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Child Psych Flashcards

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1
Q

When gathering information in child psychiatry it is important to?

A

consult multiple sources ( child, parent/caregiver, teacher and coaches, pediatrician, child welfare or juvenile justice system (if relevant))

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2
Q

What is the Kaufman Assessment Battery for Children?

A

Intelligence test for ages 2-12

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3
Q

Wechsler Intelligence Scale for Children-Revised is what for ages?

A

6-16

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4
Q

Criteria for diagnosis of Intellectual Disability? (IQ? AGE?, ETC.)

A

Subaverage intellectual functioning with an IQ of less then or equal to 70, deficits in adaptive skills appropriate for the age group and the onset must be before age 18

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5
Q

Prenatal causes of intellectual disability

A

TORCH (Toxoplasmosis, Other (syphilis, AIDS, alcohol/illicit drugs), Rubella, CMV, Herpes simplex)

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6
Q

Perinatal causes of intellectual disability

A

Anoxia, prematurity, birth trauma, MENINGITIS, hyperbilirubinemia

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7
Q

Postnatal causes of intellectual disability

A

hypothyroidism, malnutrition, toxin exposure, trauma, psychosocial causes

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8
Q

Intellectual disability, obesity, hypogonadism, almond shaped eyes

A

Prader-Willi Syndrome

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9
Q

Autistic Characteristics, delayed speech, motor delay and sensory deficits. If male have large testicles

A

Fragile X syndrome

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10
Q

Most common learning disorder

A

Reading disorder

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11
Q

What do you always have to rule out before diagnosing learning disorders?

A

Sensory deficits

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12
Q

At least 6 months of negativistic, hostile and defiant behavior during which at least 4 of the following have been present:
Frequent loss of temper, arguments with adults, defying adults’ rules, deliberately annoying people, easily annoyed, anger and resentment, spitefulness, blaming others for mistakes or misbehaviors

A

Oppositional Defiant Disorder

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13
Q

How is oppositional defiant disorder different from conduct disorder?

A

Unlike conduct disorder, ODD does NOT involve physical aggression or violation of the basic rights of others

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14
Q

ODD has increased incidence with what?

A

comorbid substance abuse, mood disorders, ADHD

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15
Q

Cruelty to animals may be a hint at?

A

conduct disorder

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16
Q

A very persistent pattern of behavior in which the basic rights of others or social norms are violated as evidenced by the presence of at least 3 out of 15 described behaviors in the past year. The behaviors are grouped within the following categories: Aggression toward people and animals, destruction of property, deceitfulness or theft, serious violations of rules

A

Conduct Disorder

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17
Q

Children with Conduct Disorder have a higher risk of what?

A

Substance abuse and making suicidal gestures and attempts

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18
Q

Conduct disorder has a high incidence with what other condition?

A

ADHD

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19
Q

Criteria for ADHD diagnosis?

A

at least 6 sx of either inattentiveness, hyperactivity, or both, that have presisted for at least 6 months, are present at a degree that is maladaptive and have an onset prior to age 7

20
Q

in evaluating a toddler who shows no interest or does not speak unless spoken to directly, it is important to do what before making a diagnosis of autism?

A

order a hearing test

21
Q

Autism is associated with?

A

fragile x, tuberous sclerosis and seizures

22
Q

How do autism and asperger differ?

A

Children with asperger disorder have normal language acquisition and cognitive development

23
Q

Asperger disorder social interaction is often characterized by?

A

a “professional” or “pedantic” style

24
Q

cognitive development never progresses beyond that of the first year of life

A

Rett Disorder

25
Q

Onset of Rett

A

between age 5 and 48 months

26
Q

Gender Rett is seen predominately in?

A

Girls

27
Q

Rett is associated with which gene?

A

MECP2 gene mutation on x chromosome

28
Q

What are Rett pts at increased risk for?

A

sudden death

29
Q

Children with hand wringing, hand washing, impaired language, psychomotor retardation, problems with gait and trunk movements

A

Rett Disorder

30
Q

Characterized by normal physical and psychomotor development during the first 5 months after birth, followed by a decreasing rate of head growth and loss of perviously learned purposeful hand skills between 5 and 30 months

A

Rett Disorder

31
Q

Onset of Rett Disorder

A

Between 5 and 48 months

32
Q

which gender is Rett disorder seen predominately in

A

Females (boys have variable phenotype and it is most likely lethal in utero)

33
Q

Rett Disorder Tx

A

Supportive

34
Q

normal development in the first 2 years of life but there is loss of previously acquired skills before age 10 years in at least 2 of these areas: language, social skills, bowel or bladder control, play, motor skills, and at least 2 of these areas: impaired social interactions, impaired communication, restricted, repetitive, sterotyped behaviors, and interests

A

Childhood Disintegrative Disorder

35
Q

Childhood Disintegrative Disorder must show up before what age?

A

10 years old

36
Q

Childhood Disintegrative disorder is more common in which gender

A

4-8x more in boys

37
Q

Characterized by multiple daily motor and one or more vocal tics (both must be present during illness but not necessarily concurrently) with onset BEFORE AGE 18

A

Tourette Disorder

38
Q

Repetitive speaking of obscene words

A

Coprolalia

39
Q

Exact repetition of words

A

Echolalia

40
Q

Tourette Disorder criteria for tics

A

occur many times a day almost every day for greater then a year and no tic free period greater then 3 months

41
Q

Tx of choice for Tourette disorder

A

Psychopharmacology (risperidone, clonidine, guanfacine, haloperidol, pimozide)

42
Q

Urinary continence is usually established before what age?

A

Age 4

43
Q

Involuntary voiding of urine after age 5. AT least TWICE a week for at least 3 consecutive months

A

Enuresis

44
Q

Involuntary or intentional passage of feces in inappropriate places by age 4 at least once a month for at least 3 months

A

Encopresis

45
Q

Separation anxiety is usually diagnosed after what age?

A

6 years old (from 7 months to 6 years old it is normal)

46
Q

Neurochemical Etiology associated with Tourette

A

Impaired regulation of dopamine

47
Q

Postinfectious Autoimmune Factor associated with development of Tourette and OCD

A

Group A beta hemolytic Strep (s. pyogens) infection

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