OBA 3

Q1. A 3-year old boy presents to your clinic with his parents who are concerned about his development. He only speaks in single words, is unable to engage using eye contact, does not play with other children and continuously bangs his head against the wall. What is the most likely diagnosis?

A. Autism

B. Tourette’s disorder

C. Foetal alcohol syndrome

D. Attention deficit hyperactivity disorder (ADHD)

E. None of the above


Q2. Mild mental retardation is defined as

A. IQ 70-85

B. IQ 50-70

C. IQ 35-49

D. IQ 20-34

E. IQ <20


Q3. Which of the following is the most inherited cause of mental retardation?

A. Down syndrome

B. Fragile X syndrome

C. Rett syndrome

D. Williams syndrome

E. Prader-Willi syndrome


Q4. Which of the following is the most common genetic cause of mental retardation?

A. Rett syndrome

B. Down syndrome

C. Fragile X syndrome

D. DiGeorge syndrome

E. Foetal alcohol syndrome


Q5. Selective mutism is defined as

A. Occasional refusal to speak in school

B. Occasional refusal to speak in social situations

C. Inability to speak in front of a crowd

D. Consistent failure to speak in specific social situations

E. None of the above


Q6. A 5-year old boy presents to your clinic two months after starting pre-school. His parents are worried about reports from his teachers that he does not talk at school, refuses to join in learning activities and does not play with other children. His father also notes that he becomes very quiet when there are visitors to their house and during large gatherings with extended family. However, he is quite talkative and playful at home and plays with his younger sister. His developmental milestones have been normal.

What is the most likely diagnosis?

A. Autism

B. Separation anxiety

C. Selective mutism

D. Stranger anxiety

E. ADHD


Q7. What percentage of children with autism exhibit savant skills?

A. Less than 1 percent

B. 10 percent

C. 20 percent

D. 40 percent

E. 60 percent


Q8. The most common reason for presentation of children with autism is

A. Language delay

B. Head banging behavior

C. Lack of emotional reaction

D. Lack of interest in social interaction

E. Difficulty tolerating changes in their routine


Q9. The symptom of ADHD that usually remits first is

A. Impulsivity

B. Hyperactivity

C. Distractibility

D. Learning difficulties

E. Speech delay

Q10. A 7-year old boy is diagnosed with severe learning disability. His parents blame themselves for his condition. You try to explain to the parents the possible causes of their childs condition.

Which of the following is the most common cause of severe generalised learning disability?

A. Down syndrome

B. Foetal alcohol syndrome

C. Birth trauma

D. Fragile X syndrome

E. Childhood infection

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