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1. Which of the following activities would both a pharmacist and pharmacy technician be involved in relation to pediatric mental health?

A. Collaboration with a pediatrician or other qualified child mental health professional B. Making a referral to the appropriate provider C. Discuss findings from a screening process D. Prevention tips for health lifestyles

2. Which of the following is true about screening tools to assess for the presence of social-emotional and psychosocial issues?

A. Screening tools can only be administered as questionnaires B. A positive screen typically warrants referral for a more thorough assessment by a pediatrician or a mental health specialist C. The use of screening tools will not interrupt the advancement of symptoms D. Screening tools should only be used by the pharmacist

3. Which of the following is a tool that assesses risks for depression and suicide?

A. PHQ-9 B. PSC C. SDQ D. SCARED

4. Which of the following is a tool that assesses the presence of childhood anxiety disorders?

A. PHQ-9 B. PSC C. SDQ D. SCARED

5. During a screening if there are any concerns about a child's safety which of the following should be assessed?

A. Suicidal ideations B. Physical abuse C. Substance abuse D. All the above should be assessed

6. When making a referral which of the following would be appropriate?

A. After completing the assessment, the technician can make a referral to the appropriate provider B. A referral should only be made to a child mental health professional C. For academic difficulties a referral to a child educational psychologist or multidisciplinary learning disorder team may be most helpful D. Local mental health care centers are not good resources for patients who do not have mental health care coverage

7. In which of the following ways can a pharmacy technician be involved in collaboration of care?

A. Monitoring of medication effectiveness B. Monitoring of adverse effects C. Improving adherence issues D. Providing community resource information

8. Which of the following has NOT been shown to cause anxiety?

A. Albuterol B. Acetaminophen C. Ma huang D. Caffein

9. Which of the following has evidence in treating anxiety disorders but has not been approved by the FDA to be used in the pediatric population for this indication?

A. SSRIs B. Tricyclics C. Atypical Antipsychotics D. Bupropion

10. Which of the following correctly identifies social anxiety disorder?

A. Persistent excessive worry about being separated from attachment figures B. Recurrent, unexpected panic described as intense fear, that crescendos over the course of minutes C. Inability to perform in front of others as expected for age D. Physical complaints when separation occurs or is anticipated

11. Which of the following is true about OCD?

A. The average age at which OCD usually appears is 3-4 years of age B. Females typically have an earlier age of onset C. Sudden onset of symptoms should alert the clinician to screen for meningococcal infection D. OCD often leads to avoidance of situations that trigger obsessions which can interfere with normal development

12. Which of the following is true when treating depression in the pediatric population?

A. SNSRIs are the first-line antidepressant agents B. Citalopram has the strongest evidence for use in pediatric depression and has FDA approval in this population C. Paroxetine should be avoided in this age group due to the increased risk of suicidality as compared to other antidepressants D. Mirtazapine may be beneficial for patients with comorbid ADHD or a tobacco use disorder

13. Which of the following symptoms is rarely seen in children and adolescents who present with bipolar disorder?

A. Euphoric mood B. Aggressive temper C. Rapid cycling D. Anger outbursts

14. If an adolescent is taking an antipsychotic medication to treat bipolar disorder which of the following should be monitored?

A. Blood pressure B. Dermatologic effects C. Weight D. Iron

15. Which of the following medications has approval for both OCD and depression in youth >8 years of age?

A. Clomipramine B. Sertraline C. Fluoxetine D. Duloxetine

16. Which of the following is true about the suicide rate in the pediatric population?

A. In 2018, adolescents and young adults ages 15 to 24 had a suicide rate of 35% B. Female students reported suicide attempts almost twice as often as male students C. African American students have lower rates of suicide attempt as compared to Caucasian students D. The US has a higher rate of suicide attempts in the younger population as compared to other countries primarily due to the influence of social media

17. Which of the following is NOT a risk factor for suicide?

A. OCD B. Bipolar disorder C. Depression D. Anxiety

18. When attempting to make an intervention if an adolescent expresses suicidal ideations which of the following should be done?

A. The technician should be the primary person to counsel the adolescent or other family members B. It would be acceptable to leave the adolescent alone if you do not suspect there is any immediate danger C. Even if in doubt take an active approach, have honest and open discussions with the adolescent and other family members D. Even if it is not an immediate crisis the adolescent should immediately be hospitalized for psychiatric evaluation

19. If you suspect a child is at risk for violent or dangerous behavior which of the following would be an appropriate course of action?

A. If a child refuses to talk or is argumentative delay the conversation until the child is willing to talk to you B. It is not important to address suicide ideations along with violent behavior C. If a child has a mental health provider contact them immediately D. If a child does not have a mental health provider, the first step is to wait for a consult from that specialist before taking any action

20. Which of the following would be appropriate for a parent to do if trying to prevent violent behavior?

A. Allow the adolescent to watch media coverage of violence is acceptable versus discussion with a parent B. It is not necessary to have discussions about the use of firearms if there are no firearms in your home C. If there has been no disciplinary action from the school, there is no need to monitor the child's performance or attendance records D. Encourage the child's friends to spend time at your house