Studying Psychological Disorders

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MCAT Social and Behavioral Sciences › Studying Psychological Disorders

Questions 1 - 10
1

Normal neurodevelopment in children is typically characterized by the acquisition of personal, social, academic, and occupational functioning. These functions are often learned and developed before the child begins primary education. During this period, the child learns social skills and how to control executive functions. Neurodevelopmental disorders involve developmental deficits that are manifested as impairments in normal neurodevelopment. Impairments in intelligence and social skills are often associated with neurodevelopmental disorders, and they frequently occur together.

A child and adolescent psychiatrist wanted to further characterize children with neurodevelopmental disorders according to several protocols. The psychiatrist observed all children with any identified impairments of social skills and any associated intellectual disability The psychiatrist noted the following: communication disorder, impairment in attention, impairment in organization, motor disorder, repetitive behaviors, restricted behaviors, or other interests.

The child and adolescent psychiatrist concluded that children with repetitive and restricted interests or patterns of behavior often demonstrate impairments in social skills. Some of the children who had restricted interests, repetitive patterns of behavior, and impairments in social skills also had intellectual impairments, language impairments, associated medical conditions, or other associated mental or behavioral disorders. It was found that specifying the individual characteristics of the neurodevelopmental disorders provided the child and adolescent psychiatrist the ability to better describe the diagnosis and associated symptoms to patients and their families.

Impairments in intelligence and social skills seen in the neurodevelopmental disorders indicate which of the following?

Range of developmental deficits varies

A neurocognitive disorder may also be diagnosed in case of global developmental delay

Communication disorders may produce lifelong functional impairments

Symptoms may change with development

Specific learning disorder may occur in children identified as intellectually gifted

Explanation

Symptoms of developmental deficits may vary from specific learning disorders to gross limitations in learning intellectual and social skills. The "range of developmental deficits varies" describes the variability that may be seen in the neurodevelopmental disorders. The other choices can be eliminated because they describe specific disorders or prognosis and do not describe the range of limitations that may be seen.

2

Normal neurodevelopment in children is typically characterized by the acquisition of personal, social, academic, and occupational functioning. These functions are often learned and developed before the child begins primary education. During this period, the child learns social skills and how to control executive functions. Neurodevelopmental disorders involve developmental deficits that are manifested as impairments in normal neurodevelopment. Impairments in intelligence and social skills are often associated with neurodevelopmental disorders, and they frequently occur together.

A child and adolescent psychiatrist wanted to further characterize children with neurodevelopmental disorders according to several protocols. The psychiatrist observed all children with any identified impairments of social skills and any associated intellectual disability The psychiatrist noted the following: communication disorder, impairment in attention, impairment in organization, motor disorder, repetitive behaviors, restricted behaviors, or other interests.

The child and adolescent psychiatrist concluded that children with repetitive and restricted interests or patterns of behavior often demonstrate impairments in social skills. Some of the children who had restricted interests, repetitive patterns of behavior, and impairments in social skills also had intellectual impairments, language impairments, associated medical conditions, or other associated mental or behavioral disorders. It was found that specifying the individual characteristics of the neurodevelopmental disorders provided the child and adolescent psychiatrist the ability to better describe the diagnosis and associated symptoms to patients and their families.

Impairments in intelligence and social skills seen in the neurodevelopmental disorders indicate which of the following?

Range of developmental deficits varies

A neurocognitive disorder may also be diagnosed in case of global developmental delay

Communication disorders may produce lifelong functional impairments

Symptoms may change with development

Specific learning disorder may occur in children identified as intellectually gifted

Explanation

Symptoms of developmental deficits may vary from specific learning disorders to gross limitations in learning intellectual and social skills. The "range of developmental deficits varies" describes the variability that may be seen in the neurodevelopmental disorders. The other choices can be eliminated because they describe specific disorders or prognosis and do not describe the range of limitations that may be seen.

3

The American Psychiatric Association uses the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) to __________.

uniformly classify and describe mental disorders

establish legal terms for severe mental illnesses

provide guidelines for International Classification of Disease (ICD) coding

coordinate disease symptoms and treatment

provide physicians with medication administration information

Explanation

The American Psychiatric Association developed the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) to uniformly classify and describe mental disorders. The DSM-IV provides a detailed description of the symptoms seen in psychiatric disorders. "Insanity" is a legal term for severe mental illness present at the time a crime was committed. It is not a mental diagnosis. The International Classification of Disease is used to assign codes to medical diagnoses that are used for reimbursement purposes. The Physician Desk Reference (PDR) provides detailed information on medication administration. The DSM-IV does not provide information about treatment.

4

The American Psychiatric Association uses the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) to __________.

uniformly classify and describe mental disorders

establish legal terms for severe mental illnesses

provide guidelines for International Classification of Disease (ICD) coding

coordinate disease symptoms and treatment

provide physicians with medication administration information

Explanation

The American Psychiatric Association developed the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) to uniformly classify and describe mental disorders. The DSM-IV provides a detailed description of the symptoms seen in psychiatric disorders. "Insanity" is a legal term for severe mental illness present at the time a crime was committed. It is not a mental diagnosis. The International Classification of Disease is used to assign codes to medical diagnoses that are used for reimbursement purposes. The Physician Desk Reference (PDR) provides detailed information on medication administration. The DSM-IV does not provide information about treatment.

5

Normal neurodevelopment in children is typically characterized by the acquisition of personal, social, academic, and occupational functioning. These functions are often learned and developed before the child begins primary education. During this period, the child learns social skills and how to control executive functions. Neurodevelopmental disorders involve developmental deficits that are manifested as impairments in normal neurodevelopment. Impairments in intelligence and social skills are often associated with neurodevelopmental disorders, and they frequently occur together.

A child and adolescent psychiatrist wanted to further characterize children with neurodevelopmental disorders according to several protocols. The psychiatrist observed all children with any identified impairments of social skills and any associated intellectual disability The psychiatrist noted the following: communication disorder, impairment in attention, impairment in organization, motor disorder, repetitive behaviors, restricted behaviors, or other interests.

The child and adolescent psychiatrist concluded that children with repetitive and restricted interests or patterns of behavior often demonstrate impairments in social skills. Some of the children who had restricted interests, repetitive patterns of behavior, and impairments in social skills also had intellectual impairments, language impairments, associated medical conditions, or other associated mental or behavioral disorders. It was found that specifying the individual characteristics of the neurodevelopmental disorders provided the child and adolescent psychiatrist the ability to better describe the diagnosis and associated symptoms to patients and their families.

If a 5-year-old boy who, in comparison to the boy's matched agemates, has severe difficulties in learning skills involving reading, writing, and arithmetic and is without ongoing support, then the child will most likely exhibit which of the following?

Require supervision at all times

Need no support

Be mature in social interactions

Be able to care for personal needs

Show much more complex spoken language than that of peers

Explanation

The level of severity of intellectual disability is based on adaptive functioning (e.g. personal independence), and adaptive functioning determines the amount of support needed. In the absence of ongoing support, the adaptive deficits in children with severe intellectual disability will limit independence for all activities of daily living ("require supervision at all times"). "Need no support" is wrong since all patients with intellectual disability, dependent on adaptive functioning, require some level of support. "Be able to care for personal needs" can be eliminated since patients with severe intellectual disability require support for all activities of daily living.

6

Normal neurodevelopment in children is typically characterized by the acquisition of personal, social, academic, and occupational functioning. These functions are often learned and developed before the child begins primary education. During this period, the child learns social skills and how to control executive functions. Neurodevelopmental disorders involve developmental deficits that are manifested as impairments in normal neurodevelopment. Impairments in intelligence and social skills are often associated with neurodevelopmental disorders, and they frequently occur together.

A child and adolescent psychiatrist wanted to further characterize children with neurodevelopmental disorders according to several protocols. The psychiatrist observed all children with any identified impairments of social skills and any associated intellectual disability The psychiatrist noted the following: communication disorder, impairment in attention, impairment in organization, motor disorder, repetitive behaviors, restricted behaviors, or other interests.

The child and adolescent psychiatrist concluded that children with repetitive and restricted interests or patterns of behavior often demonstrate impairments in social skills. Some of the children who had restricted interests, repetitive patterns of behavior, and impairments in social skills also had intellectual impairments, language impairments, associated medical conditions, or other associated mental or behavioral disorders. It was found that specifying the individual characteristics of the neurodevelopmental disorders provided the child and adolescent psychiatrist the ability to better describe the diagnosis and associated symptoms to patients and their families.

If a 5-year-old boy who, in comparison to the boy's matched agemates, has severe difficulties in learning skills involving reading, writing, and arithmetic and is without ongoing support, then the child will most likely exhibit which of the following?

Require supervision at all times

Need no support

Be mature in social interactions

Be able to care for personal needs

Show much more complex spoken language than that of peers

Explanation

The level of severity of intellectual disability is based on adaptive functioning (e.g. personal independence), and adaptive functioning determines the amount of support needed. In the absence of ongoing support, the adaptive deficits in children with severe intellectual disability will limit independence for all activities of daily living ("require supervision at all times"). "Need no support" is wrong since all patients with intellectual disability, dependent on adaptive functioning, require some level of support. "Be able to care for personal needs" can be eliminated since patients with severe intellectual disability require support for all activities of daily living.

7

Normal neurodevelopment in children is typically characterized by the acquisition of personal, social, academic, and occupational functioning. These functions are often learned and developed before the child begins primary education. During this period, the child learns social skills and how to control executive functions. Neurodevelopmental disorders involve developmental deficits that are manifested as impairments in normal neurodevelopment. Impairments in intelligence and social skills are often associated with neurodevelopmental disorders, and they frequently occur together.

A child and adolescent psychiatrist wanted to further characterize children with neurodevelopmental disorders according to several protocols. The psychiatrist observed all children with any identified impairments of social skills and any associated intellectual disability The psychiatrist noted the following: communication disorder, impairment in attention, impairment in organization, motor disorder, repetitive behaviors, restricted behaviors, or other interests.

The child and adolescent psychiatrist concluded that children with repetitive and restricted interests or patterns of behavior often demonstrate impairments in social skills. Some of the children who had restricted interests, repetitive patterns of behavior, and impairments in social skills also had intellectual impairments, language impairments, associated medical conditions, or other associated mental or behavioral disorders. It was found that specifying the individual characteristics of the neurodevelopmental disorders provided the child and adolescent psychiatrist the ability to better describe the diagnosis and associated symptoms to patients and their families.

In order to make the diagnosis of intellectual disability, the intellectual and adaptive functioning deficits must be distinct from those characterized by autism spectrum disorder, communication disorders, specific learning disorder, and the neurocognitive disorders. To make the diagnosis of intellectual disability from the differential diagnoses, then which of the following would be the most logical action to take?

Show onset of disability during developmental period

Link the intellectual disability to a genetic syndrome

Show a loss of cognitive functioning, such as following a head injury

Show deficits specific to the learning domains

Show IQ scores are unstable

Explanation

The diagnosis of intellectual disability is made when the onset of intellectual and adaptive function deficits is in the developmental period. The neurocognitive disorders are characterized by a loss of cognitive functioning and may occur with intellectual disability. Specific learning disorder is specific to the learning domains and does not show deficits in intellectual function and adaptive behaviors.

8

Normal neurodevelopment in children is typically characterized by the acquisition of personal, social, academic, and occupational functioning. These functions are often learned and developed before the child begins primary education. During this period, the child learns social skills and how to control executive functions. Neurodevelopmental disorders involve developmental deficits that are manifested as impairments in normal neurodevelopment. Impairments in intelligence and social skills are often associated with neurodevelopmental disorders, and they frequently occur together.

A child and adolescent psychiatrist wanted to further characterize children with neurodevelopmental disorders according to several protocols. The psychiatrist observed all children with any identified impairments of social skills and any associated intellectual disability The psychiatrist noted the following: communication disorder, impairment in attention, impairment in organization, motor disorder, repetitive behaviors, restricted behaviors, or other interests.

The child and adolescent psychiatrist concluded that children with repetitive and restricted interests or patterns of behavior often demonstrate impairments in social skills. Some of the children who had restricted interests, repetitive patterns of behavior, and impairments in social skills also had intellectual impairments, language impairments, associated medical conditions, or other associated mental or behavioral disorders. It was found that specifying the individual characteristics of the neurodevelopmental disorders provided the child and adolescent psychiatrist the ability to better describe the diagnosis and associated symptoms to patients and their families.

In order to make the diagnosis of intellectual disability, the intellectual and adaptive functioning deficits must be distinct from those characterized by autism spectrum disorder, communication disorders, specific learning disorder, and the neurocognitive disorders. To make the diagnosis of intellectual disability from the differential diagnoses, then which of the following would be the most logical action to take?

Show onset of disability during developmental period

Link the intellectual disability to a genetic syndrome

Show a loss of cognitive functioning, such as following a head injury

Show deficits specific to the learning domains

Show IQ scores are unstable

Explanation

The diagnosis of intellectual disability is made when the onset of intellectual and adaptive function deficits is in the developmental period. The neurocognitive disorders are characterized by a loss of cognitive functioning and may occur with intellectual disability. Specific learning disorder is specific to the learning domains and does not show deficits in intellectual function and adaptive behaviors.

9

Normal neurodevelopment in children is typically characterized by the acquisition of personal, social, academic, and occupational functioning. These functions are often learned and developed before the child begins primary education. During this period, the child learns social skills and how to control executive functions. Neurodevelopmental disorders involve developmental deficits that are manifested as impairments in normal neurodevelopment. Impairments in intelligence and social skills are often associated with neurodevelopmental disorders, and they frequently occur together.

A child and adolescent psychiatrist wanted to further characterize children with neurodevelopmental disorders according to several protocols. The psychiatrist observed all children with any identified impairments of social skills and any associated intellectual disability The psychiatrist noted the following: communication disorder, impairment in attention, impairment in organization, motor disorder, repetitive behaviors, restricted behaviors, or other interests.

The child and adolescent psychiatrist concluded that children with repetitive and restricted interests or patterns of behavior often demonstrate impairments in social skills. Some of the children who had restricted interests, repetitive patterns of behavior, and impairments in social skills also had intellectual impairments, language impairments, associated medical conditions, or other associated mental or behavioral disorders. It was found that specifying the individual characteristics of the neurodevelopmental disorders provided the child and adolescent psychiatrist the ability to better describe the diagnosis and associated symptoms to patients and their families.

A child and adolescent psychiatrist examined a 7-year-old boy and gave diagnoses of both intellectual disability and neurocognitive disorder. Which of the following clinical and study findings would be inconsistent with giving both diagnoses?

Stable intellectual disability with Down syndrome

Delayed language milestones in the first 24 months of life

Loss of previously acquired cognitive skills following head injury

Acute intracranial hemorrhage overlying gray matter heterotopia on computed tomography scan

Increased level of adaptive function deficits following meningitis

Explanation

The neurocognitive disorders are characterized by a loss of intellectual function. Intellectual disability is typically not progressive, but a diagnosis of neurocognitive disorder may be made with intellectual disability when further cognitive disability develops or is lost, e.g. such as may follow infections ("increased level of adaptive function deficits following meningitis" is consistent and can be eliminated) and traumatic brain injury (both "loss of previously acquired cognitive skills following head injury" and "acute intracranial hemorrhage overlying gray matter heterotopia on computed tomography scan" are consistent and can be eliminated). Thus, "stable intellectual disability with Down syndrome" is inconsistent with giving diagnoses of both intellectual disability and neurocognitive disorder and is the correct answer choice. All other choices are consistent with the diagnoses of intellectual disability and neurocognitive disorder. Delayed milestones may be seen as early as within the first 2 years of life in children with severe intellectual disability ("delayed language milestones in the first 24 months of life" is consistent and can be eliminated).

10

Normal neurodevelopment in children is typically characterized by the acquisition of personal, social, academic, and occupational functioning. These functions are often learned and developed before the child begins primary education. During this period, the child learns social skills and how to control executive functions. Neurodevelopmental disorders involve developmental deficits that are manifested as impairments in normal neurodevelopment. Impairments in intelligence and social skills are often associated with neurodevelopmental disorders, and they frequently occur together.

A child and adolescent psychiatrist wanted to further characterize children with neurodevelopmental disorders according to several protocols. The psychiatrist observed all children with any identified impairments of social skills and any associated intellectual disability The psychiatrist noted the following: communication disorder, impairment in attention, impairment in organization, motor disorder, repetitive behaviors, restricted behaviors, or other interests.

The child and adolescent psychiatrist concluded that children with repetitive and restricted interests or patterns of behavior often demonstrate impairments in social skills. Some of the children who had restricted interests, repetitive patterns of behavior, and impairments in social skills also had intellectual impairments, language impairments, associated medical conditions, or other associated mental or behavioral disorders. It was found that specifying the individual characteristics of the neurodevelopmental disorders provided the child and adolescent psychiatrist the ability to better describe the diagnosis and associated symptoms to patients and their families.

A child and adolescent psychiatrist examined a 7-year-old boy and gave diagnoses of both intellectual disability and neurocognitive disorder. Which of the following clinical and study findings would be inconsistent with giving both diagnoses?

Stable intellectual disability with Down syndrome

Delayed language milestones in the first 24 months of life

Loss of previously acquired cognitive skills following head injury

Acute intracranial hemorrhage overlying gray matter heterotopia on computed tomography scan

Increased level of adaptive function deficits following meningitis

Explanation

The neurocognitive disorders are characterized by a loss of intellectual function. Intellectual disability is typically not progressive, but a diagnosis of neurocognitive disorder may be made with intellectual disability when further cognitive disability develops or is lost, e.g. such as may follow infections ("increased level of adaptive function deficits following meningitis" is consistent and can be eliminated) and traumatic brain injury (both "loss of previously acquired cognitive skills following head injury" and "acute intracranial hemorrhage overlying gray matter heterotopia on computed tomography scan" are consistent and can be eliminated). Thus, "stable intellectual disability with Down syndrome" is inconsistent with giving diagnoses of both intellectual disability and neurocognitive disorder and is the correct answer choice. All other choices are consistent with the diagnoses of intellectual disability and neurocognitive disorder. Delayed milestones may be seen as early as within the first 2 years of life in children with severe intellectual disability ("delayed language milestones in the first 24 months of life" is consistent and can be eliminated).

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