Child and adolescent psychiatry: multisystemic therapy for conduct disorder: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Psychiatry · Child and adolescent psychiatry: multisystemic therapy for conduct disorder

Sample item

A 14-year-old with conduct disorder has trouble in the family, at school and with a delinquent peer group. Which evidence-based intervention works across these systems?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Multisystemic therapy

Multisystemic therapy works intensively with the family, school and peers in the young person's own environment, and has good evidence in conduct disorder. Medication is not the primary treatment.

Option by option

  • A. Long-term haloperidol

    Haloperidol is not an effective treatment for conduct disorder.

  • B. Multisystemic therapy (correct)

    Correct. It targets family, school and peer systems together.

  • C. Four-times-weekly psychoanalysis

    Analysis lacks evidence for conduct disorder.

  • D. Institutional placement alone

    Placement alone removes the child but does not treat the causes and tends to worsen delinquent peer influence.

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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Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is B, Multisystemic therapy. Multisystemic therapy works intensively with the family, school and peers in the young person's own environment, and has good evidence in conduct disorder.

Why is "Long-term haloperidol" not the answer?

Haloperidol is not an effective treatment for conduct disorder.

Why is "Four-times-weekly psychoanalysis" not the answer?

Analysis lacks evidence for conduct disorder.

Why is "Institutional placement alone" not the answer?

Placement alone removes the child but does not treat the causes and tends to worsen delinquent peer influence.

What concept does this question test?

It tests Child and adolescent psychiatry: multisystemic therapy for conduct disorder in Psychiatry. Medication is not the primary treatment.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Child and adolescent psychiatry: multisystemic therapy for conduct disorder?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.