16, 19. Childhood Flashcards

1
Q

when does Rett’s disorder onset? sign? symptom?

A

onset at 5 mo
head growth decellerates
odd hand movements

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2
Q

hw can oppositional defiant disorder be differentiated from conduct disorder?

A

oppositional lacks violations of others rights

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3
Q

characteristics of specific learning disorder? IQ score?

A

poor academic performance.

normal IQ

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4
Q

4 characteristics of oppositional defiant disorder?

A

anger
argumentative
vindictivness
blaming others

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5
Q

df disinhibited social engagement disorder?

A

child approaches adults

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6
Q

do amphetamines or methyphenidates have more side effects?

A

amphetamines

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7
Q

df developmental coordinaiton disorder?

df stereotypic movement disorder?

A

developmental is difficulty acquiring and executing movement.
Stereotypic is repetitive purposeless movement

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8
Q

2 types of ADHD?

A

hyperactive/impulsive
inattentive
6 symptoms required

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9
Q

Coduct = **

A

conduct = crime

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10
Q

df Reactive Attachment Disorder?

A

child withdrawn from adults

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11
Q

df enuresis

2 possible drug txs? wc is only used refractory? wn to administer?

A

repeated pissing into bed or clothes
Desmopressin and imipramine (refractory)
administer 1 hr before bed

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12
Q

3 diagnostic criteria for autism?

A
  1. impaired social interaction
  2. impaired communicaiton and imagination
  3. restricted activities and interests
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13
Q

2 co-occuring disorders w tourettes?

A

OCD and ADHD

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14
Q

nae of mixed amphetamine salt drug?
single amphetamine salt?
prodrug form?

A

Adderal - mixed
Dextroamphetamine
Lisdexamfetamine is prodrug

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15
Q

Medication used to tx ODD and CD?

A

ADHD meds
Mood stabilizers (lithium, valproate)
Atypicals

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16
Q

wt is the aim of ADHD meds?

A

increase DA and NE signaling

17
Q

3 prenatal genetic disorders causing intellectual disability?

A

Downs
Prader-willi
Fragile X

18
Q

2 first line txs for enuresis?

A

Bell & Pad and Ultrasonic Bladder Alarm

19
Q

IQ score for mild intellectual disability?
moderate?
severe?

A

mild -55-69
moderate - 35-50
severe - <30

20
Q

another name for ritalin?

A

Methyphenidate

21
Q

df intellectual disability? 3 diagnostic criteria?

A

reduced intellectual function in all aspects

  1. subnormal intellectual functioning
  2. adaptive deficits
  3. onset during developmental period (<18)
22
Q

hw is tourettes different from chronic tic disorders?

A

Tourrettes involves motor and vocal tics.

chronic tic disorders is only one, not both

23
Q

drug to tx disruptive behavior in Autism?

A

Risperidone

24
Q

df encopresis

A

shitting in inappropriate places

25
Q

df rumination disorder?

A

persistent vomiting for >1 month

26
Q

characteristic of Fragile X.

A

Rapid speech

27
Q

part of brain causing oppositional defiant disorder and conduct?

A

limbic

28
Q

Alterations of what part of the brain cause impulsivity and hyperactivity in ADHD?

A

orbitofrontal cortex

29
Q

IQ score indicating subnormal intellect? percentile?

A

<70

2nd percentile

30
Q

dscb level 1 vs 3 autism spectrum disorder?

A

level 1:requiring some support - mild symptoms

level 3: requiring substantial support

31
Q

df selective mutism

A

failure to speak in specific social situations

32
Q

Atomoxetine MOA ? typical use?

A

selective NE uptake inhibitor. ADHD

33
Q

2 alpha2 adrenergic agonists used to tx ADHD? use?

A

Clonidine and Guanfacine

second line, reduce aggression

34
Q

mutation causing prader willi? 2 characteristics?

A

deletion on chromosome 15

compulsive eating and small stature

35
Q

df Pica?

A

eating of non-food substances for >1 month

36
Q

alterations in what 2 parts of the brain cause inattention in ADHD?

A

dorsolateral prefrontal cortex

dorsal anterior cingulate cortex

37
Q
methylphenidate product that:
is not affected by food?
affected by food?
only requires 1/2 dose?
is a patch for children 6-12?
A

Concerta
Metadate CD
Facalin
Daytrana