American Board of Psychiatry and Neurology ABPN Child and Adolescent Psychiatry

Question 1

A 7-year-old boy has difficulty paying attention, frequently interrupts others, and cannot stay seated in class. His symptoms are present at home and school. What is the MOST likely diagnosis?

Accepted Answer

Attention-deficit/hyperactivity disorder (ADHD)

Answer

Oppositional defiant disorder

Answer

Autism spectrum disorder

Answer

Anxiety disorder

Question 2

Which medication is FDA-approved as FIRST-LINE pharmacotherapy for ADHD in children aged 6 and older?

Accepted Answer

Methylphenidate

Answer

Atomoxetine

Answer

Clonidine

Answer

Guanfacine

Question 3

A 4-year-old child does not make eye contact, does not respond to his name, lacks joint attention, and engages in repetitive hand-flapping. What is the MOST likely diagnosis?

Accepted Answer

Autism spectrum disorder (ASD)

Answer

Intellectual disability

Answer

Selective mutism

Answer

Reactive attachment disorder

Question 4

Which condition is characterized by sudden onset of severe OCD symptoms and motor or vocal tics in a child following group A streptococcal infection?

Accepted Answer

PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections)

Answer

Tourette disorder

Answer

Sydenham chorea

Answer

Pediatric acute-onset neuropsychiatric syndrome (PANS)

Question 5

A 16-year-old girl refuses to eat, has lost 20% of her body weight, believes she is overweight despite being underweight, and has stopped menstruating. What is the MOST likely diagnosis?

Accepted Answer

Anorexia nervosa

Answer

Bulimia nervosa

Answer

Avoidant/restrictive food intake disorder

Answer

Body dysmorphic disorder

Question 6

What is the recommended FIRST-LINE psychotherapy for separation anxiety disorder in children?

Accepted Answer

Cognitive-behavioral therapy (CBT)

Answer

Psychodynamic therapy

Answer

Play therapy

Answer

Family systems therapy