MCAT Social and Behavioral Sciences : MCAT Social and Behavioral

Study concepts, example questions & explanations for MCAT Social and Behavioral Sciences

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133 Practice Tests Question of the Day Flashcards Learn by Concept

Example Questions

Example Question #2 : Studying Psychological Disorders

Normal neurodevelopment in children is typically characterized by the acquisition of personal, social, academic, and occupational functioning. These functions are often learned and developed before the child begins primary education. During this period, the child learns social skills and how to control executive functions. Neurodevelopmental disorders involve developmental deficits that are manifested as impairments in normal neurodevelopment. Impairments in intelligence and social skills are often associated with neurodevelopmental disorders, and they frequently occur together.

A child and adolescent psychiatrist wanted to further characterize children with neurodevelopmental disorders according to several protocols. The psychiatrist observed all children with any identified impairments of social skills and any associated intellectual disability The psychiatrist noted the following: communication disorder, impairment in attention, impairment in organization, motor disorder, repetitive behaviors, restricted behaviors, or other interests.

The child and adolescent psychiatrist concluded that children with repetitive and restricted interests or patterns of behavior often demonstrate impairments in social skills. Some of the children who had restricted interests, repetitive patterns of behavior, and impairments in social skills also had intellectual impairments, language impairments, associated medical conditions, or other associated mental or behavioral disorders. It was found that specifying the individual characteristics of the neurodevelopmental disorders provided the child and adolescent psychiatrist the ability to better describe the diagnosis and associated symptoms to patients and their families.

If a 5-year-old boy who, in comparison to the boy's matched agemates, has severe difficulties in learning skills involving reading, writing, and arithmetic and is without ongoing support, then the child will most likely exhibit which of the following?

Possible Answers:

Need no support

Be able to care for personal needs

Show much more complex spoken language than that of peers

Require supervision at all times

Be mature in social interactions

Correct answer:

Require supervision at all times

Explanation:

The level of severity of intellectual disability is based on adaptive functioning (e.g. personal independence), and adaptive functioning determines the amount of support needed. In the absence of ongoing support, the adaptive deficits in children with severe intellectual disability will limit independence for all activities of daily living ("require supervision at all times"). "Need no support" is wrong since all patients with intellectual disability, dependent on adaptive functioning, require some level of support. "Be able to care for personal needs" can be eliminated since patients with severe intellectual disability require support for all activities of daily living.

Example Question #31 : Psychological Disorders And Anomalies

Normal neurodevelopment in children is typically characterized by the acquisition of personal, social, academic, and occupational functioning. These functions are often learned and developed before the child begins primary education. During this period, the child learns social skills and how to control executive functions. Neurodevelopmental disorders involve developmental deficits that are manifested as impairments in normal neurodevelopment. Impairments in intelligence and social skills are often associated with neurodevelopmental disorders, and they frequently occur together.

A child and adolescent psychiatrist wanted to further characterize children with neurodevelopmental disorders according to several protocols. The psychiatrist observed all children with any identified impairments of social skills and any associated intellectual disability The psychiatrist noted the following: communication disorder, impairment in attention, impairment in organization, motor disorder, repetitive behaviors, restricted behaviors, or other interests.

The child and adolescent psychiatrist concluded that children with repetitive and restricted interests or patterns of behavior often demonstrate impairments in social skills. Some of the children who had restricted interests, repetitive patterns of behavior, and impairments in social skills also had intellectual impairments, language impairments, associated medical conditions, or other associated mental or behavioral disorders. It was found that specifying the individual characteristics of the neurodevelopmental disorders provided the child and adolescent psychiatrist the ability to better describe the diagnosis and associated symptoms to patients and their families.

In order to make the diagnosis of intellectual disability, the intellectual and adaptive functioning deficits must be distinct from those characterized by autism spectrum disorder, communication disorders, specific learning disorder, and the neurocognitive disorders. To make the diagnosis of intellectual disability from the differential diagnoses, then which of the following would be the most logical action to take?

Possible Answers:

Show a loss of cognitive functioning, such as following a head injury

Show onset of disability during developmental period

Show deficits specific to the learning domains

Show IQ scores are unstable

Link the intellectual disability to a genetic syndrome

Correct answer:

Show onset of disability during developmental period

Explanation:

The diagnosis of intellectual disability is made when the onset of intellectual and adaptive function deficits is in the developmental period. The neurocognitive disorders are characterized by a loss of cognitive functioning and may occur with intellectual disability. Specific learning disorder is specific to the learning domains and does not show deficits in intellectual function and adaptive behaviors.

Example Question #1 : Biology And Treatment Of Specific Disorders

Selective serotonin reuptake inhibitors (SSRIs) are the drugs of choice in the treatment of __________.

Possible Answers:

depression

schizophrenia

bipolar disorder

dissociative identity disorder

psychosomatic disorder

Correct answer:

depression

Explanation:

Depression is treated with selective serotonin reuptake inhibitors (SSRIs). Serotonin is a neurotransmitter responsible for mood. By allowing more serotonin to be active in the synapses, mood is elevated. Bipolar disorder is treated with the mood stabilizer lithium. Psychosomatic disorder is treated using biofeedback and relaxation techniques to reduce tension and spasm. Schizophrenia is treated with antipsychotic medications, also called major tranquilizers. Risperidone is one of these. The treatment for dissociative identity disorder is psychotherapy.

Example Question #2 : Biology And Treatment Of Specific Disorders

Seasonal affective disorder has been associated with an increase in activity of which of the following proteins?

Possible Answers:

MTHFR

Serotonin transporter (SERT)

Acetylcholinesterase

Glucose transporter type 4 (GLUT4)

Correct answer:

Serotonin transporter (SERT)

Explanation:

Seasonal affective disorder has been associated with an increase in "serotonin transporter," or SERT. This protein is responsible for removing serotonin from the synaptic cleft and replacing it in the presynaptic neuron; therefore, it ends serotonin's signaling in the brain. Individuals with seasonal affective disorder (SAD) have been shown to have higher levels of SERT in the winter months or any condition of decreased light exposure.

Example Question #2 : Biology And Treatment Of Specific Disorders

Which of the following is most closely linked to Parkinson's Disease?

Possible Answers:

Progressive memory loss

Reduced presence of beta-amyloid proteins

Deterioration of cholinergic neurons in the substantia nigra region

Deterioration of dopaminergic neurons in the substantia nigra region

All of these are characteristic of Parkinson's Disease

Correct answer:

Deterioration of dopaminergic neurons in the substantia nigra region

Explanation:

Parkinson's is a degenerative neuromuscular disease, often associated with muscular tremors and shaking. In later stages, the neurological symptoms become more evident. While the exact cause of Parkinson's Disease is unknown (it is still considered idiopathic), there are correlations that suggest the cause is linked to the death of dopaminergic neurons in the substantia nigra region of the midbrain. Beta-amyloid protein plaques are also associated with Parkinson's Disease, as well as Alzheimer's Disease.

Example Question #4 : Biology And Treatment Of Specific Disorders

Treatment for Alzheimer's disease involves the use of cholinergic drugs that are aimed at __________.

Possible Answers:

orienting patents to reality

preventing sleep disturbances 

improving muscular coordination

curing the disease

improving memory

Correct answer:

improving memory

Explanation:

Cholinergic drugs used for the treatment of Alzheimer's disease are used to improve memory rather than to cure the disease. These drugs can slow the decline in cognitive function.  Patients in the early stages of the disease can benefit from reality orientation, which involves the repetition of verbal and nonverbal information to remind the person of names, dates, and other pertinent information. Alzheimer's disease is a progressive degenerative cognitive disorder. Although motor capabilities are assessed, the disease primarily involves loss of cognition, not motor function. If a patient is experiencing sleep disturbances, sleeping during daytime hours is discouraged.

Example Question #3 : Parkinson's Disease And Alzheimer's Disease

Parkinson's disease is a progressive disorder of which system?

Possible Answers:

Nervous system

Vascular system 

Digestive system

Antibacterial system

Pulmonary system

Correct answer:

Nervous system

Explanation:

The correct asnwer is the nervous system; this is what causes the tremors commonly associated with Parkinson's disease. 

Example Question #5 : Biology And Treatment Of Specific Disorders

Which of the following proteins become "tangled" in Alzheimer's disease patients?

Possible Answers:

C-reactive proteins

Lewy bodies

Tau proteins

Prion proteins (PrP)

Correct answer:

Tau proteins

Explanation:

"Tau proteins," proteins that aid in the cellular transport system of neurons, often become tangled in the brains of Alzheimer's disease, resulting in loss of cellular nutrient and waste transport and eventual cell death.

The other choices are incorrect. "Prion proteins" are found in various prion diseases such as bovine spongiform encephalopathy. "Lewy bodies" are symptomatic of Parkinson's disease, while "C-reactive proteins" are elevated in any condition associated with inflammation.

Example Question #6 : Biology And Treatment Of Specific Disorders

If a patient were diagnosed with claustrophobia, then which area of their brain would show increased activity in an MRI study?

Possible Answers:

Occipital lobe

Wernicke's area

Amygdala

Hypothalamus

Parietal lobe

Correct answer:

Amygdala

Explanation:

The amygdala, along with the insular cortex and the limbic system, demonstrates hyperactivity when a person experiences high levels of fear and/or anxiety, and would show hyperactivity in a patient with an anxiety disorder.

On the other hand, the other choices are incorrect. For example, Wernicke's area is associated with comprehension of spoken language, while the occipital lobe is associated with visual perception. Last, the parietal lobe helps integrate various forms of sensory input with each other to create an understanding of the world.

Example Question #1 : Biology And Treatment Of Other Disorders

A study done recently showed that several management approaches, in addition to behavioral therapy interventions, may be necessary in preschool-aged children with moderate to severe attention-deficit/hyperactivity disorder (ADHD). That is, medication and some alternative therapies may be needed for preschool-aged children with ADHD who do not respond or do not follow behavior therapy. The researchers evaluated disruptive behavior in 74 children four to five years of age who were followed for 24 months. The children were randomized to either behavior therapy plus placebo or behavior therapy plus methylphenidate, and ADHD-related behaviors were compared. Parents reported ADHD symptoms observed at 6, 12, and 24 months. The researchers also noted several signs and symptoms of adverse effects that may have been due to the medication, such as insomnia, anorexia, irritability, and reduced growth and weight gain. The researchers found the children who received behavior therapy plus methylphenidate had significant reductions in ADHD symptoms at all time points compared to children who received behavior therapy plus placebo. 

Severity of ADHD was taken into account by presence of symptoms of marked impairment in social functioning. The researchers eliminated the possible role of delays in social development not specific to ADHD by analyzing children whose symptoms of social functioning impairment clearly resulted from inattention, hyperactivity, and impulsivity. Specifically, inattention was identified as the child wandering off task that was not due to lack of understanding or disobedience; hyperactivity was identified as excessive talking or fidgeting when not appropriate; and impulsivity was identified as hasty actions without forethought by the child and with significant potential to harm the child. Symptoms affecting the relationship and mental health of the child’s parents were also treated as reflective of severity of ADHD. For example, parents who experienced majorly reduced psychological well-being as a result of their child’s behavior reflected severe ADHD, and from the results, parents of children with severe ADHD who received behavior therapy plus methylphenidate reported a significant reduction in feeling unable to handle stress because of child’s behavior.

One of the researchers also found that use of some alternative therapies may be supported when combined with behavior therapy. In particular, there were decreases in hyperactive behaviors in children who were placed on additive-free diets. This finding may be of particular significance because eliminating artificial food additives may be done without risk of safety and avoids the potential adverse effects of medication.

Which conclusion is best supported by the findings in the study?

Possible Answers:

Severe ADHD might be labeled inappropriately because parents need support to cope with child's behavior

If avoiding sugar increases impulsive behavior, sugar should be added to diet to increase forethought by the child

Avoiding additives and sugar in diet may show an immediate response in some children with severe ADHD

Methylphenidate shows an early response when added to behavior therapy

Behavior therapy does not improve disruptive behavior in children with moderate to severe ADHD

Correct answer:

Methylphenidate shows an early response when added to behavior therapy

Explanation:

Methylphenidate shows an early response when added to behavior therapy is the correct answer. Attention-deficit/hyperactivity disorder is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity. The history must reveal that symptoms of inattention or hyperactivity and impulsivity are present in more than one setting, as symptoms may be absent when the patient is interacting in the clinician's office. Evidence-based behavior therapy should be prescribed as the first line of therapy for preschool-aged children, and stimulant medications may be prescribed for the preschooler with severe ADHD or inadequate response to behavior therapy.

All MCAT Social and Behavioral Sciences Resources

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