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Psychiatry · Child psychiatry: autism spectrum disorder
Sample itemA child has persistent difficulty with reciprocal social interaction, limited shared imaginative play, insistence on routines, and highly restricted interests from early development. Which diagnosis is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Autism spectrum disorder
Autism spectrum disorder requires persistent deficits in social communication and interaction together with restricted, repetitive patterns of behavior or interests beginning in early development. Support needs vary widely.
Option by option
A. Oppositional defiant disorder
Oppositional defiant disorder involves an angry, argumentative, or vindictive pattern.
B. Autism spectrum disorder (correct)
Correct. Both social-communication differences and restricted/repetitive behavior are present.
C. Attention-deficit/hyperactivity disorder
ADHD is characterized by inattention and/or hyperactivity-impulsivity, not this defining dual domain.
D. Separation anxiety disorder
Separation anxiety is excessive fear about separation from attachment figures.
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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