TheoryPMHS Peds Mental Health Prep Practice Test Video
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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.
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