Lewis’s Child and Adolescent Psychiatry Review: 1400 Questions to Help You Pass the Boards PDF
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Lewis’s Child and Adolescent Psychiatry Review 1,400 QUESTIONS TO HELP YOU PASS THE BOARDS Test One • Questions iii Lewis’s Child and Adolescent Psychiatry Review 1,400 QUESTIONS TO HELP YOU PASS THE BOARDS A Board Review and Companion Guide Yann B. Poncin, MD and Prakash K. Thomas, MD Child Study Center Yale University School of Medicine New Haven, Connecticut Acquisitions Editor: Lisa McAllister Marketing Manager: Brian Freiland Product Manager: Tom Gibbons Design Coordinator: Steve Druding Vendor Manager: Alicia Jackson Production Service: Thomson Digital Senior Manufacturing Manager: Benjamin Rivera Copyright © 2010 by Lippincott Williams & Wilkins, a Wolters Kluwer business 530 Walnut Street Philadelphia, PA 19106 USA LWW.com Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. 978-0-7817-9507-4 0-7817-9507-9 Library of Congress Cataloging-in-Publication Data Poncin, Yann B. Lewis’s child and adolescent psychiatry review book: a board review and companion guide/Yann B. Poncin and Prakash K. Thomas. p. ; cm. Companion guide to: Lewis’s child and adolescent psychiatry: a comprehensive textbook/editors, Andres Martin, Fred R. Volkmar. 4th ed. c2007. Includes bibliographical references and index. ISBN-13: 978-0-7817-9507-4 (pbk. : alk. paper) ISBN-10: 0-7817-9507-9 (pbk. : alk. paper) 1. Child psychiatry—Examinations, questions, etc. 2. Adolescent psychiatry—Examinations, questions, etc. I. Thomas, Prakash K. II. Lewis, Melvin, 1926–2007. III. Lewis’s child and adolescent psychiatry. IV. Title. V. Title: Child and adolescent psychiatry review book. [DNLM: 1. Mental Disorders—Examination Questions. 2. Adolescent. 3. Child. 4. Infant. WM 18.2 P795L 2010] RJ499.32.P66 2010 618.92’890076—dc22 2009028698 DISCLAIMER Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the professional responsibility of the practitioner. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice. To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223-2320. International customers should call (301) 223-2300. Visit Lippincott Williams & Wilkins on the Internet: at LWW.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6 pm, EST. 10 9 8 7 6 5 4 3 2 1 We would like to thank the editors of Lewis’s Textbook, fourth edition: Andrés Martin, MD, MPH and Fred R. Volkmar, MD whose support and mentorship made this book possible. Yann’s dedication— To Shem, Jana and Forrest. Prakash’s dedication— To Alice. Foreword New Developments In keeping with the tradition of a parent textbook that has spanned four editions over two decades, this new addition to the Lewis series is all about development. These complementary books mark more than the simple progression from an encyclopedic source to its manageable distillation: taken together, they embody development quite concretely. For starters, there is the development of the science of human development itself. In a relatively short period, our understanding of development has grown rapidly, moving from an almost entirely observational discipline to one firmly grounded in the neurosciences. Genetic underpinnings have been described for a range of illnesses; genes are increasingly understood through their interplay with ever-present external influences; temperamental traits are being related to specific pathways in brain circuitry; and developmental milestones traced to the orderly maturation of brain cortex, which, in turn, has been pegged to molecular signals. As our under- standing of the remarkable underpinnings of developmental psychopathology has unfolded, the observational earlier stage of the discipline has not been supplanted but rather deepened. Along the best lines of developmental maturation, earlier stages—of the science as much as of the Textbook—have not been discarded, but served as a foundation to build upon. Quite apart from the many advances visible in its content, the format of the Textbook has likewise progressed. This transition was most readily apparent with the Fourth Edition—the first to come accompanied by a fully searchable, web-based clone. And with this new Review and Companion Guide, the Lewis “brand” breaks new ground by providing an interactive approach to the original source. Although the print-to-electronic transition reflects broader trends in academic publishing, this companion book underscores the importance of the actively engaged reader it is intended to reach. The title of this new volume suggests that it is actually two books rolled into one. Taking this implicit suggestion one step further, I would propose that the two parts of the title provide distinct ways to elicit the “actively engaged” potential of its audience. By taking the Companion Guide approach, the interested reader can take the book one chapter at a time, a piecemeal strategy well-suited to the trainee encountering the material for the first time or to the instructor looking for objective and measurable learning targets. For those readers at the later developmental stage of wanting to review it all in one fell swoop—typically in preparation for certification or recertification examinations—the Review option may be the more relevant one to pursue. Both strategies have the common goals of making an otherwise imposing tome more approachable and of bringing down the barriers that so often relegate large textbooks to a classic yet premature entombment. A final developmental domain worth noting concerns the editors of this book. In compiling and organizing Lewis’s Child and Adolescent Psychiatry Review, Yann Poncin and Prakash Thomas have moved their teachers’ work forward—just as Fred Volkmar and I had had the earlier privilege of advancing our own teacher’s work by editing the Fourth Edition. But the word “teacher,” with whatever hierarchical implications it carries, does not quite do justice to what these collabora- tions have entailed. A better approximation would be From Generation to Generation, the words inscribed at the entrance of the Yale Child Study Center, the institution that has housed and nurtured each one of us over so many years. It thus seems fitting to end where it all started, with the late Melvin Lewis we each knew, respected and came to emulate. This newest addition to his legacy speaks to the enduring example of scholarship he left us with. Yann and Prakash—and the colleagues they lassoed into this truly collective effort—are the next generation of Yale Child Study Center faculty and friends carrying on with the life’s work of our elder. Mel would have been delighted to see these new developments. Andrés Martin Yale Child Study Center New Haven, Connecticut vi Preface What is this book? First and foremost, we consider it a companion guide to Lewis’s Child and Adolescent Psychiatry: A Comprehensive Textbook, Fourth Edition. The 1400 questions summarize the material covered in the textbook. Where we encountered key points representative of a chapter, we formed questions from them, and avoided the temptation to stray into esoteric informa- tion. As only brief explanations, if any, are provided in the answer section, and as the included page references are intended to spur further reading, this book is best used while having Lewis’s Textbook an arm’s length away for easy perusal. Although it can be used alone, the true value of the questions derives from the consideration of why your answer was right or wrong upon read- ing the textbook. Secondly, this Review aids in preparation for the child and adolescent specialty boards, recer- tification, and the Child Psychiatry Resident-In-Training Examination (CHILD PRITE®). We did not specifically write questions to reflect the content and emphasis of the boards; however, the comprehensive scope of the 1400 questions addresses many, if not all, of the subject areas tested. To correspond to the written boards examination, the book is divided into seven tests, composed of 200 questions each, and followed by the respective answer section. Considering how these questions cover the great range of topics in child and adolescent psychiatry, you should be able to gauge your areas of strength and expertise as well as areas requiring further study. A few caveats will preempt assumptions that these questions have a direct similarity to those encountered in the boards. For example, a number of questions concern the history of child and adolescent psychiatry, a topic not tested in the written examination. Regardless, we felt that prac- titioners in the discipline should be aware of the historical influences that continue to shape our present-day practice. In addition, the true/false and matching terms questions are not found on the boards, but these formats allow access to topics that were not easily covered by the standard multiple-choice template. Finally, in our estimation, the difficulty of these questions is greater than what you will encounter on the boards, but we hope this challenge will encourage further reading and solid preparation. For each of the seven tests, we designed a random distribution of questions covering nearly all of the chapters in Lewis’s Textbook. However, some readers may want to focus on a particular topic in their studies, such as clinical pharmacology, in which case they can refer to the Appendix to locate all questions pertaining to the subject. This section may also help identify topics that require further study after the completion of a test and the consideration of which questions were incorrect. Finally, true to its nature as a companion guide, the Appendix can also facilitate a quick review after reading a chapter in Lewis’s Textbook. We would like to acknowledge those who helped make this book possible. We thank Andrés Martin for his gracious introduction of the book in the foreword, as well as for his inspiration and guidance in this project. We are grateful for the work of the additional contributors in composing questions. We thank the team from Lippincott Williams and Wilkins, especially Lisa McAllister, Tom Gibbons, Charley Mitchell, Sirkka Howes, and Jennifer LaGreca, for their coordination of this enterprise. We found great pleasure in the opportunity to work with Lewis’s Textbook and rediscover the impressive breadth of its introduction to child and adolescent psychiatry, made possible by a multitude of authors. We hope you make use of these questions and discover the same. Prakash K. Thomas Yann B. Poncin Yale Child Study Center New Haven, Connecticut vii List of Additional Contributors Heather Goff, MD (Chapters 3.1.2, 3.1.3, 3.1.4) Marian Moca, MD (Chapters 5.15.1, 5.15.3, Assistant Professor 5.15.4, 5.15.5) Department of Psychiatry Child & Adolescent Psychiatry Fellow Yale University School of Medicine Child Study Center New Haven, Connecticut Yale University School of Medicine New Haven, Connecticut Kamilah Jackson, MD (Chapters 2.3.1, 2.3.2, 2.3.3) Sunanda Muralee, MD (Chapters 1.7.1, 1.7.2, Child & Adolescent Psychiatry Fellow 1.7.3, 5.3) Child Study Center Child & Adolescent Psychiatry Fellow Yale University School of Medicine Child Study Center New Haven, Connecticut Yale University School of Medicine New Haven, Connecticut Dana Kober, MD (Chapters 5.1.1, 5.6, 6.3.1) Assistant Professor Christopher Raczynski, MD (Chapters 6.2.2, Texas Children’s Hospital 6.2.5, 6.2.6) Houston, Texas Child & Adolescent Psychiatry Fellow Child Study Center Christina Lee, MD (Chapters 5.1.2, 5.1.3, 5.1.4) Yale University School of Medicine Child & Adolescent Psychiatry Fellow New Haven, Connecticut Child Study Center Yale University School of Medicine Edwin Williamson, MD (Chapters 5.7.1, 5.7.2, New Haven, Connecticut 5.7.3) Child & Adolescent Psychiatry Fellow Child Study Center Yale University School of Medicine New Haven, Connecticut viii Contents Foreword vi Test Five Preface vii Questions . . . . . . . . . . . . . . . . . 139 List of Additional Contributors viii Answers . . . . . . . . . . . . . . . . . . 163 Test One Test Six Questions . . . . . . . . . . . . . . . . . . . .1 Questions . . . . . . . . . . . . . . . . . 173 Answers . . . . . . . . . . . . . . . . . . . 25 Answers . . . . . . . . . . . . . . . . . . 197 Test Two Test Seven Questions . . . . . . . . . . . . . . . . . . 35 Questions . . . . . . . . . . . . . . . . . 207 Answers . . . . . . . . . . . . . . . . . . . 60 Answers . . . . . . . . . . . . . . . . . . 231 Test Three Appendix . . . . . . . . . . . . . . . . . 241 Questions . . . . . . . . . . . . . . . . . . 71 Index . . . . . . . . . . . . . . . . . . . . 249 Answers . . . . . . . . . . . . . . . . . . . 95 Test Four Questions . . . . . . . . . . . . . . . . . 105 Answers . . . . . . . . . . . . . . . . . . 129 All page references in the Answer sections correspond to Lewis’s Child And Adolescent Psychiatry: A Comprehensive Textbook, fourth edition. ix
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