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Psychiatry · Child psychiatry: ADHD
Sample itemFor more than six months, a child has impairing inattention and hyperactive-impulsive behavior at both home and school, with onset before age 12. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Attention-deficit/hyperactivity disorder
ADHD requires a persistent pattern of inattention and/or hyperactivity-impulsivity that impairs functioning in at least two settings, with several symptoms before age 12. Information from more than one observer is valuable.
Option by option
A. Selective mutism
Selective mutism is failure to speak in specific social situations despite speaking elsewhere.
B. Attention-deficit/hyperactivity disorder (correct)
Correct. Cross-setting impairment and developmental onset support ADHD.
C. Conduct disorder
Conduct disorder requires repeated violation of the rights of others or major rules.
D. Specific learning disorder
Specific learning disorder is a circumscribed academic skill deficit.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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