16, 19. Childhood Flashcards
when does Rett’s disorder onset? sign? symptom?
onset at 5 mo
head growth decellerates
odd hand movements
hw can oppositional defiant disorder be differentiated from conduct disorder?
oppositional lacks violations of others rights
characteristics of specific learning disorder? IQ score?
poor academic performance.
normal IQ
4 characteristics of oppositional defiant disorder?
anger
argumentative
vindictivness
blaming others
df disinhibited social engagement disorder?
child approaches adults
do amphetamines or methyphenidates have more side effects?
amphetamines
df developmental coordinaiton disorder?
df stereotypic movement disorder?
developmental is difficulty acquiring and executing movement.
Stereotypic is repetitive purposeless movement
2 types of ADHD?
hyperactive/impulsive
inattentive
6 symptoms required
Coduct = **
conduct = crime
df Reactive Attachment Disorder?
child withdrawn from adults
df enuresis
2 possible drug txs? wc is only used refractory? wn to administer?
repeated pissing into bed or clothes
Desmopressin and imipramine (refractory)
administer 1 hr before bed
3 diagnostic criteria for autism?
- impaired social interaction
- impaired communicaiton and imagination
- restricted activities and interests
2 co-occuring disorders w tourettes?
OCD and ADHD
nae of mixed amphetamine salt drug?
single amphetamine salt?
prodrug form?
Adderal - mixed
Dextroamphetamine
Lisdexamfetamine is prodrug
Medication used to tx ODD and CD?
ADHD meds
Mood stabilizers (lithium, valproate)
Atypicals
wt is the aim of ADHD meds?
increase DA and NE signaling
3 prenatal genetic disorders causing intellectual disability?
Downs
Prader-willi
Fragile X
2 first line txs for enuresis?
Bell & Pad and Ultrasonic Bladder Alarm
IQ score for mild intellectual disability?
moderate?
severe?
mild -55-69
moderate - 35-50
severe - <30
another name for ritalin?
Methyphenidate
df intellectual disability? 3 diagnostic criteria?
reduced intellectual function in all aspects
- subnormal intellectual functioning
- adaptive deficits
- onset during developmental period (<18)
hw is tourettes different from chronic tic disorders?
Tourrettes involves motor and vocal tics.
chronic tic disorders is only one, not both
drug to tx disruptive behavior in Autism?
Risperidone
df encopresis
shitting in inappropriate places
df rumination disorder?
persistent vomiting for >1 month
characteristic of Fragile X.
Rapid speech
part of brain causing oppositional defiant disorder and conduct?
limbic
Alterations of what part of the brain cause impulsivity and hyperactivity in ADHD?
orbitofrontal cortex
IQ score indicating subnormal intellect? percentile?
<70
2nd percentile
dscb level 1 vs 3 autism spectrum disorder?
level 1:requiring some support - mild symptoms
level 3: requiring substantial support
df selective mutism
failure to speak in specific social situations
Atomoxetine MOA ? typical use?
selective NE uptake inhibitor. ADHD
2 alpha2 adrenergic agonists used to tx ADHD? use?
Clonidine and Guanfacine
second line, reduce aggression
mutation causing prader willi? 2 characteristics?
deletion on chromosome 15
compulsive eating and small stature
df Pica?
eating of non-food substances for >1 month
alterations in what 2 parts of the brain cause inattention in ADHD?
dorsolateral prefrontal cortex
dorsal anterior cingulate cortex
methylphenidate product that: is not affected by food? affected by food? only requires 1/2 dose? is a patch for children 6-12?
Concerta
Metadate CD
Facalin
Daytrana