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Question 1: Which of the following statements is correct regarding the treatment of obsessive-compulsive disorder (OCD)?

  1. It is not associated with Tourette’s syndrome and ADHD.

  2. Dosage of SSRIs in OCD may be up to 4x the normal dose of depression.

  3. Supportive therapy is superior to cognitive behavior therapy in treating OCD.

  4. Most adult patients with OCD begin treatment in childhood.

 

Reference: Stern TA, et al. Massachusetts General Hospital Comprehensive Clinical Psychiatry. Maryland Heights, MO: Mosby. 2008.

Question 2: A 17-year-old girl is brought to the emergency department after being found unconscious on the floor of her dormitory. She has a potassium level of 2.2mmol/L (normal 2.5-5.0) and a sodium level of 120mmol/L (normal 135-148). Her body mass index (BMI) is 16 (normal 18.5-24.9). Her roommate, who has been friends with her for several years, reports that the patient had always been thin but had a dramatic weight loss over the prior 2 years. The patient frequently ate and would binge on junk food several times a day. Though she never admitted it, her friends had noticed several signs indicating the patient was self-inducing vomiting multiple times a day. She has not menstruated in over 1 year. What is the most likely diagnosis?

  1. Bulimia nervosa

  2. Anorexia nervosa, restricting type

  3. Anorexia nervosa, binge-eating/purging type

  4. Eating disorder not otherwise specified

  5. Impulse control disorder

 

Reference: Cheng-Ching E, et al. Comprehensive Review in Clinical Neurology: A Multiple Choice Question Book for the Wards and Boards. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. 2011.

Child Psychiatry Question Bank

Pass the American Board of Psychiatry and Neurology (ABPN) Certification Exam in Child and Adolescent Psychiatry (CAP). Access 900+ Child Psychiatry board-style review questions, each accompanied by detailed explanations and rationales to help you pass the boards. Questions are targeted to the ABPN Certification Exam in CAP.

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Developed by top faculty and practicing physicians, BoardVitals helps thousands of doctors prepare for board certification exams and complete their CME requirements. BoardVitals is trusted by leading medical institutions including Harvard, Yale, Mt. Sinai, and Duke.

 

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