American Board of Psychiatry and Neurology ABPN Child and Adolescent Psychiatry 2

Question 1

A 14-year-old boy has a persistent eye-blinking tic and throat-clearing for more than 1 year, with onset before age 18. What diagnosis does this MOST likely represent?

Accepted Answer

Persistent (chronic) motor or vocal tic disorder

Answer

Tourette disorder

Answer

Provisional tic disorder

Answer

Stereotypic movement disorder

Question 2

Which psychotherapy is MOST effective for adolescent depression according to evidence-based guidelines?

Accepted Answer

Interpersonal therapy for adolescents (IPT-A) or CBT

Answer

Psychoanalysis

Answer

Art therapy alone

Answer

Supportive counseling only

Question 3

A 10-year-old is brought in for evaluation after 8 months of irritability, severe outbursts, and persistently dysphoric mood that is not episodic. What DSM-5 diagnosis BEST fits?

Accepted Answer

Disruptive mood dysregulation disorder (DMDD)

Answer

Bipolar I disorder

Answer

Oppositional defiant disorder

Answer

Major depressive disorder

Question 4

In the United States, what is the FDA's black box warning for antidepressants in children and adolescents?

Accepted Answer

Increased risk of suicidal ideation and behavior in those under 25

Answer

Increased risk of agranulocytosis

Answer

Increased risk of mania induction

Answer

Increased risk of Stevens-Johnson syndrome

Question 5

Which condition is characterized by a child's failure to speak in specific social situations (e.g., school) despite speaking normally in other settings (e.g., home)?

Accepted Answer

Selective mutism

Answer

Social anxiety disorder

Answer

Autism spectrum disorder

Answer

Expressive language disorder

Question 6

What is the MINIMUM age at which conduct disorder can be diagnosed, and what key feature distinguishes it from oppositional defiant disorder?

Accepted Answer

Age 5; conduct disorder includes violations of others' basic rights

Answer

Age 10; conduct disorder requires truancy

Answer

Age 5; conduct disorder requires peer rejection

Answer

Age 12; conduct disorder includes substance use