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

Persistent tic disorder requires at least one motor OR vocal (not both) tic for more than 1 year; Tourette requires both motor and vocal tics.

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

Both IPT-A and CBT have strong evidence for adolescent depression and are recommended as first-line psychotherapies by clinical guidelines.

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

DMDD is characterized by severe, recurrent temper outbursts and persistently irritable/angry mood that is non-episodic, distinguishing it from bipolar 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

The FDA mandates a black box warning on all antidepressants about increased risk of suicidal thinking and behavior in children, adolescents, and young adults up to age 25.

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

Selective mutism involves consistent failure to speak in specific social situations where speech is expected, despite speaking in other settings.

American Board of Psychiatry and Neurology Practice Test

American Board of Psychiatry and Neurology Practice Test

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