Behavior/Mental Health

Question 1

Colic

Answer 1

3wk-3mo
Crying 3hr/day, 3d/wk, >3wks

Question 2

Normal crying timeframe

Answer 2

birth to 6 wk: 2 hr/day
> 6 wk: 3 hr/day

Question 3

Breath-holding spells

Answer 3

6-18 mo
Involuntary
Simple: pale/cyanotic
Complex: unconscious

Association with iron deficiency
Consider iron supplements

Question 4

Normal head-banging

Answer 4

< 5y/o
Neurologically intact

Question 5

Abnormal head-banging

Answer 5

> 4yo or developmental delay

Question 6

Chronic pain
Recurrent nightmares
Fear of being alone
Diminished interest
Decreased appetite

Answer 6

Post-traumatic syndrome disorder

Question 7

First-line agent for depression

Answer 7

Fluoxetine
(Only FDA approved medication for depression in children/adolescents)

Use with caution in children on diuretics and with liver disease

Question 8

TCA
Contraindicated in children with seizures and severe cardiac disorders
Can discolor urine (blue/green)

Answer 8

Amitryptyline

Question 9

Defiant
Disobedient
Hostile
Little respect for authority

Answer 9

Oppositional Defiant Disorder

Question 10

Lying
Stealing
Setting fires
Cruelty to animals
Impinge on basic rights to others

Answer 10

Conduct disorder

Question 11

Repetitive behaviors
Recurrent thoughts and worries
Consume typically > 1hr/day
Functionally impairing

First line treatment

Answer 11

Obsessive compulsive disorder

CBT

Question 12

Disruptive behavior
Insomnia
Flight of ideas
Hypersexual behavior
Grandiose

Answer 12

Bipolar Disorder

Question 13

Neurologic symptoms are present which are not consistent with recognized pathophysiology of medical conditions

Answer 13

Conversion Disorder

Question 14

Forward pelvic thrusting
Side to side head or body movement s
Closed eyes resistant to opening
Lack of post ictal confusion

Answer 14

Psychogenic non-epileptic seizures

Question 15

Recreational drug
Hallucinations
Paranoia
Seizures

Answer 15

Bath Salts (synthetic cathinone)

Question 16

Perioral/perinatal rash
Nose bleeds
Cough/wheezing
Shortness of breath
Benzene-like odor

Answer 16

Inhalant use

Question 17

Bilateral GGO secondary to e-cigarette use within 90 days of symptom onset

Answer 17

EVALI

Question 18

Acute management if symptomatic bath salt ingestion

Answer 18

IV lorazepam or diazepam

Question 19

Spice
K2

Answer 19

Synthetic cannabinoids

Question 20

Screening test for drug and alcohol use

Answer 20

CRAFFT

Car with someone that uses
Relaxing to use
Alone when using
Forget things while using
Friend/family concerned
Trouble due to using

Question 21

FDA approved for Autism with severe aggressive or self-injurious behaviors

Answer 21

Risperidone
Aripiprazole

Question 22

Management for tics in patients with ADHD

Answer 22

clonidine

Question 23

Most common adverse effect of stimulant

Answer 23

Delayed onset of sleep

Question 24

Multiple motor and vocal tics lasting > 1 year

Answer 24

Tourette syndrome