Deck 18: Child and Adolescent Psychopharmacology

Question 1

The mood stabilizer associated with birth defects is:

A)lithium.
B)Depakote.
C)Topomax.
D)All of the answers are correct.

Answer 1

D

Question 2

The treatment of choice for depression in very young children is:

A)SSRI's.
B)psychostimulants (e.g.,Ritalin).
C)psychotherapy.
D)mood stabilizers.

Answer 2

C

Question 3

The following class of drug is most efficacious for treating autism:

A)opiate antagonists.
B)psychostimulants.
C)SSRIs.
D)atypical antipsychotics.

Answer 3

D

Question 4

The difference between Concerta and methylphenidate is:

A)pharmacokinetic.
B)pharmacodynamic.
C)both pharmacokinetic and pharmacodynamic.
D)neither pharmacokinetic nor pharmacodynamic.

Question 5

The two drugs well documented for,and approved by the FDA for,the treatment of major depression in children and adolescents are:

A)a benzodiazepine anxiolytic and Paxil.
B)Prozac and Effexor.
C)a benzodiazepine anxiolytic and Prozac.
D)Prozac and Lexapro.

Question 6

The treatment of choice for depression in adolescents is:

A)SSRIs alone.
B)SSRIs along with cognitive-behavioral therapy.
C)atypical antipsychotics alone.
D)atypical antipsychotics along with cognitive-behavioral therapy.

Question 7

SSRI discontinuation syndrome in newborn offspring of mothers who use SSRI-type antidepressants in the third trimester:

A)does not occur.
B)is actually severe colic.
C)is usually fatal.
D)includes hyperactive reflexes and breathing difficulties.

Question 8

The drug class of choice for treating childhood and adolescent depression is:

A)benzodiazepines.
B)SSRIs.
C)tricyclic antidepressants.
D)psychostimulants.

Question 9

In terms of pharmacokinetics,methylphenidate has a:

A)slow onset and long duration.
B)slow onset and short duration.
C)fast onset and long duration.
D)fast onset and short duration.

Question 10

The following drug accounts for 90 percent of the prescriptions for ADHD:

A)cocaine
B)dextroamphetamine
C)methamphetamine
D)methylphenidate

Question 11

The drug class of choice for treating ADHD is the:

A)sedatives.
B)psychostimulants.
C)SSRIs.
D)anticonvulsants.

Question 12

Brain differences of the _____ system are associated with ADHD.

A)NE
B)5-HT
C)DA
D)All of the answers are correct.

Question 13

Historically,the mainstay drugs for treatment of autism were:

A)neuroleptics.
B)atypical antipsychotics.
C)selective serotonin reuptake inhibitors (SSRIs).
D)psychostimulants.

Question 14

The first choice in the treatment of depression in very young children is:

A)SSRI's.
B)tricyclic antidepressants.
C)atypical antipsychotics.
D)psychotherapy.

Question 15

The most extensively studied psychological disorder of childhood is:

A)autism.
B)conduct disorder.
C)aggressive disorders.
D)ADHD.

Question 16

Effexor and benzodiazepines are:

A)much more effective than SSRIs in treating depression in children and adolescents.
B)somewhat more effective than SSRIs in treating depression in children and adolescents.
C)no different than SSRIs in treating depression in children and adolescents.
D)markedly less effective than SSRIs in treating depression in children and adolescents.

Question 17

Of the following,the drug-class of choice for treating aggressive disorders in children and adolescents is:

A)sedatives.
B)stimulants.
C)atypical antipsychotics.
D)antidepressants.

Question 18

Anxiety disorders in children are:

A)undiagnosed and untreated.
B)underdiagnosed and undertreated.
C)overdiagnosed but untreated.
D)overdiagnosed and overtreated.

Question 19

Adderal,a drug used to treat ADHD,is a form of:

A)minor tranquilizer.
B)major tranquilizer.
C)methylphenidate.
D)amphetamine.

Question 20

Treatment of children with anti-ADHD medications leads to the following in adulthood:

A)a 2-fold increase in the likelihood of drug abuse.
B)a 10-fold increase in the likelihood of drug abuse.
C)no increased risk of drug abuse.
D)a 10-fold decrease in the likelihood of drug abuse.

Question 21

The best pharmacological treatment for childhood- and adolescent-onset schizophrenia is:

A)an atypical antipsychotic.
B)an SSRI.
C)an antimanic anticonvulsant.
D)a sedative-barbiturate.

Question 22

There is a wealth of evidence for the efficacy of medication in pre-schoolers with OCD or

Question 23

Childhood use of stimulant medication for ADHD is associated with later substance abuse.

Question 24

In treating autism,the atypical antipsychotics are effective and without serious side effects.

Question 25

Atypical antipsychotics have negligible side effects in children.

Question 26

Evidence indicates that as many as 1 percent of youths suffer from autism.

Question 27

SSRI's are the most effective drugs for treating anxiety associated with autism.

Question 28

Most children "grow out" of aggressive behavior.

Question 29

It is generally concluded that if a child with ADHD does not respond to one stimulant class,then switching to another class is not recommended.

Question 30

Stimulants improve behavioral symptoms of ADHD.

Question 31

Adolescent use of stimulant medication for ADHD is associated with later substance abuse.

Question 32

The majority of youth and adolescents who need mental health services receive them.

Question 33

The drug (or drug class)of choice for treating obsessive-compulsive disorder in children and adolescents is:

A)tricyclic antidepressants.
B)SSRIs.
C)benzodiazepines.
D)lithium.

Question 34

Used in combination with atypical antipsychotics,and presently the mainstay of treatment of adolescent and childhood bipolar disorder,are:

A)the classical antipsychotics.
B)the SSRI's.
C)mood stabilizers.
D)the sedative-barbiturates.

Question 35

Evidence indicates that as many as 25 percent of youths have had at least one psychiatric disorder.

Question 36

SSRI's are currently the mainstay for treating aggressive,explosive,and rage disorders in children.

Question 37

Childhood and adolescent use of stimulant medication for ADHD results in a twofold increase in risk for later addiction and cigarettes.

Question 38

Benzodiazepines are highly recommended for treating anxiety disorders in very young children.

Question 39

The typical antipsychotics have long been associated with large numbers of birth defects.

Question 40

Atypical antipsychotics are clinically the most effective drugs for treating aggression in youths with autism.

Question 41

Lithium has little efficacy in the treatment of adolescent bipolar disorder.

Question 42

Like the amphetamines,Straterra blocks the reuptake of NE and DA.

Question 43

Methylphenidate accounts for less than half of the prescriptions for ADHD.

Question 44

Methylphenidate is best taken in the evening.

Question 45

No single atypical antipsychotic has been shown most effective in the treatment of childhood-onset schizophrenia.

Question 46

SSRIs have clearly been associated with increased frequency of suicides in adolescents.

Question 47

Technically,Ritalin is classified as an amphetamine.

Question 48

Currently,the best drug for treating childhood schizophrenia is the traditional neuroleptic (e.g.,Haldol).

Question 49

The treatment of choice for childhood depression is a combination of fluoxetine and cognitive behavioral therapy.

Question 50

Concerta is a rapid-release formulation of Ritalin.

Question 51

Technically,Ritalin is classified as a depressant.

Question 52

Benzodiazepines are quite beneficial when combined with antidepressants in treating childhood and adolescent depression.

Question 53

Ritalin is the drug treatment of choice for childhood depression.