Child and Adolescent Psych Flashcards

1
Q

Mental retardation now called

A

Intellectual disability

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2
Q

What must a child have in order to be classified as intellectually disabled

A

limitations in both intellectual functioning (sub-average Iq) and adaptive functioning ( like communication, self-care, life-skills, health and safety)

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3
Q

Mild ID

A

55-70 Iq

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4
Q

Moderate ID

A

40-55

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5
Q

Severe

A

25-40

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6
Q

Profound

A

Under 25

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7
Q

A person is said to have an intellectual disability when their IQ falls two standard deviations below the mean

A

ok

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8
Q

85 % of those with an intellectual disability fall in what range

A

The mild range.

  • These folks can receive an education
  • Can read, write, and do simple math
  • concrete thinkers,
  • expected to hold job and live independently
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9
Q

Moderate intellectual disability, what can they do

A

talk, recognize name, basic hygiene

  • minimal academic progress
  • live with family or in group home
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10
Q

Male to female ratio for ID

A

2:1

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11
Q

Most common cause of ID

A

Fetal Alcohol Syndrome

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12
Q

Most common chromosomal cause of ID

A

Down Syndrome

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13
Q

Most common heritable form of ID

A

Fragile x

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14
Q

Definition of a learning disorder

A

inability to achieve in a certain academic area at the level predicted by that person’s cognitive ability

  • generally borderline IQ or above
  • DX require standardized IQ and achievement testing. Look for an achievement score that is two standard deviations or more below their IQ
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15
Q

Male to female ratio for learning disorders

A

2-4:1

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16
Q

The communication disorders are

A
  • Expressive Language Disorder
  • Mixed Receptive- Expressive Language Disorder
  • Phonological Disorder
  • Stuttering
  • Communication Disorder
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17
Q

Language disorders are defined as

A

impairment in the comprehensin and/or use of a spoken, written, or other verbal symbol system

  • Divided into two categories: Expressive and Receptive
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18
Q

Look at different subtypes of phonological disorder

A

ok

19
Q

What is Autistic Disorder

A
  • Qualitative impairment in social interaction
  • Qualitative impairments in communication
  • Restrictive, repetitive and stereotyped patterns of behavior, interests, activities
20
Q

Dx of Autism

A

Must have delays or abnormal functioning in at least one of the three following areas:

  • social interaction
  • Language as used in social interaction
  • Symbolic or imaginative play

Onset must be before age 3

21
Q

What generally sends parents of autistic children in search of medical help

A

The kid doesn’t develop spoken language

22
Q

Autism more common in what sex?

A

males

23
Q

Asperger’s disorder

A

High functioning autism

  • No clinically significant delay in language development
  • No clinically significant delay in cognitive development
24
Q

Asperger’s is now under Autism spectrum disorder in DSM-V

A

So asperger’s is not used anymore

25
Q

ADHD subtypes

A
  • combined
  • predominately inattentive type
  • predominantly hyperactive- impulsive type
  • ADHD NOS
26
Q

ADHD dx criteria

A

significant difficulty focusing and maintaining attention along with hyperactivity and impulsivity

  • symptoms present for at least 6 mos
  • onset before age 7
    Impairment must occur in at least two setting like home and school
27
Q

executive functioning deficits in ADHD

A
  • Planning
  • Organizing
  • Starting and Stopping activity
  • Managing behavior
  • Persisting on tasks
  • Problem solving
  • Working memory
28
Q

ADHD male:female

A

3:1….just as I suspected

29
Q

About 1/3 of kids …

A

1/3 continue to meet full diagnostic criteria
1/3 have some remission
1/3 have full remission

30
Q

ADHD runs in families and girls have a stronger family history than guys do

A

ok

31
Q

Most common side-effect of stimulants given for ADHD

A

anorexia

other SEs include potential growth retardation, tics, bbw for abuse potential and CV effects

32
Q

Disruptive behavior disorders are

A
  • Oppositional Defiant Disorder

- Conduct Disorder

33
Q

Oppositional Defiant Disorder

A
  • a pattern of negative, hostile, and defiant behavior lasting at least 6 mos.
  • at least four of the following must be present
    often loses temper, often argues with adults, often actively defies or refuses to comply with adults requests or rules, deliberately annoys ppl, often blames others, is touchy or easily annoyed by others, angry and resentful, spiteful or vindictive
34
Q

Define conduct disorder

A

Repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms are violated

35
Q

Conduct disorder dx

A

must have three or more criteria in the past 12 months with at least one criterion preset in the past 6 mos.

Childhood onset prior to age 10

36
Q

Conduct Disorder can be a precursor to what

A

Anti-social personality disorder

37
Q

What is PICA

A

persistent eating of non-nutritious substances for a period of at least one month

38
Q

Ruminantion disorder

A

Repeated regurgitation and rechewing of food for at least one month following a period of normal functioning

39
Q

Tourette’s disorder

A

Both motor and vocal tic

40
Q

Chronic motor or vocal tic disorder

A

Doesn’t meet tourettes criteria because either motor or vocal tic is present. not both

41
Q

Transient Tic disorder

A

doesn;t meet tourettes criteria because it hasn’t lasted long enough.

42
Q

Tourettes dx criteria

A
  • Onset before 18
  • Not due to substance
  • Vocal and motor (multiple motor and at least one vocal)
  • Tics occur many times a day nearly everyday or intermittently throughout a period of more than a year, never a tic free period of more than 3 mos
43
Q

Elimination disorders

A
  • Enuresis— bedwetting. Must be 5 yo

- Encopresis– voluntary or involuntary passage of stools in a child that has been toilet trained. Must be over 4 yo