14 - Developmental

Question 1

Define Colic:

Answer 1

Wessel’s Rule:
Crying >3hrs / day
Crying at least 3 days / week
Crying more than 3 weeks

Facial grimace, leg flexion, flatus

Question 2

Txt for colic

Answer 2

Increased contact / carrying, tight swaddling

Question 3

How long does a temper tantrum typically last?

Answer 3

2-5mins

Question 4

Examples of special needs:

Answer 4

Cerebral palsy
ADHD
Cleft lip
HIV
MR

Many more

Question 5

RF for autism?

Answer 5

Advanced maternal age
LBW
Fetal exposure to valproate

Question 6

When is the M-CHAT performed?

Answer 6

18-24 mos

Question 7

Features of autism:

Answer 7

Persistent deficits in social communication and interaction

Restricted, repetitive patterns of behavior, interests, or activities (lining up toys or flipping objects, echolalia, idiosyncratic phrases)

Inflexible adherence to routines

Hyper- or hyporeactivity to sensory input

Question 8

Txt for ASD

Answer 8

Antipsychotics if aggressive

Stimulants for ADHD-type stuff

SSRI’s for anxiety, compulsion, depression

Question 9

Cerebral palsy - define:

Answer 9

Non-progressive motor impairment syndromes 2/2 brain injury or anomalies before or after birth

Question 10

What is the MC type of cerebral palsy?

Answer 10

Spastic

Question 11

Features of spastic cerebral palsy:

Answer 11

Abnormal movement
Increased tone
Pathologic reflexes

Hypertonicity
Scissor-toe gait and toe-walking

Question 12

Dx of ADHD:

Answer 12

Sxs for at least 6 mos in 2 or more environments

6 sxs of inattention or 6 sxs of hyper-activity-impulsivity

Question 13

Txt for ADHD

Answer 13

Behavioral management and stimulant meds (either methylphenidate or amphetamine)

Atomoxetine (Strattera)(NRI)

Question 14

ODD features

Answer 14

Angry/irritable mood

Argumentative/defiant behavior

VINDICTIVENESS

Question 15

Conduct disorder

Answer 15

Kids version of antisocial PD

Question 16

Sxs of anorexia nervosa

Answer 16

Weight loss
Lanugo
Bradycardia
Osteopenia
Amenorrhea
Alopecia

Question 17

When to hospitalize anorexia nervosa

Answer 17

Weight loss >25% IBW

Risk of suicide

Bradycardia/hypothermia

Dehydration, hypokalemia, dysrhythmia

Outpatient txt failure

Question 18

Female athlete triad:

Answer 18

Disordered eating (attempts to lose weight to improve performance)

Osteoporosis (2/2 disordered eating)

Menstrual dysfunction (too much exercise shuts down production of estrogen -> delayed menarche or amenorrhea)

Females needs body fat for HPG system to work properly

Question 19

What is the only rx approved for depression in children?

Answer 19

Fluoxetine

Question 20

Features of dyskinetic cerebral palsy

Answer 20

Basal ganglia involvement
Abnormal movement patterns
Athetoid or choreiform movements
Facial grimacing, dysarthria

Athetosis - curling in
Chorea - flapping

Question 21

Disorders associated with cerebral palsy?

Answer 21

MR 
Seizures
Hearing, speech, vision defects
ADHD
GERD