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  #1  
Old 03-30-2012
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Psyche Child Behavioral Disorder!

A 9-year-old boy is referred to a child psychiatrist at the request of the school. The patient had been suspended twice already in the school year, each suspension for a day in length. Teachers complain that he is restless and his classmates are unable to remain focused. The patient is said to hardly ever be in his seat, but roams the classroom, talking to other children while they are working. During the brief times when the teacher is able to get him to remain seated, he fidgets with his hands and feet, and drops objects on the floor. He never seemed to know what he is going to do next, and has suddenly acted outrageously. For instance, his most recent suspension was the result of having been caught swinging from a fluorescent light fixture over the blackboard. The class was in an uproar because he was unable to get down from the light. His mother reported that his behavior was difficult since he was a toddler, and by the time he was 3 he was unbearably restless and demanding. He has always required little sleep and would awaken before anyone else in the morning, at 4:30 A.M. or 5:00 A.M. At those times he would get into everything, such as having demolished the kitchen. At age 4 he managed to unlock the door and wander into a busy main street. He was initially rejected by a pre-school program because of his difficult behavior. After a difficult year in kindergarten, he was placed in a special behavioral program for 1 and 2 graders. He is now in a regular class for most subjects, but spends a lot of time in a resource room with a special education teacher. In his own class he is unable to participate in games because he is unable to wait his turn. Psychological tests have revealed that he has average ability, and his achievements are only slightly below expected levels. His attention span is severely impaired, and he has no interest in TV, dislikes games and toys that require any concentration or patience. He is not popular with other children and at home prefers to be outdoors playing with his dog or riding his bike. He has been treated with methylphenidate in small doses. While compliant with the medication his behavior was more manageable in school in that he was less restless and more attentive. Which of the following is most likely?

a) Conduct disorder
b) Attention deficit hyperactivity disorder
c) Autism
d) Childhood disintegration disorder
e) Oppositional defiant disorder


Ok so after reading this question, I knew the answer right away but I'm wondering would we get a question this lengthy in the exam ?
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Old 03-30-2012
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Wow! That's a monster question! If they are able to do a question like that on biochemistry in the actual exam, my eyes would have bled just from reading it...

It's B.
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Old 03-30-2012
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Quote:
Originally Posted by Hope2Pass View Post
Ok so after reading this question, I knew the answer right away but I'm wondering would we get a question this lengthy in the exam ?
I hope no!!!

BBBB
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Old 03-30-2012
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Originally Posted by d_wiqed View Post
Wow! That's a monster question! If they are able to do a question like that on biochemistry in the actual exam, my eyes would have bled just from reading it...

It's B.
We were reading it at the same time... this Q is so looooooooong!!!
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We were reading it at the same time... this Q is so looooooooong!!!
lol yeah i was surprised to see such a long questions with such an easy diagnosis!
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Old 03-30-2012
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90% of what you need is in the last sentence =)

Thats all I read - ADHD.

They gave him amphetamines (maybe its in a q stem, I have no f clue )
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Old 03-30-2012
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Quote:
Originally Posted by DocSikorski View Post
90% of what you need is in the last sentence =)

Thats all I read - ADHD.

They gave him amphetamines (maybe its in a q stem, I have no f clue )
Yup...the longer questions are actually the easiest...these question makers are some tricky dudes
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Old 03-30-2012
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B.. ADHD ..I read the last line 1st
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yeah .. i read the last line first as well .. all you really need to make the diagnosis is this - "He has been treated with methylphenidate in small doses. While compliant with the medication his behavior was more manageable in school in that he was less restless and more attentive. Which of the following is most likely? "

It tells you the treatment, it tells you the symptoms and then asks you for the diagnosis.

I did read the whole question however because it was very interesting.
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The correct answer is B.
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