Child Psychopathology Test A

Which of the following is not required for a DSM-5 diagnosis of intellectual disability (intellectual developmental disorder)?

Which of the following statements about intellectual disability (intellectual developmental disorder) is false?

Which of the following statements about adaptive functioning in the diagnosis of intellectual disability (intellectual developmental disorder) is true?

The DSM-5 diagnosis of intellectual developmental disorder includes severity specifiers—Mild, Moderate, Severe, and Profound—with which to indicate the level of supports required in various domains of adaptive functioning. Which of the following features would not be characteristic of an individual with a “Severe” level of impairment?

Which of the following statements about global developmental delay is true?

A 15-year-old boy has a long history of nonverbal communication deficits. As an infant he was unable to follow someone else directing his attention by pointing. As a toddler he was not interested in sharing events, feelings, or games with his parents. From school age into adolescence, his speech was odd in tonality and phrasing, and his body language was awkward. What do these symptoms represent?

A 9-year-old girl presents with a history of intellectual impairment, a structural language impairment, nonverbal communication deficits, disinterest in peers, and inability to use language in a social manner. She has extreme food and tactile sensitivities. She is obsessed with one particular computer game that she plays for hours each day, and she scripts and imitates the characters in this game. She is clumsy, has an odd gait, and walks on her tiptoes. In the past year she has developed a seizure disorder and has begun to bang her wrists against the wall repetitively, causing bruising. On the other hand, she plays several musical instruments in an extremely precocious manner. Which feature of this child’s clinical presentation fulfills a criterion symptom for DSM-5 autism spectrum disorder?

Which of the following is not characteristic of the developmental course of children diagnosed with autism spectrum disorder?

A 21-year-old man, not previously diagnosed with a developmental disorder, presents for evaluation after taking a leave from college for psychological reasons. He makes little eye contact, does not appear to pick up on social cues, has become disinterested in friends, spends hours each day on the computer surfing the Internet and playing games, and has become so sensitive to smells that he keeps multiple air fresheners in all locations of the home. He reports that he has had long-standing friendships dating from childhood and high school (corroborated by his parents). He reports making many friends in his fraternity at college. His parents report good social and communication skills in childhood, although he was quite shy and was somewhat inflexible and ritualistic at home. What is the least likely diagnosis?

Which of the following is not a criterion for the DSM-5 diagnosis of attentiondeficit/hyperactivity disorder (ADHD)?

A 37-year-old Wall Street trader schedules a visit after his 8-year-old son is diagnosed with attention-deficit/hyperactivity disorder (ADHD), combined inattentive and hyperactive. Although he does not currently note motor restlessness like his son, he recalls being that way when he was a boy, along with being quite inattentive, being impulsive, talking excessively, interrupting, and having problems waiting his turn. He was an underachiever in high school and college, when he inconsistently did his work and had difficulty following rules. Nevertheless, he never failed any classes, and he was never evaluated by a psychologist or psychiatrist. He works about 60–80 hours a week and often gets insufficient sleep. He tends to make impulsive business decisions, can be impatient and short-tempered, and notes that his mind tends to wander both in one-on-one interactions with associates and his wife and during business meetings, for which he is often late; he is forgetful and disorganized. Nevertheless, he tends to perform fairly well and is quite successful, although he can occasionally feel overwhelmed and demoralized. What is the most likely diagnosis?

What is the prevalence of attention-deficit/hyperactivity disorder (ADHD) in adults?

Which of the following is not associated with attention-deficit/hyperactivity disorder (ADHD)?

A 5-year-old boy is consistently moody, irritable, and intolerant of frustration. In addition, he is pervasively and chronically restless, impulsive, and inattentive. Which diagnosis best fits his clinical picture?

In distinction to DSM-IV, DSM-5 classifies all learning disorders under the diagnosis of specific learning disorder, along with the requirement to “specify all academic domains and subskills that are impaired” at the time of assessment. Which of the following statements about specific learning disorder is false?

Which of the following statements about comorbidity in specific learning disorder is true?

Which of the following is not a criterion for the DSM-5 diagnosis of stereotypic movement disorder?

At her child’s third office visit, the mother of an 8-year-old boy with a 6-month history of excessive eye blinking and intermittent chirping says that she has noticed the development of grunting sounds since he started school this term. What is the most likely diagnosis?

Which of the following is not a DSM-5 diagnostic criterion for language disorder?

A 6-year-old boy is failing school and continues to struggle significantly with grammar, sentence construction, and vocabulary. When he speaks, he also interjects “and” in between all his words. His teacher reports that he requires more verbal redirection than other students in order to stay on task. He is generally quiet and does not cause trouble otherwise. Which of the following diagnoses would be on your differential?

A 15-year-old boy with a prior diagnosis of Tourette’s disorder is referred to your care. His mother tells you that during middle school he was teased for having vocal and motor tics. Since starting ninth grade, his tics have become less frequent. Currently, only mild motor tics remain. What is the appropriate DSM-5 diagnosis?

Assessment of co-occurring conditions is important for understanding the overall functional consequence of tics on an individual. Which of the following conditions has been associated with tic disorders?

A 6-year-old boy with a history of mild language delay is brought to your office by his mother, who is concerned that he is being teased in school because he misinterprets nonverbal cues and speaks in overly formal language with his peers. She tells you that her son was in an early intervention program, but his written and spoken language is now at grade level. The boy does not have a history of repetitive movements, sensory issues, or ritualized behaviors. Although he prefers constancy, he adapts fairly well to new situations. Additionally, he has a long-standing interest in trains and cars and is able to recite for you all the car models he memorized from a book on the history of transportation. Which of the following disorders would be a primary consideration in the differential diagnosis?

Which of the following statements about the development of speech as it applies to speech sound disorder is false?

A 7-year-old boy with mild to moderate developmental delay presents with a chronic history of wetting his clothes during the day about once weekly, even during school. He is now refusing to go to school for fear of wetting his pants and being ridiculed by his classmates. Which of the following statements accurately describes the diagnostic options regarding enuresis in this case?