiprazole (Abilify) and Risperidone (Risperdal)
There are many types of psychosocial interventions for Autism, but many use principles from _________
- ✔✔Applied Behavior Analysis
, Families of children with Autism are unlikely to use complementary and alternative medications when
treating their child, therefore you do not need to ask about them during your initial evaluation. -
✔✔False
(Families use CAM more often in Autism than other disorders, so it is important to ask about them
during your assessment.)
There are two major categories of disturbances in Autism Spectrum Disorders, which are: - ✔✔(1)
Deficits in social communication/social interaction and (2) restricted, repetitive patterns of behavior,
interests, or activities
In Separation Anxiety, the fear, anxiety, or avoidance is persistent, lasting at least ____ weeks in children
and adolescents. - ✔✔4
If a child is experiencing Selective Mutism, they are usually able to speak at school amongst their friends.
- ✔✔False
Diagnostic Criteria for Agoraphobia include which of the following: - ✔✔** Marked anxiety or fear of
using public transportation
** Marked anxiety or fear of standing in line
First-line medication treatment for GAD in children and adolescents are: - ✔✔** SSRI
In Generalized Anxiety Disorder, Children are required to meet the FULL set of core symptoms. - ✔✔False
When evaluating for anxiety, it is prudent to wonder/ask "Is this something you should be worried
about?" while minimizing the intensity of worries. - ✔✔False
(Slide 4 in "Anxiety Disorders in Children and Adolescents". The intensity of worries and how they can
impact functioning should be considered in your diagnostic evaluation.)
Answers | Verified | Latest 2024 Version
Which of the following is true regarding psychostimulants? - ✔✔First line treatment for ADHD
All of the following are changes that were made to the DSM V regarding ADHD diagnoses EXCEPT: -
✔✔ODD is included as an exclusionary diagnosis (meaning with the DSM V you CANNOT have a
comorbid diagnosis of ODD and ADHD)
ADHD treatment is associated with: - ✔✔Decrease in accidental injury and medical utilization due to
accidents and trauma
Non-stimulant medications should be used first-line in adults with ADHD. - ✔✔** True
Tyler is an 8-year-old male who presents with ADHD and ODD on a referral from his pediatrician who has
been having difficulty managing his medication side effects. Per mom, Tyler is doing well on his 20 mg
dose of Focalin XR (extended release), which he takes at 6:30 am before mom leaves for work. He has
reported appetite suppression, and consequently does not eat breakfast and eats very minimally for
lunch at school. The pediatrician and mom are concerned as Tyler previously was at the 50% percentile
on his growth charts for both height and weight, but has recently dropped to the 25th percentile for
weight. What is the BEST strategy to consider to mitigate this medication side effect? - ✔✔Switch his
stimulant to a short acting stimulant twice a day (morning and lunch) and instruct him to eat meals then
take the short-acting stimulant.
Stimulants have a black box warning for: - ✔✔Drug Dependence
Which of the following is true regarding cortical brain development in children with ADHD compared to
healthy controls? - ✔✔The timing of cortical maturation is different
***Peak thickness of cortex delayed (typically occurs around 7, may not happen until 10 for kids with
ADHD)
A 32-year old patient with major depressive disorder has been treated successfully with paroxetine
(Paxil) for 4 years. He also has a history of ADHD, but is not currently being treated for it. In addition, he
has a history of stimulant abuse, but has been clean for several years. He presents now stating that he is
,having significant work impairment due to inattention and disorganization and is in danger of losing his
job. Full evaluation reveals that he does meet criteria for current ADHD. Because of his history of
substance abuse, atomoxetine (Strattera) is chosen as a treatment. What pharmacokinetic interaction, if
any, would you expect between atomoxetine and paroxetine? - ✔✔Paroxetine is an inhibitor of CYP450
2D6 and atomoxetine is metabolized by CYP450 2D6, so the dose of atomoxetine should be decreased.
***In the presence of paroxetine, the dose of atomoxetine should be decreased.
Which of the following is a risk factor for the development of Conduct Disorder? - ✔✔Poor family
functioning
Which of the following symptom is the MOST frequent reason for referral in child psychiatry clinics? -
✔✔Disruptive behavior
Autism Spectrum Disorder, Severity Level 2, only requires substantial support. - ✔✔True
Deficits in social-emotional reciprocity in someone with ASD: - ✔✔Are clearly evident in young children
with the disorder
(DSM 5 p. 53, within diagnostic features)
All of the following are differences between Schizophrenia and Autism EXCEPT: - ✔✔Only children with
schizophrenia appear aloof, socially isolated or verbally uncommunicative
(The big difference is that Autism is usually diagnosed before age 3 whereas schizophrenia occurs in
adolescence or adulthood, not extremely early childhood and importantly children with autism, but not
schizophrenia have an increased risk of having ID.
Schizophrenia develops after a period of normal behavior. It's more of a regression. The prodromal
period of schizophrenia can have some symptoms that are similar to ASD, problems with social
communication which on the inside may be due to hallucinations but on the outside just looks strange.)
The only two FDA approved atypical antipsychotics for irritability associated with Autism are: -
✔✔Aripiprazole (Abilify) and Risperidone (Risperdal)
There are many types of psychosocial interventions for Autism, but many use principles from _________
- ✔✔Applied Behavior Analysis
, Families of children with Autism are unlikely to use complementary and alternative medications when
treating their child, therefore you do not need to ask about them during your initial evaluation. -
✔✔False
(Families use CAM more often in Autism than other disorders, so it is important to ask about them
during your assessment.)
There are two major categories of disturbances in Autism Spectrum Disorders, which are: - ✔✔(1)
Deficits in social communication/social interaction and (2) restricted, repetitive patterns of behavior,
interests, or activities
In Separation Anxiety, the fear, anxiety, or avoidance is persistent, lasting at least ____ weeks in children
and adolescents. - ✔✔4
If a child is experiencing Selective Mutism, they are usually able to speak at school amongst their friends.
- ✔✔False
Diagnostic Criteria for Agoraphobia include which of the following: - ✔✔** Marked anxiety or fear of
using public transportation
** Marked anxiety or fear of standing in line
First-line medication treatment for GAD in children and adolescents are: - ✔✔** SSRI
In Generalized Anxiety Disorder, Children are required to meet the FULL set of core symptoms. - ✔✔False
When evaluating for anxiety, it is prudent to wonder/ask "Is this something you should be worried
about?" while minimizing the intensity of worries. - ✔✔False
(Slide 4 in "Anxiety Disorders in Children and Adolescents". The intensity of worries and how they can
impact functioning should be considered in your diagnostic evaluation.)
