TheoryPMHS Peds Mental Health Prep Practice Questions
Free PMHS Peds Mental Health Prep practice questions with answers and plain-English explanations. Browse the PDF, video and online mock test.
PMHS Peds Mental Health Prep Questions
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Q1When evaluating a 4-year-old child with suspected autism spectrum disorder, which component of the family history is MOST important to obtain?
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✓ Correct answer: Presence of autism spectrum disorder in siblings
The presence of autism spectrum disorder in siblings is the most important family history component as it significantly increases the risk of ASD in subsequent children. Sibling recurrence risk is estimated at 20%, making it a crucial factor in evaluation compared to other family demographic factors.
Q2During evaluation of a 6-year-old with behavioral concerns, the child's mother appears distracted and minimizes the child's symptoms. The MOST appropriate next step is to
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✓ Correct answer: Screen the mother for depression using a validated tool
Maternal mental health significantly impacts child behavior and symptom reporting. When a parent appears distracted or minimizing symptoms, screening for maternal depression is crucial as it can affect both the accuracy of reported symptoms and the child's behavior.
Q3A 15-year-old presents with academic difficulties and attention problems. Which previous assessment would be MOST valuable to review?
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✓ Correct answer: Third grade psychoeducational testing results
Previous psychoeducational testing results provide valuable baseline data about cognitive functioning and academic performance, helping to establish patterns and progression of difficulties over time.
Q4When observing parent-child interactions during an evaluation, which behavior is MOST concerning?
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✓ Correct answer: Parent and child avoid eye contact with each other
Consistent avoidance of eye contact between parent and child may indicate attachment issues or relationship difficulties, which is more concerning than normal childhood behaviors like interrupting or attention-seeking.
Q5What is the MOST appropriate first step in evaluating a 12-year-old who recently moved from a refugee camp and presents with behavioral issues?
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✓ Correct answer: Obtain a trauma-informed history with a cultural interpreter
A trauma-informed history with a cultural interpreter is essential as the first step for refugee children, as it considers cultural context and potential trauma exposure while ensuring accurate communication.
Q6Which finding during a physical exam would be MOST concerning in a 5-year-old with new onset aggressive behavior?
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✓ Correct answer: Fresh bruises in various stages of healing
Multiple bruises in various stages of healing may indicate physical abuse, which requires immediate investigation when evaluating new onset behavioral changes in young children.
Q7When reviewing previous assessments for a 7-year-old with attention difficulties, what time period is MOST important to examine?
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✓ Correct answer: Six months before and after starting school
The transition period around starting school is crucial for identifying the onset and pattern of attention difficulties, as this is when academic and social demands typically first impact functioning significantly.
Q8Which social determinant of health is MOST critical to assess in a teenager presenting with depression?
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✓ Correct answer: Food insecurity
Food insecurity has a direct impact on brain development, mood regulation, and overall mental health, making it the most critical social determinant to assess in adolescent depression.
Q9When evaluating a 3-year-old for developmental delay, which information source is MOST valuable?
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✓ Correct answer: Daycare provider observations
Daycare provider observations offer consistent, comparative data about the child's development in relation to same-age peers across multiple domains in a structured setting.
Q10During evaluation of an 8-year-old with sudden behavioral changes, which laboratory test should be ordered FIRST?
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✓ Correct answer: Thyroid function tests
Thyroid dysfunction can present with sudden behavioral changes in children and is readily treatable, making it the most appropriate first-line laboratory test in this situation.
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