A 14-year-old boy is brought to the physician because he told his mother he wished he were dead. He has been irritable for the past several weeks, and has been isolating himself in his room, avoiding his friends. He has been complaining of general aches and pains as well. Which of the following statements is true about this disorder?
a. It is rare in children
b. Its presentation in children is similar to that in adults
c. Medications are not the treatment of choice
d. Psychotic symptoms are common
e. Questions about suicide will increase the likelihood of self-destructive behavior
the answer is below…
The United States Medical Licensing Examination, or USMLE for short, is a three-part licensing examination that is required in order to receive a license to practice medicine within the United States.
The USMLE assesses a physician’s ability to apply knowledge, concepts, and principles, and to determine fundamental patient-centered skills that are important in health and disease and that constitute the basis of safe and effective patient care.Examination committees composed of medical educators and clinicians from across the United States and its territories prepare the examination materials each year.
This exam is designed by the Federation of State Medical Boards and the National Board of Medical Examiners to determine whether or not an individual understands and can apply the knowledge necessary to practice medicine safely and intelligently.
The USMLE is actually comprised of three different exams that are referred to as steps, which examine the individual’s knowledge of specific topics related to the field of medicine such as basic science, medical knowledge, medical skills, clinical science, and the application of all of these skills and areas of knowledge in the medical field.
All three steps of the USMLE include a series of computerized multiple-choice questions, but the format of the exam and the information covered in each multiple-choice section is different for each step of the USMLE. The USMLE Step II also has a clinical skills portion that examines an individual’s ability to work with real patients and the USMLE Step III has a computerized patient simulation portion in addition to the multiple-choice section of the exam. In order for an individual to receive a license to practice medicine, the individual must pass all three steps of the USMLE.
The correct answer is d; Psychotic symptoms are common.
Depressive disorders are not rare in children, and often children with depression have relatives who also suffer from depression or another mood disorder. The incidence of depression is estimated to be 0.9% in preschoolers, 1.9% in school-age children, and 4.7% in adolescents. The incidence is considerably higher among children with neurological or medical illnesses. The diagnosis can be difficult because younger children’s symptoms differ from the symptoms of depression usually displayed by adults. Often, aggression and irritability replace sad affect, and poor school functioning or refusal to go to school may be the prominent manifestations. Psychotic symptoms are present in one-third of the cases of childhood major depression. Asking a child about suicidal ideation does not increase the risk of the child acting on this wish.