American Board of Psychiatry and Neurology ABPN Child and Adolescent Psychiatry 3

Question 1

A 3-year-old child, following placement in multiple foster homes with severe neglect, shows indiscriminate affection toward strangers and lack of reticence with unfamiliar adults.
What diagnosis is MOST likely?

Accepted Answer

Disinhibited social engagement disorder

Answer

Reactive attachment disorder

Answer

Autism spectrum disorder

Answer

Separation anxiety disorder

Question 2

Which is the ONLY FDA-approved medication for irritability associated with autism spectrum disorder in children?

Accepted Answer

Risperidone and aripiprazole

Answer

Methylphenidate

Answer

Valproate

Answer

Sertraline

Question 3

A 9-year-old boy has recurrent, intrusive thoughts about contamination and spends 2 hours per day performing hand-washing rituals. What is the FIRST-LINE treatment?

Accepted Answer

SSRI plus exposure and response prevention (ERP)

Answer

Benzodiazepine plus CBT

Answer

Antipsychotic plus supportive therapy

Answer

SSRI plus habit reversal training

Question 4

Which developmental milestone should RAISE concern if absent in a 12-month-old child?

Accepted Answer

No pointing or waving gesture

Answer

No two-word phrases

Answer

Not yet walking independently

Answer

No scribbling with a crayon

Question 5

A child with intellectual disability is found to have an IQ of 45. What level of intellectual disability does this represent?

Accepted Answer

Moderate (IQ 40-55)

Answer

Mild (IQ 55-70)

Answer

Severe (IQ 25-40)

Answer

Profound (IQ below 25)

Question 6

Which childhood-onset psychiatric condition is characterized by recurrent episodes of excessive food intake with loss of control, followed by compensatory behaviors such as purging or excessive exercise?

Accepted Answer

Bulimia nervosa

Answer

Anorexia nervosa binge-eating/purging type

Answer

Binge-eating disorder

Answer

Avoidant/restrictive food intake disorder