Psych ?

.
Which of the following statements about the developmental course of

stereotypic movement disorder is false?
A. The presence of stereotypic movements may indicate an
undetected neurodevelopmental problem, especially in
children ages 1–3 years.  
B. Among typically developing children, the repetitive movements

may be stopped when attention is directed to them or when
the child is distracted from performing them.  
C. In some children, the stereotypic movements would result in self-

injury if protective measures were not used.  
D. Whereas simple stereotypic movements (e.g., rocking) are

common in young typically developing children, complex
stereotypic movements are much less common
(approximately 3%–4%).  
E. Stereotypicmovementstypicallybeginwithinthefirstyearoflife.  
. 1.54 Which of the following is a DSM-5 diagnostic criterion for

Tourette’s disorder?
A. Tics occur throughout a period of more than 1 year, and during
this period there was never a tic-free period of more than 3
consecutive months.  
B. Onsetisbeforeage5years.  
C. The tics may wax and wane in frequency but have persisted for
more than   1 year since first tic onset.  
D. Motor tics must precede vocal tics.  
E. Theticsmayoccurmanytimesadayforatleast4weeks,butnolongertha
n   12 consecutive months.  
. 1.55 At her child’s third office visit, the mother of an 8-year-old boy
with a 6-month history of excessive eye blinking and intermittent
chirping says that she has noticed the development of grunting
sounds since he started school this term. What is the most likely
diagnosis?   A. Tourette’s disorder.  B.
Provisionalticdisorder.  C. Temporary tic disorder.  D. Persistent
(chronic) vocal tic disorder. E. Transientticdisorder,recurrent.  
. 1.56 A 5-year-old girl is referred to your care with a DSM-IV

diagnosis of chronic motor or vocal tic disorder. Under DSM-5,
she would meet criteria for persistent (chronic) motor or vocal tic
disorder. Which of the following statements about her new
diagnosis under DSM-5 is false?   A. She may have single or
multiple motor or vocal tics, but not both.  B.
Herticsmustpersistformorethan1yearsincefirstticonsetwithoutatic-
  free period for 3 consecutive months to meet diagnostic criteria.
 
Neurodevelopmental Disorders—QUESTIONS | 19
C. Her tics may wax and wane in frequency but have persisted for more
than 1 year since first tic onset.
D. She has never met criteria for Tourette’s disorder.  
E. A specifier may be added to the diagnosis of persistent (chronic)

motor or   vocal tic disorder to indicate whether the girl has motor
or vocal tics.  
. 1.57 A highly functional 20-year-old college student with a history of

anxiety symp- toms and attention-deficit/hyperactivity disorder, for
which she is prescribed lisdexamfetamine (Vyvanse), tells her
psychiatrist that she has been research- ing the side effects of her
medication for one of her class projects. In addition, she says that
for the past week she has been feeling stressed by her schoolwork,
and her friends have been asking her why she intermittently bobs
her head up and down multiple times a day. What is the most likely
diagnosis?   A. Provisional tic disorder.  B.
Unspecifiedticdisorder.  C. Unspecified anxiety disorder.  D.
Obsessive-compulsive personality disorder. E.
Unspecifiedstimulant-induceddisorder.  
. 1.58 Which of the following is not a DSM-5 diagnostic criterion for

language disorder?
A. Persistent difficulties in the acquisition and use of language
across modali- ties due to deficits in comprehension or
production.  
B. Language abilities that are substantially and quantifiably below

those expected for age.  
C. Symptom onset in the early developmental period.  
D. Inability to attribute difficulties to hearing or other sensory

impairment,   motor dysfunction, or another medical or
neurological condition.  
E. Failuretomeetcriteriaformixedreceptive-
expressivelanguagedisorderor   a pervasive developmental
disorder.  
. 1.59 Which of the following statements about speech sound disorder

is true?
A. Speech sound production must be present by age 2 years.  
B. “Failure to use developmentally expected speech sounds” is

assessed by   comparison of a child with his or her peers of
the same age and dialect.  
C. The difficulties in speech sound production need not result in

functional   impairment to meet diagnostic criteria.  
D. Symptom onset is in the early developmental period.  
E. BothAandCaretrue.  
. 1.60 A mother brings her 4-year-old son to you for an evaluation with
concerns that her son has struggled with speech articulation since
very young. He has not sustained any head injuries, is otherwise
healthy, and has a normal IQ. His pre-  
20 | Neurodevelopmental Disorders—QUESTIONS
school teacher reports that she does not always understand what he is
saying and that other children tease him by calling him a “baby” due to
his difficulty with communication. He does not have trouble relating to
other people or understanding nonverbal social cues. What is the most
likely diagnosis?
A. Selective mutism.  B. Globaldevelopmentaldelay. C. Speech sound
disorder.  D. Avoidant personality disorder. E.
Unspecifiedanxietydisorder.
. 1.61 A 6-year-old boy is failing school and continues to struggle
significantly with grammar, sentence construction, and vocabulary.
When he speaks, he also in- terjects “and” in between all his
words. His teacher reports that he requires more verbal redirection
than other students in order to stay on task. He is gen- erally quiet
and does not cause trouble otherwise. Which of the following di-
agnoses would be on your differential?   A. Language
disorder.  B. Expressivelanguagedisorder.  C. Childhood-onset
fluency disorder.  D. Attention-deficient/hyperactivity disorder
(ADHD). E. AandD.  
. 1.62 Which of the following types of disturbance in normal speech

fluency/time patterning included in the DSM-IV criteria for
stuttering was omitted in the DSM-5 criteria for childhood-onset
fluency disorder (stuttering)?   A. Sound prolongation.  B.
Circumlocution.  C. Interjections.  D. Words produced with an
excess of physical tension. E. Soundandsyllablerepetitions.  
. 1.63 A 14-year-old boy in regular education tells you that he thinks a

girl in class likes him. His mother is surprised to hear this, because
she reports that, since a young age, he has often struggled with
making inferences or understanding nuances from what other
people say. The teacher has also noticed that he some- times
misses nonverbal cues. He tends to get along better with adults,
perhaps because they are not as likely to be put off by his overly
formal speech. When he makes jokes, his peers do not always find
the humor appropriate. Although he enjoys spending time with his
best friend, he can be talkative and struggles with taking turns in
conversation. What is the most likely diagnosis?
A. Social (pragmatic) communication disorder.  
B. Asperger ’s disorder.  
C. Autism spectrum disorder.  

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.

Which of the following statements about the developmental course of

B. Among typically developing children, the repetitive movements

C. In some children, the stereotypic movements would result in self-

D. Whereas simple stereotypic movements (e.g., rocking) are

. 1.54 Which of the following is a DSM-5 diagnostic criterion for

. 1.56 A 5-year-old girl is referred to your care with a DSM-IV

D. She has never met criteria for Tourette’s disorder.

E. A specifier may be added to the diagnosis of persistent (chronic)

. 1.57 A highly functional 20-year-old college student with a history of

. 1.58 Which of the following is not a DSM-5 diagnostic criterion for

B. Language abilities that are substantially and quantifiably below

C. Symptom onset in the early developmental period.

D. Inability to attribute difficulties to hearing or other sensory

. 1.59 Which of the following statements about speech sound disorder

A. Speech sound production must be present by age 2 years.

B. “Failure to use developmentally expected speech sounds” is

C. The difficulties in speech sound production need not result in

D. Symptom onset is in the early developmental period.

. 1.62 Which of the following types of disturbance in normal speech

. 1.63 A 14-year-old boy in regular education tells you that he thinks a

A. Social (pragmatic) communication disorder.

C. Autism spectrum disorder.

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D. She has never met criteria for Tourette’s disorder.  

C. Symptom onset in the early developmental period.  

A. Speech sound production must be present by age 2 years.  

D. Symptom onset is in the early developmental period.  

A. Social (pragmatic) communication disorder.  

C. Autism spectrum disorder.  