Child and Adolescent Psychiatry for the Specialty Board Review

202 Pages·2014·1.006 MB·English

by  Hong Shen, Robert L. Hendren

CHILD AND
ADOLESCENT
PSYCHIATRY
FOR THE
SPECIALTY
BOARD REVIEW
T his new, thoroughly revised edition of C hild and Adolescent Psychiatry for the Specialty Board
Review offers updated information along with the most recent references and knowledge reflected
in those changes. The authors especially incorporate new information and changes from DSM-5.
Both general and child/adolescent psychiatrists will find this new edition invaluable, not only as
a guide for preparing for their first successful board examination, but also as a review in prepar-
ing for important recertification exams. The book includes hundreds of multiple-choice ques-
tions modeled after the types of questions on the actual boards. This challenging update, with
new references and more relevant questions, will help readers to learn new information and be
better prepared for their board examinations. Because the authors rewrote the majority of ques-
tions to cover a broader knowledge base, readers may find it useful to use the fourth edition as a
companion book to the third edition.
Hong Shen, MD, is an Associate Clinical Professor in the Department of Psychiatry and Behav-
ioral Sciences at the University of California, Davis. As a community-based academic child and
adolescent psychiatrist, Dr. Shen provides mental health services in a variety of settings. He gained
extensive clinical trial research experience at the UC Davis MIND Institute. He also has special
interests in cross-cultural psychiatry. He is actively involved in child and adolescent resident train-
ing, general psychiatry resident training, and medical student education among other academic
commitments.
Robert L. Hendren, DO, is Professor and Vice Chair, Department of Psychiatry and Director,
Child and Adolescent Psychiatry at the University of California, San Francisco. His primary areas
of research and publication interests are translational clinical pharmacology and nutritional trials
using biomarkers for neurodevelopmental disorders such as autism spectrum disorder, dyslexia,
ADHD, schizophrenia spectrum disorder, and impulse control disorders. He has over 100
peer-reviewed publications on topics in his field, including five books, many book chapters, and
solicited papers. He is Past President of the American Academy of Child and Adolescent Psychiatry
and has an active leadership role in various local, state, and national organizations and committees.
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CHILD AND
ADOLESCENT
PSYCHIATRY
FOR THE
SPECIALTY
BOARD REVIEW
Fourth Edition
Hong Shen and Robert L. Hendren
First published 2015
by Routledge
711 Third Avenue, New York, NY 10017
and by Routledge
27 Church Road, Hove, East Sussex BN3 2FA
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2015 Taylor & Francis
The right of Hong Shen and Robert L. Hendren to be identified as authors of this work has been asserted by them
in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any
electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording,
or in any information storage or retrieval system, without permission in writing from the publishers.
Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for
identification and explanation without intent to infringe.
Library of Congress Cataloging-in-Publication Data
Hendren, Robert L., 1949– author.
Child and adolescent psychiatry for the specialty board review / Hong Shen, Robert Hendren.—4th edition.
p. ; cm.
Includes bibliographical references and index.
(alk. paper)
I. Shen, Hong, 1963– author. II. Title.
[DNLM: 1. Mental Disorders—Examination Questions. 2. Adolescent. 3. Child. WS 18.2]
RJ499.32
618.92ʹ890076—dc23
2014011256
ISBN: 978-0-415-81809-4 (hbk)
ISBN: 978-0-415-81810-0 (pbk)
ISBN: 978-0-203-58210-7 (ebk)
Typeset in Times
by Apex CoVantage, LLC
CONTENTS
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Part I: Multiple-Choice Questions
1 Normal Growth and Development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
2 Neurodevelopmental Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
3 Schizophrenia Spectrum Disorders and Other Psychotic Disorders . . . . . . . . . .41
4 Bipolar and Related Disorders and Depressive Disorders . . . . . . . . . . . . . . . . . .47
5 Disruptive, Impulse-Control, and Conduct Disorders . . . . . . . . . . . . . . . . . . . . .57
6 Anxiety Disorders, Obsessive-Compulsive and Related Disorders,
Trauma- and Stressor-Related Disorders, and Dissociative Disorders . . . . . . . .65
7 Feeding and Eating Disorders, Elimination Disorders, and Obesity . . . . . . . . . .75
8 Somatic Symptoms and Related Disorders and Sleep-Wake Disorders . . . . . . .87
9 Substance-Related and Addictive Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . .97
10 Special Issues (Suicide, Sexual Dysfunction, Gender Dysphoria, AIDS,
Paraphilic Disorders, Abuse, and Personality Disorders) . . . . . . . . . . . . . . . . .105
11 Psychological Testing and Rating Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119
12 Psychopharmacology and Medication-induced Movement Disorders
and Other Adverse Effects of Medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127
13 Psychotherapies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139
14 Treatment Settings, Health Care System, and Outcome . . . . . . . . . . . . . . . . . .149
15 Special Topics (Consultation, Forensics, and Public Health) . . . . . . . . . . . . . .157
16 Research Design, Statistics, and Technologies . . . . . . . . . . . . . . . . . . . . . . . . .165
Part II: Clinical Cases
17 Case Histories, Clinical Assessment, Differential Diagnosis,
Formulation, and Treatment Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175
v
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INTRODUCTION
Child and Adolescent Psychiatry for the Specialty Board Review is a study guide for
the child and adolescent specialty board review and has been highly regarded and pop-
ular since the first edition was published approximately 20 years ago. Six years have
passed since the third edition was published. Tremendous advances and changes in the
field of child and adolescent psychiatry have occurred in the past few years. The two
principal child and adolescent psychiatry textbooks referenced in the third edition have
new editions. More important, the American Psychiatric Association’s (APA) revised
DSM-5 was published in May 2013. In contrast to DSM-IV, which was similar to its
predecessors, DSM-5 embodies the first significant changes to psychiatric diagnoses in
more than 30 years. This new edition is carefully revised, which offers not only updated
information, along with the most recent references and knowledge reflected in those
changes, but also incorporates DSM-5 to ensure coverage of the major advances in the
classification and diagnoses of child and adolescent disorders represented in DSM-5.
G eneral and child/adolescent psychiatrists, residents, medical students, and other
professionals will find this new edition not only invaluable as a study guide in preparing
for board examinations, recertification examinations, PRITE exams, and the medical
students’ clerkship shelf exams but it will also serve as an excellent review of the latest
knowledge in the field for those wishing an up-to-date review. The revised book includes
a slightly larger number of multiple-choice questions modeled after the types of ques-
tions on the actual boards. This revision updates references and the majority of the
questions are brand-new, which will help readers review and learn new information and
be better prepared for their examinations and their practice. The revised book covers
similar subject matter and is divided into similar sections/chapters as the previous edi-
tion. However, because The American Board of Psychiatry and Neurology has phased
out the oral examinations, the section for mock examinations is eliminated from this
new edition. Instead, problem-based clinical cases are used as springboards to cover
clinical assessment, differential diagnosis, formulation, and treatment planning.
vii
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REFERENCES
Note: With dramatic advances continually being made in the clinical sciences, it
is a challenge for physicians to keep abreast both of the modifications in treat-
ment that such advances require and of the new drugs being introduced each
year. The authors and publisher of this volume have taken care to make certain
that the doses of drugs and schedules of treatment are correct and compatible
with standards generally accepted at the time of publication. However, it is
essential for the reader to become fully cognizant of the information on the
instruction inserts provided with each drug or therapeutic agent prior to admin-
istration or prescription.
F urther, as some of the topics are by nature ambiguous, it is suggested that the
reader consult the indicated reference sources for clarification should there be a
discrepancy between the answer selected and that which appears in the book.
Each question, answer, and explanation can be found in one or more of the basic books
on child and adolescent psychiatry, reference books, and published journal articles listed
here or in the answers to the questions. The references are cited by number, indicating
the appropriate page numbers, with each appropriate answer in the text.
1 . M. K. Dulcan (Ed.) Dulcan’s Textbook of Child and Adolescent Psychiatry (Fourth
Edition) . American Psychiatric Publishing, Inc. Arlington, VA, 2010.
2. M. K. Dulcan and M. B. Lake. C oncise Guide to Child & Adolescent Psychiatry
(Fourth Edition). American Psychiatric Publishing, Inc. Washington, DC, 2012.
3 . A. Martin, F. R. Volkmar, and M. Lewis (Ed.). Lewis’ Child and Adolescent Psychi-
atry: A Comprehensive Textbook (Fourth Edition). Lippincott Williams & Wilkins,
Philadelphia, PA, 2007.
4 . Diagnostic and Statistical Manual of Mental Disorders (5th Ed) (DSM-5) Amer-
ican Psychiatric Association, American Psychiatric Publishing, Inc. Washington,
DC, 2013.
ix