Rosh Psychiatry Board Practice Exam

What behavior is indicative of oppositional defiant disorder in children?

1. Status-seeking behavior

2. Argumentative behavior

3. Excessive withdrawal

4. Rapid mood shifts

The correct answer is: Argumentative behavior

Oppositional Defiant Disorder (ODD) is characterized by persistent patterns of angry, irritable mood, argumentative/defiant behavior, or vindictiveness towards authority figures. The key behavior indicative of ODD is argumentative behavior, where children frequently argue with adults and actively defy requests or rules. This behavior reflects an ongoing pattern of opposition and is often evident in various settings, such as home and school, which contributes to the diagnosis. In the context of the other options, status-seeking behavior could be more aligned with typical developmental challenges or issues of self-esteem rather than overt defiance. Excessive withdrawal is more characteristic of anxiety disorders or depressive disorders, where a child may retreat from social interactions rather than exhibit oppositional behaviors. Rapid mood shifts are often associated with mood disorders and do not specifically signify the defiance and argumentative nature that is hallmark to ODD. Thus, argumentative behavior is the most accurate representation of the symptoms associated with this disorder.