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Psychiatry > Adolescent Psychiatry > Flashcards

Adolescent Psychiatry Flashcards

1
Q

Which is the most common neurobehavioral disorder of childhood

A

ADHD

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2
Q

What does ADHD stand for

A

Attention deficit hyperactive disorder

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3
Q

Which gender is more affect in ADHD

A

Males

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4
Q

Aetiology of ADHD

A

Genetic
Familial dysfunction
Parental stress

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5
Q

3 core diagnostic criteria for ADHD

A

Inattention
Hyperactivity
Impulsivity

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6
Q

Describe inattention in ADHD

A 
Listen/attend closely to detail 
Sustain attention in play activities 
Follow instruction 
Finish homework 
Organise tasks requiring sustained application 
Loses/forgets things
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7
Q

Describe hyperactivity in ADHD

A 
Squirming/fidgeting 
On the go at all times
Talking incessantly
Climbs over everything 
Restless 
No quiet hobbies
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8
Q

Describe impulsivity in ADHD

A 
Blurts out answers
Interrupts others 
Cannot take turns 
Intrudes on others 
Poor road safety
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9
Q

What is the setting criteria for ADHD

A

Must be present in at least 2 different settings

For example home and school

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10
Q

What type of history is essential in ADHA diagnosis

A

Collateral:

E.g parents/teachers

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11
Q

Which scale is used to Dx ADHA

A

Conner’s Comprehensive Assessment Scale

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12
Q

Which are ADHD medications advised not to be given at weekends/holidays

A

As they suppress appetite

And therefore could stunt growth in a developing child

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13
Q

Side effects of ADHD medications

A

Appetite change
Weight change
Sleep
(BP a little)

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14
Q

Long term complications of ADHD

A 
Substance misuse
Dissocial personality disorder 
Unemployment 
Low self esteem 
rate suicide 
Anxiety 
Depression
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15
Q

What is ADHD associated with in terms of the future (academic, employment, criminal activity, mental health problems)

A

Decreased academic success
Decrease employment success
Increased criminal activity
Increased adult mental health problems

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16
Q

Rx for ADHD

A

Psychoeducation
Psychological therapies
Medications

17
Q

What is psychoeducation in ADHD

A

Give clear education and advice

Parent education/training programmes are recommended

18
Q

Which psychological therapies are used to treat ADHD

A

CBT

Family therapy

19
Q

1st and 2nd line medication Rx for ADHD

A

1st: Methylphenidate (Ritalin)

2nd line: Atomoxetine

20
Q

What is ADHD

A

Neurobehavioural disorder of childhood

Developmentally abnormal inattention, hyperactivity and impulsivity present across time and situations

21
Q

Is autism more common in girls or boys

A

Boys

22
Q

Which condition is autism associated with

A

epilepsy

23
Q

What is NOT linked to autism

A

MMR

24
Q

How is IQ associated with autism

A

Often associated with a lower IQ

25
Q

2 core symptoms of autism

A

Persistent deficits in social communication and social interaction across multiple contexts

Restricted repetitive patterns of behaviour, interests or activities

26
Q

When does autism have to have developed

A

Present in early developmental period

27
Q

Ix for autism

A

Specialist autism team
Detailed Hx
Collateral Hx
Observation across different settings

28
Q

Rx for autism

A

Recognition and acknowledgement of disability
Parent training
Early intensive behavioural therapy
Support

29
Q

Which drugs can help autism

A

Melatonin (to help sleep)
Risperidone (to help aggression)
SSRIs can sometimes help repetitive behaviour

30
Q

Which drug can help sleep in autism

A

Melatonin

31
Q

Which drug can help aggression in autism

A

Risperidone

32
Q

Which drug can sometime help repetitive behaviour in autism

A

SSRI

33
Q

3 broad categories of characteristic autistic behaviour

A

Impaired reciprocal social interaction
Impaired imagination
Poor range in activities and interests

34
Q

Give an example of impaired reciprocal social interaction

A

abnormal response to being hurt

unawareness of existence of others feelings

35
Q

Give an example of poor range in activities and interests in autism

A

marked distress over minor/trivial changes

insists on following rotein

36
Q

Give an example of impaired imagination in autism

A

Few facial expressions
Avoids mutual gaze
Do not act adults roles

Psychiatry (15 decks)

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