Short Quiz on COMPILATION OF PSYCHIATRIC DISORDERS IN PEDIATRIC PATIENTS

Instruction

1. This Test has 6 Questions 
2. There is 1 Mark for each correct Answer

MCQ – 1

Dyslexia is characterized by all except:

Mental retardation.

Inability to interpret written language.

Male preponderance.

Retardation reading.

Explanation :

Ans: A-Mental Retardation

  • A learning disorder characterized by difficulty reading.
  • Dyslexia occurs in children with normal vision and intelligence.
  • Symptoms include late talking, learning new words slowly and a delay in learning to read.
  • Most children with dyslexia can succeed in school with tutoring or a specialized education program.
  • Males are diagnosed with dyslexia more frequently than females, even in epidemiological samples.

MCQ – 2

A 12-year-old boy presents with disruptive behaviour at school, aggression towards teachers and truancy. He was recently suspended from the school for destruction of school property. Which of the following diagnosis best suits his presentation?

Oppositional defiant disorder

Conduct disorder

Attention deficit hyperactivity disorder

Autism spectrum disorder

Explanation :

Conduct disorder in children is characterised by behaviours which could cause harm to self or others or property.
Cruelty to animals is also a feature.
There is frequent violation of the rights of others and rule breaking behaviours. The behaviours are persistent and not occasional.

Ref: Kaplan & Sadock’s Synopsis of Psychiatry: Benjamin J Sadock, M.D., Harold I. Kaplan, Virginia A Sadock, M.D, Edition: 10, Page 1218


MCQ – 3

Conduct disorder in a child manifests with

Disregard for right of others

Doesn’t care for authority

Backward in studies

All

Explanation :

Ans:A i.e. Disregard for rights of others; B i.e. Doesn’t care for authority; C i.e. Backward in studies

  • C.D. is characterized by a persistent & significant pattern of conduct in which the basic rights of others are violated or rules of society are not followed.
  • Clinical features include:
  1. Frequent lying
  2. Stealing or robbery
  3. Running away from home or school
  4. Physical violence like rape, fire setting, assaults or breaking in, use of weapons.
  5. Cruelty towards other people & animal
  6. Destruction of property
  7. Serious violation of rules
  8. Backward in studies

May 1/ t – drug abuse & dependence, unwanted pregnancies, criminal record, suicidal or homicidal behaviour, STDs.


MCQ – 4

A child fights with other children frequently. He has a disciplinary problem in school and steals things. Most likely diagnosis is:

Autism

Attention deficit hyperkinetic disorder

Conduct disorder

Obsessive-compulsive disorder

Explanation :

Ans.C. Conduct disorder

Child psychiatric conditions and presentation

  • Triad of symptoms of autism includes abnormal reciprocal social interaction; communication and language impairment; and a restricted, stereotyped and repetitive repertoire of interests and activities.
  • Clinical features of ADHD include inattention, hyperactivity and impulsiveness.
  • Conduct disorder is characterized by aggression/cruelty to people and/or animals, theft, theft, fire setting, severe provocative or disobedient disorder etc.
  • Features of OCD include obsessions (intrusive, repetitive and distressing thoughts), compulsions (repetitive, stereotyped, unnecessary behaviours).

MCQ – 5

A 13 years old boy often argue with parent and teachers. However he is not physically aggressive and there is no history of drug abuse, theft, lying or bullying. Most likely diagnosis is-

Conduct disorder

Oppositional defiant disorder

Autism

Pervasive developmental disorder

Explanation :

Ans: B-Oppositional defiant disorder

  • This boy is showing a pattern of defiance of authority (arguing with parents and teachers).
  • There are no features of conduct disorder (drug abuse, theft lying).
  • Thus, the diagnosis is oppositional defiant disorder.

MCQ – 6

A 13 years old boys is often aggressive, arguing with parent and teachers. He has history of frequent lying and stealing money at home. He always runs away from class to play. The diagnosis is-

Conduct disorder

Oppositional defiant disorder

Autism

Pervasive developmental disorder

Explanation :

Ans: A-Conduct disorder

  • Conduct disorder is characterized by a persistent and significant pattern of conduct in which the basic rights of others are violated or rules of society are not followed.
  • The onset occurs much before 18 years of age, usually even before puberty.

The characteristic clinical features include: –

  1. Frequent lying
  2. Stealing or robbery
  3. Physical violence like rape, fire setting, assault, use ofweapons, fighting and aggresiveness.
  4. Running away from home and school → Therefore, backward in studies.

Leave a Comment

Discover more from New

Subscribe now to keep reading and get access to the full archive.

Continue reading

👨‍⚕️
Chat Support ❌