Psychiatry Child and Adolescent Depression: Review Questions Joseph V. Penn, MD Dr. Penn is the Director of Child and Adolescent Forensic Psychiatry, Rhode Island Hospital; and a Clinical Assistant Professor, Department of Psychiatry and Human Behavior, Division of Child and Adolescent Psychiatry, Brown Medical School, Providence, RI. Choose the single best answer for each question.
	Questions 1 and 2 refer to the following case study. A 9-year-old boy has a 3-month history of depressed mood, anhedonia, and decreased interest, energy, and concentration. He often argues with teachers and with his parents, who recently divorced. Previously an honor roll student, the boy has demonstrated a recent pattern of temper tantrums and deterioration in school grades and social activities. 1. Which of the following is the most likely diagnosis for this patient’s condition? Adjustment disorder Attention-deficit/hyperactivity disorder Major depressive disorder Oppositional defiant disorder No diagnosis, because behaviors are developmentally appropriate Click here to compare your answer. 2. Which of the following would be the most useful tool to diagnose a depressive disorder in this patient? Child Depression Inventory Comprehensive psychiatric evaluation Laboratory evaluation Parental interview Physical examination Click here to compare your answer.		Questions 3 and 4 refer to the following case study. A 14-year-old girl has a 12-month history of irritable mood, hypersomnia, overeating, low energy, low self-esteem, and poor concentration. She recently verbalized feelings of self-deprecation and hopelessness to a school counselor after breaking up with her boyfriend. 3. Which of the following is the most likely diagnosis for this patientıs condition? Adjustment disorder Dysthymic disorder Major depressive disorder Major depressive episode No diagnosis, because behaviors are developmentally appropriate Click here to compare your answer. 4. After informed consent is obtained from the patient and her parent(s)/legal guardian(s), which of the following classes of psychotropic medications is the most appropriate first-line treatment for this patient? Atypical antipsychotic agents (eg, risperidone, olanzapine, ziprasidone) Heterocyclics (eg, amoxapine, maprotiline) Monoamine oxidase inhibitors Selective serotonin reuptake inhibitors Tricyclic antidepressants Click here to compare your answer.
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