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Psych Clerkship > Child psych > Flashcards

Child psych Flashcards

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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
Q

3 main types of ADHD?

A

Inattentive, hyperactive-impulsive, and combined

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26
Q

ADHD: onset prior to what age? Symptoms for at least how long?

A

Prior to age 7

Sx at least 6 mo

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27
Q

Which type of ADHD Sx are more likely to persist into adulthood? What percent of childhood cases in general persist into adulthood?

A

Impulsive; ~60%

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28
Q

Name 5 major comorbids with ADHD

A 
Mood DO
Anxiety DO
PD
Conduct DO
ODD
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29
Q

Dysregulation of what neurotransmitter system can be seen in ADHD?

A

NE

30
Q

1st line Rx for ADHD?

A

Stimulants

31
Q

What’s atomoxetine?

A

Non-stimulant approved for ADHD

32
Q

Autism: symptoms must be present by what age?

A

3

33
Q

3 main categories of symptoms in autism?

A

Probs w/ social interaction
Impaired communication
Repetitive/stereotypes patterns of behavior and activities

34
Q

M/F distribution in autism?

A

M&raquo_space; F

35
Q

What percent of autistic ppl have IQ <70?

A

70%

36
Q

3 conditions assoc w/ autism?

A

FXS
Seizures
Tuberous sclerosis

37
Q

People w/ autism may have higher peripheral levels of what NT?

A

5HT

38
Q

Changes in head size in autism?

A

incr

39
Q

Autism: 2 most important predictors of adult outcome are?

A

Level of intellectual fxning

Communicative competence

40
Q

What DO has normal development for 1st 5 months–> decr rate of head growth and loss of prev learned hand skills?

A

Rett syndrome

41
Q

What classic stereotyped hand movements are seen in Rett?

A

Hand wringing/washing

42
Q

Gene assoc w/ Rett?

A

MECP2 gene on X chr

43
Q

What comorbidity of Rett can lead to non-ambulatory pt?

A

Scoliosis

44
Q

Childhood disintegrative DO: normal development during first 2 years, but prev acquired skills are lost before what age?

A

10 yo

45
Q

Tourette DO: onset before what age?

A

18 yo

46
Q

How often do tics have to occur for dx of tourette?

A

Many times a day, almost every day for >1 yr. NO tic-free period for >3 mo.

47
Q

Can you dx Tourette DO w/ just vocal or motor tics?

A

Nope. Need both types

48
Q

Tourette’s severity peaks at what ages? When does it start to decrease?

A

Peak: 8-12 yo

Decreases w/ puberty

49
Q

What fraction of Tourette’s patients become virtually asymptomatic by adulthood?

A

1/3 - 1/2

50
Q

Tourette’s has high comorbidity w/ what 2 conditions?

A

OCD, ADHD

51
Q

What neurochemical abnormality is assoc w Tourette?

A

Impaired DA regulation in the caudate

52
Q

Pharm Rx of OCD + Tourette’s?

A

Antipsychotic + SSRI

53
Q

Pharm Rx of Tourettes + ADHD?

A

Alpha 2 agonists

54
Q

Pharm Rx of Tourettes?

A

Atypical antipsychotics or alpha-2 agonists

55
Q

2 types of psychotherapy indicated in Tourette’s?

A

Supportive and behavioral

56
Q

T or F: impairment is required to Dx Tourettes?

A

F. Impairment isn’t required. When it occurs, however, it is an indication to start pharm Rx in addition to therapy.

57
Q

Enuresis: not dx until what age?

A

After age 5

58
Q

Encopresis: not dx until what age?

A

After age 4

59
Q

3 main medical conditions to r/o in enuresis?

A

DM
Infection
Seizure

60
Q

3 main medical conditions to r/o in encopresis?

A

Hypothyroidism
Lower GI probs
Dietary factors`

61
Q

MCC of encopresis?

A

Constipation w/ overflow incontinence

62
Q

Describe the spontaneous remission rates in encopresis and enuresis

A

High

63
Q

Refusal to speak in certain situations for at least 1 month despite the ability to comprehend and use language. Dx?

A

Selective mutism

64
Q

MC age of onset of selective mutism

A

2-5 yo (often not noticed until start school)

65
Q

Rx selective mutism

A

psychotherapy + behavioral therapy + managment of anxiety

66
Q

Separation anxiety: not dx until after what age?

A

6 yo

67
Q

Parents of kids w/ separation anxiety DO often have what type of psych condition?

A

Anxiety DO

68
Q

How long does separation anxiety have to last for dx?

A

> 4 weeks

69
Q

Rx separation anxiety?

A

Family therapy, CBT, low-dose antidepressants

70
Q

2 MC drugs of abuse in teens?

A

EtOH > cannabis

71
Q

Kids are at highest risk of sexual abuse during what age range?

A

7-13 yo

72
Q

MC perpetrator in substantiated child abuse cases?

A

Parent

Psych Clerkship (3 decks)

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