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Psychiatry & Behavioral Health > ADHD & Impulse Control Disorders > Flashcards

ADHD & Impulse Control Disorders Flashcards

1
Q

___% of children and ____% of adults have ADHD.

A

5% children, 2.5% adults

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2
Q

ADHD is a persistent patter on _____ or _______ or both which interferes w. function/development

A

inattention, hyperactivity/impulsivity

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3
Q

ADHD dx according DSM5 requires ___ criteria sxs for ____ mo and impact on social/occupation

A

6 sxs for 6 mo

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4
Q

Inattention or hyperactive?

careless mistakes
unsustained attention
doesn't appear to listen
doesn't follow thru w. work
difficulty organizing
avoids sustained effort
loses things
easily distracted
forgetful
A

inattention

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5
Q

Inattention or hyperactive?

fidget
leaves seat
run/climb excessively
doesn't play quietly
"on the go"
talks excessively
blurts answers
difficulty waiting turn
interrupts/intrudes
A

hyperactive

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6
Q

ADHD dx requires sxs present prior to…

A

age 12

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7
Q

ADHD sxs must be present in how many settings?

A

2 or more

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8
Q

Remission of ADHD requires < ___ sxs for how long?

A

< 6 sxs for 6 mo or more

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9
Q

What are three components of ADHD evaluation in primary care?

A

medical, developmental/educational, psychosocial.

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10
Q

Three pathophys factors to development of ADHD?

A

environmental
NT (DA, NE) alterations

Neutroanatomical changes (PFC, etc)

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11
Q

AAP ADHD Tx for ages 4-5 yo…

A

1st line: behavior therapy

PRN methylphenidate

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12
Q

AAP ADHD tx for 6+ yo and adolescent

A

1st line: medication
+
behavior therapy

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13
Q

AAFP ADHD tx for adults

A

1st line: amphetamine

2nd: atomoxetine/buproprion if substance abuse
3. antidepressants

+
CBT

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14
Q

what drug should be prescribed if you are concerned about abuse, price, or stimulant related heart conditions?

A

atomoxetine (NE reuptake inhibitor)

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15
Q

in CBT… thoughts influence _____ which alter ______

A

thoughts influence feelings which alter behavior

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16
Q

Can IED experience guilt?

A

yes

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17
Q

What condition?

  • recurrent episodes of aggressive behavior
  • out of proportion aggression
  • not premeditated
  • causes distress
A

IED

18
Q

IED is diagnosed at what age or older?

A

6 or older

19
Q

Tx options for IED

A

SSRI +/- CBT, behavioral modification

20
Q

Conduct disorder must be age ___ or older

A

7 older

21
Q

sxs of conduct d/o are similar to…

A

ADHD

22
Q

which ICD has the below risk factors?

  • parental rejection/neglect
  • difficult infant temperament
  • harsh discipline, abuse
  • unstable role models

one of MC pediatric psych d/o

A

conduct d/o

23
Q

Which ICD has the below characteristics?

-rights of others or societal norma violated 3x in past 12 mo.

A

CD

24
Q

the below are sxs of which ICD?

  • aggression to people/animals
  • destruction of property
  • deceitfulness/theft
  • serious violation of rules
A

CD

25
Q

Does CD have guild/empathy?

A

no

26
Q

Tx for CD

A

individual, group, parental behavior therapy

ADHD drugs

27
Q

Which ICD is defined as:

-recurrent pattern of negative, defiant, disobedient, hostile behavior toward authority figures

A

oppositional defiant disorder

28
Q

ODD is associated with what other psych condition?

A

ADHD

29
Q

ODD can lead to…

A

conduct disorder

30
Q

ODD is treated with ____, not so much ____

A

therapy, not so much Rx

31
Q

ODD is negative, hostile, defiant behavior > ____ mo with ___+ of the below

  • loses temper
  • argues w. adults
  • defies adults requests/rules
  • deliberately annoys
  • blames others
  • easily annoyed
  • angry or resentful
  • spiteful or vindictive
A

6 mo with 4+ sxs

32
Q

kleptomania is linked to FHx of ___

A

OCD

33
Q

Therapy tx for kleptomania (3)

A

CBT + desensitization +/- aversion

34
Q

What Rx may provide mild benefit in kleptomania?

A

SSRIs, naltrexone

35
Q

With kleptomania, you should always look for…

A

psych co-morbidities

36
Q

Kleptomania is MC in _____ sex while pyromania is MC in ____

A

klepto = women

pyromania = men

37
Q

Tx for pyromania

A

psychotherapy

38
Q

what is the only compulsive addictive d/o in the DSM5?

A

pathological gambling

39
Q

3 phases of pathological gambling…

A

winning phase
losing phase
desperation phase

40
Q

DSM5 requires the presenece of ___+ of the below sxs within ____ mo

  • preoccupation w. gambling
  • excitement achieved w. higher stakes
  • unable to stop/cutback
  • restless/irritable when trying to stop
  • serves as escape of other problems or mood
  • chasses losses
  • lies to people
  • jeopardized relationships/employment
  • relies on other people’s money
A

4+ in 12 mo

Psychiatry & Behavioral Health (7 decks)

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