Behavioral Issues

Question 1

List three tools for screening for ASD

Answer 1

MOdified checklist for autism in toddlers, revised with follow up
Infant Toddler Checklist
Systematic Ovservation of Red Flags

Question 2

Who to refer to if concerned for ASD

Answer 2

Developmental peds
SLP
Hearing and vision assessment
Occupational therapy
Autism Clinic
Psychology

Question 3

List three co mordidities that you may have to consider and treat for in ASD

Answer 3

Sleep issues (behavioral or melatonin)
Constipation
Anxiety
Depression

Question 4

List seven DDX for ASD type symptoms

Answer 4

Global developmental delay
Hearing issues
Visual issues
Language based learning disability
Anxiety disorder
OCD
Epilepsy
Social communication disorder

Question 5

List 5 things that could impact a Teens Moods/interactions other than depression

Answer 5

Medical illness
Bullying
Substance abuse
Peer issues
Home stressors
Anxiety

Question 6

Physical exam for behavioral issues (list 7)

Answer 6

Head circumference
Dysmorphic features
Weight gain and growth
Eyes
Ears
Abdomen
Skin
Tone
Midline spine defects

Question 7

List three ASD criteria

Answer 7

Deiocits in social emotional reciprocity
Deficits in nonverbal communication
Deficits in relationships
Restricted, repetitive patterns of behavior (motor, inflexibility, routines, interests, sensory reactions)

Question 8

List one red flag that makes you think ASD

Answer 8

Regression

Question 9

List three criteria of ODD

Answer 9

Angry irritable mood
Argumentative and defiant behavior
Vindictiveness
Impacts areas of functioning

NOT VIOLENCE OR THEFT OR DESTRUCTION OF PROPERTY

Question 10

List three criteria of conduct Disorder

Answer 10

Aggression to people and animals
Destriction of property
Deceitfulness or theft
Serious violation of the rules

Question 11

What is the main treatment for Conduct Disorder and ODD

Answer 11

Parental training

Question 12

How many children dx with Conduct disorder will go on to be Dx with antisocial personality disorder

Answer 12

40%

Question 13

List six non pharm treatments for bed wetting

Answer 13

make toilet accessible
Pee before bed
Include them in the morning clean up
Training pants (NOT diapers)
Avoid caffeine and chocolate
No fluids before bed
Don’t punish them
Bed alarms (50% effective)

Question 14

List 2 options for pharm treatment for bedwetting

Answer 14

1. Desmopressin - for sleepovers
2. Imipramine - last line as can be dangerous