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Child psych Flashcards

1
Q

Intelligence test for kids 2-12 yo?

A

K-ABC

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2
Q

IQ test for kids 6-16 yo?

A

WISC-R

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3
Q

3 main criteria for dx of ID?

A

IQ <18 yo

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4
Q

Incidence of ID in gen pop? MC in M or F?

A

1-3%; M > F

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5
Q

Mild ID IQ range?

A

55-70

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6
Q

Moderate ID IQ range?

A

40-55

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7
Q

Severe ID IQ range?

A

25-40

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8
Q

Profound ID IQ range?

A

<25

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9
Q

ID + obesity + almond-shaped eyes + hypogonadism

A

Prader-Willi

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10
Q

Autistic characteristics, delayed speech/motor, sensory deficits, big testicles, ID

A

FXS

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11
Q

Suspect learning DO. What’s key to r/o first?

A

Sensory deficits

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12
Q

MC learning DO?

A

Reading DO

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13
Q

Rx learning DO?

A

Remedial education

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14
Q

How long do Sx persist for Dx of ODD?

A

> 6 mo

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15
Q

ODD w/ onset before puberty: MC in M or F? What about onset after puberty?

A

Before: M > F
After: M=F

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16
Q

3 major comorbids for ODD?

A

Mood DO
Substance abuse
ADHD

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17
Q

Rx of ODD?

A

Psychotherapy (behavioral + problem-solving skills) + family involvement

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18
Q

Conduct DO requires at least 3/15 behaviors that are categorized into 4 main groups. Name the groups.

A
  1. Aggression toward ppl or animals
  2. Property destruction
  3. Deceitfulness or theft
  4. Serious rule violation
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19
Q

Conduct DO requires at least 3/15 behaviors that are categorized into 4 main groups. Over what time period do these behaviors have to have occurred?

A

in the past 1 yr

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20
Q

Conduct DO: prevalence and M/F split?

A

1-10%. M&raquo_space; F

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21
Q

RFs for conduct DO? (4)

A

Punitive parenting
Psychosocial adversity
Abuse
Biological predisposition

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22
Q

2 major cormorbids for conduct DO?

A

ADHD, learning DOs

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23
Q

Conduct DO has increase risk of what psych issues in adulthood (3)

A

Substance abuse
Suicidal gestures/attempts
Mood DO

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24
Q

What percent of conduct DO–> antisocial?

A

40%

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25
3 main types of ADHD?
Inattentive, hyperactive-impulsive, and combined
26
ADHD: onset prior to what age? Symptoms for at least how long?
Prior to age 7 | Sx at least 6 mo
27
Which type of ADHD Sx are more likely to persist into adulthood? What percent of childhood cases in general persist into adulthood?
Impulsive; ~60%
28
Name 5 major comorbids with ADHD
``` Mood DO Anxiety DO PD Conduct DO ODD ```
29
Dysregulation of what neurotransmitter system can be seen in ADHD?
NE
30
1st line Rx for ADHD?
Stimulants
31
What's atomoxetine?
Non-stimulant approved for ADHD
32
Autism: symptoms must be present by what age?
3
33
3 main categories of symptoms in autism?
Probs w/ social interaction Impaired communication Repetitive/stereotypes patterns of behavior and activities
34
M/F distribution in autism?
M >> F
35
What percent of autistic ppl have IQ <70?
70%
36
3 conditions assoc w/ autism?
FXS Seizures Tuberous sclerosis
37
People w/ autism may have higher peripheral levels of what NT?
5HT
38
Changes in head size in autism?
incr
39
Autism: 2 most important predictors of adult outcome are?
Level of intellectual fxning | Communicative competence
40
What DO has normal development for 1st 5 months--> decr rate of head growth and loss of prev learned hand skills?
Rett syndrome
41
What classic stereotyped hand movements are seen in Rett?
Hand wringing/washing
42
Gene assoc w/ Rett?
MECP2 gene on X chr
43
What comorbidity of Rett can lead to non-ambulatory pt?
Scoliosis
44
Childhood disintegrative DO: normal development during first 2 years, but prev acquired skills are lost before what age?
10 yo
45
Tourette DO: onset before what age?
18 yo
46
How often do tics have to occur for dx of tourette?
Many times a day, almost every day for >1 yr. NO tic-free period for >3 mo.
47
Can you dx Tourette DO w/ just vocal or motor tics?
Nope. Need both types
48
Tourette's severity peaks at what ages? When does it start to decrease?
Peak: 8-12 yo | Decreases w/ puberty
49
What fraction of Tourette's patients become virtually asymptomatic by adulthood?
1/3 - 1/2
50
Tourette's has high comorbidity w/ what 2 conditions?
OCD, ADHD
51
What neurochemical abnormality is assoc w Tourette?
Impaired DA regulation in the caudate
52
Pharm Rx of OCD + Tourette's?
Antipsychotic + SSRI
53
Pharm Rx of Tourettes + ADHD?
Alpha 2 agonists
54
Pharm Rx of Tourettes?
Atypical antipsychotics or alpha-2 agonists
55
2 types of psychotherapy indicated in Tourette's?
Supportive and behavioral
56
T or F: impairment is required to Dx Tourettes?
F. Impairment isn't required. When it occurs, however, it is an indication to start pharm Rx in addition to therapy.
57
Enuresis: not dx until what age?
After age 5
58
Encopresis: not dx until what age?
After age 4
59
3 main medical conditions to r/o in enuresis?
DM Infection Seizure
60
3 main medical conditions to r/o in encopresis?
Hypothyroidism Lower GI probs Dietary factors`
61
MCC of encopresis?
Constipation w/ overflow incontinence
62
Describe the spontaneous remission rates in encopresis and enuresis
High
63
Refusal to speak in certain situations for at least 1 month despite the ability to comprehend and use language. Dx?
Selective mutism
64
MC age of onset of selective mutism
2-5 yo (often not noticed until start school)
65
Rx selective mutism
psychotherapy + behavioral therapy + managment of anxiety
66
Separation anxiety: not dx until after what age?
6 yo
67
Parents of kids w/ separation anxiety DO often have what type of psych condition?
Anxiety DO
68
How long does separation anxiety have to last for dx?
> 4 weeks
69
Rx separation anxiety?
Family therapy, CBT, low-dose antidepressants
70
2 MC drugs of abuse in teens?
EtOH > cannabis
71
Kids are at highest risk of sexual abuse during what age range?
7-13 yo
72
MC perpetrator in substantiated child abuse cases?
Parent

Psych Clerkship (3 decks)

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