UWORLD Psychiatry Step 2 CK | Questions and
Answers
.Which ego defense is defined as replacing a warded-off idea or feeling with anemphasis on its *opposite*?: Reaction formation (immature defense)
2.What ego defence is present in a stepmother treats a child she resents with excessive nurturing and overprotection?: Reaction formation (immature defense)
3.Which ego defense is defined as replacing an unacceptable wish with a course of action that is similar to the wish but *socially acceptable*?: Subli- mation (mature defense)
4.What ego defense is present in a teenager's aggression toward his parents because of their high
expectations is channeled into excelling in sports?: - Sublimation (mature defense)
5.Which ego defense is defined as *involuntarily* withholding an idea or feeling from conscious awareness?: Repression (immature defense)
6.What ego defense is present in a 20-year-old does not remember going to counseling during his
parents' divorce 10 years earlier?: Repression (immature defense)
7.Which ego defense is defined as *intentionally* withholding an idea or feeling from conscious
awareness (vs repression); temporary?: Suppression (mature defense)
8.What ego defense is present in an athlete focuses on other tasks to prevent worrying about an important upcoming match?: Suppression (mature defense)
9.What neuroimaging finding is most consistently found in patients with schizophrenia?: Enlargement of cerebral ventricules
10.What neuroimaging finding is most consistently found in patients with
*OCD*?: Structural abnormalities in orbitofrontal cortex and striatum
11.Attention-deficit hyperactivity disorder (ADHD) has an onset before age
................12
12.What is the first-line pharmacotherapy for attention-deficit hyperactivity disorder (*ADHD*)?: Stimulants (e.g. *methylphenidate*, amphetamines)
(Prior to initiating stimulant therapy, UWORLD Psychiatry Step 2 CK | Questions and
Answers
-a comprehensive *cardiac history and examination*,
-baseline weight, and
-vital signs
should be obtained; routine ECG screening is *not* indicated)
13.What is the treatment of choice for an adult with suspected *ADHD* and a history of *substance use disorder*?: Atomoxetine
14........................... is a first-line *alternative* to stimulants for child and adolescent
ADHD.: Atomoxetine UWORLD Psychiatry Step 2 CK | Questions and
Answers
............... is the preferred *initial* treatment for *preschool*-aged children (age 3-5) with ADHD or problematic hyperactive behavior.: Behavioral therapy, such as parent-child behavioral therapy (aka parent management training)
16.What syndromes are associated with ADHD?: -Tourette syndrome
-Fragile X syndrome
17.Early childhood *abuse* or *neglect* can result in............................................ disorder,
characterized by a pattern of emotional and *social withdrawal*, as well as a
*lack* of positive response to attempts to comfort.: reactive attachment
18.Early childhood *abuse* or *neglect* can result in............................................ disorder,
characterized by *overfamilarity* and an unhesitant approach to unfamiliar adults: disinhibited social engagement
19.What *impulse control disorder* is characterized by an inability to resist the impulse to steal objects, often of *low monetary value* or not needed for personal use?: Kleptomania
20.What psychiatric condition is characterized by intentional and repeated
*fire* setting with *no obvious motive* (eg, financial gain, revenge) to *relieve internal tension*?: Pyromania
21.What other psychiatric disorders (2) are associated with Tourette syn- drome?: 1) ADHD
2) OCD
22.What is the most effective nonpharmacological treatment for Tourette dis- order?: Habit
reversal training (a form of CBT)
23.What is the recommended pharmacotherapy for Tourette disorder?: 1) ±2-- agonists (eg,
guanfacine, clonidine)
2) Antidopaminergic agents
>Tetrabenazine (*VMAT2 inhibitor*)
>Antipsychotics (eg, risperidone, pimozide, aripiprazole) UWORLD Psychiatry Step 2 CK | Questions and
Answers
.What early childhood disorder is characterized by *deficits in social com- munication* &
interactions and restricted, *repetitive* patterns of behavior?: - Autism spectrum disorder
25.What inherited disorder is caused by expansion of *CGG* trinucleotide repeats in the *FMR1* gene on the X chromosome?: Fragile X syndrome
26.Which cause of *intellectual disability* is characterized by
-*prominent jaw*,
-*large ears*, and
-*macroorchidism*?: Fragile X syndrome
27.*Brief psychotic disorder* is characterized by symptoms of schizophrenia lasting ............ (duration): > 1 day and < 1 month
Answers
.Which ego defense is defined as replacing a warded-off idea or feeling with anemphasis on its *opposite*?: Reaction formation (immature defense)
2.What ego defence is present in a stepmother treats a child she resents with excessive nurturing and overprotection?: Reaction formation (immature defense)
3.Which ego defense is defined as replacing an unacceptable wish with a course of action that is similar to the wish but *socially acceptable*?: Subli- mation (mature defense)
4.What ego defense is present in a teenager's aggression toward his parents because of their high
expectations is channeled into excelling in sports?: - Sublimation (mature defense)
5.Which ego defense is defined as *involuntarily* withholding an idea or feeling from conscious awareness?: Repression (immature defense)
6.What ego defense is present in a 20-year-old does not remember going to counseling during his
parents' divorce 10 years earlier?: Repression (immature defense)
7.Which ego defense is defined as *intentionally* withholding an idea or feeling from conscious
awareness (vs repression); temporary?: Suppression (mature defense)
8.What ego defense is present in an athlete focuses on other tasks to prevent worrying about an important upcoming match?: Suppression (mature defense)
9.What neuroimaging finding is most consistently found in patients with schizophrenia?: Enlargement of cerebral ventricules
10.What neuroimaging finding is most consistently found in patients with
*OCD*?: Structural abnormalities in orbitofrontal cortex and striatum
11.Attention-deficit hyperactivity disorder (ADHD) has an onset before age
................12
12.What is the first-line pharmacotherapy for attention-deficit hyperactivity disorder (*ADHD*)?: Stimulants (e.g. *methylphenidate*, amphetamines)
(Prior to initiating stimulant therapy, UWORLD Psychiatry Step 2 CK | Questions and
Answers
-a comprehensive *cardiac history and examination*,
-baseline weight, and
-vital signs
should be obtained; routine ECG screening is *not* indicated)
13.What is the treatment of choice for an adult with suspected *ADHD* and a history of *substance use disorder*?: Atomoxetine
14........................... is a first-line *alternative* to stimulants for child and adolescent
ADHD.: Atomoxetine UWORLD Psychiatry Step 2 CK | Questions and
Answers
............... is the preferred *initial* treatment for *preschool*-aged children (age 3-5) with ADHD or problematic hyperactive behavior.: Behavioral therapy, such as parent-child behavioral therapy (aka parent management training)
16.What syndromes are associated with ADHD?: -Tourette syndrome
-Fragile X syndrome
17.Early childhood *abuse* or *neglect* can result in............................................ disorder,
characterized by a pattern of emotional and *social withdrawal*, as well as a
*lack* of positive response to attempts to comfort.: reactive attachment
18.Early childhood *abuse* or *neglect* can result in............................................ disorder,
characterized by *overfamilarity* and an unhesitant approach to unfamiliar adults: disinhibited social engagement
19.What *impulse control disorder* is characterized by an inability to resist the impulse to steal objects, often of *low monetary value* or not needed for personal use?: Kleptomania
20.What psychiatric condition is characterized by intentional and repeated
*fire* setting with *no obvious motive* (eg, financial gain, revenge) to *relieve internal tension*?: Pyromania
21.What other psychiatric disorders (2) are associated with Tourette syn- drome?: 1) ADHD
2) OCD
22.What is the most effective nonpharmacological treatment for Tourette dis- order?: Habit
reversal training (a form of CBT)
23.What is the recommended pharmacotherapy for Tourette disorder?: 1) ±2-- agonists (eg,
guanfacine, clonidine)
2) Antidopaminergic agents
>Tetrabenazine (*VMAT2 inhibitor*)
>Antipsychotics (eg, risperidone, pimozide, aripiprazole) UWORLD Psychiatry Step 2 CK | Questions and
Answers
.What early childhood disorder is characterized by *deficits in social com- munication* &
interactions and restricted, *repetitive* patterns of behavior?: - Autism spectrum disorder
25.What inherited disorder is caused by expansion of *CGG* trinucleotide repeats in the *FMR1* gene on the X chromosome?: Fragile X syndrome
26.Which cause of *intellectual disability* is characterized by
-*prominent jaw*,
-*large ears*, and
-*macroorchidism*?: Fragile X syndrome
27.*Brief psychotic disorder* is characterized by symptoms of schizophrenia lasting ............ (duration): > 1 day and < 1 month
