Child psych

Question 1

play stories drawing

Answer 1

assess conceptualization, internal states, experiences

Question 2

kaufman assessment batter for children (K-ABC)

Answer 2

intelligence test for ages 2.5-12

Question 3

weschler intelligence scale for children revised (WISC-R)

Answer 3

IQ for 6-16

Question 4

peabody individual achievement test (PIAT)

Answer 4

academic achievement

Question 5

mental retardation DSM

Question 6

mental retardation epi

Answer 6

2.5% pop. 85% mild (IQ 50-70). M>F

Question 7

MR causes

Answer 7

most no cause. Prenatal- TORCH. Perinatal- anoxia, prematurity, birth trauma. Post natal- hypothyroidism, malnutrition, toxin exposure trauma

Question 8

learning disorder DSM

Answer 8

achievement in math, reading or writing lower than expected for age, lvl of edu, IQ. Can’t be explained by sensory deficits, poor teaching, cultural factors. Often due to deficit in cog procressing (abn attension, mem, visual perception).

Question 9

learning disorder workup

Answer 9

always r/o visual and hearing deficit. Cause may be genetic, abn dev, perinatal injury, neuro or med condition.

Question 10

conduct D DSM

Answer 10

pattern of behavior that involves violation of basic rights of others or of social norms and rules. 3/4 in past y. 1) aggression toward ppl/animals 2) destruction of property 3) deceitfulness 4) serious violation of rules

Question 11

conduct disorder epi

Answer 11

M>F. genetic and psychososcial factors. 40% risk of dev antisocial PeD. Comorbidities- ADHD, learning disorder, mood D, substance abuse, criminal behavior in adulthood

Question 12

Conduct disorder tx

Answer 12

structure enviro with firm fules. Therapies that focus on behavior modification and problem solving skills. Adj pharmacotherapy helpful. Antipsychotics or lithium for aggression and SSRI for impulsivity, irritability, mood lability.

Question 13

oppositional defiant disorder DSM

Answer 13

does not involve violation of basic rights of others. At least 6mo of negativistic, hostile, defiant behavior with 4/8 1) freq loss of temper, 2) arguments with adults 3) defying adult’s rules 4) deliberately annoying people 5) easily annoyed §) anger and resentment 7) spiteful 8) blaming others for mistakes or behaviors

Question 14

ODD epi

Answer 14

20% in children >6yo. Usually begin by age 8. onset bf puberty more common in boys. Comorbid substance abuse, mood D, ADHD, remit in 25%. May –> conduct D.

Question 15

ODD tx

Answer 15

individual psychotherapy that focuses on behavior mod and problem solving skills and parenting skills.

Question 16

ADHD comorbid

Answer 16

2/3 have CD or ODD.

Question 17

ADHD dsm

Answer 17

3 types: predominatly inattentive type, predominantly hyperactive imulsive type, and combined type. 1) at least 6 sx involving inattentiveness(problems listening, concentraitng, patying attention to details, organizing tasks, easily distracted, forgetful), hyperactivity (blurting out, interrupting, fidgeting, leaving seat, talking excessively) or both that persisted at least 6 mo. 2) onset bf 7 3) behavior inconsistent with age and dev.

Question 18

depression children

Answer 18

manifest as irrtableness instead of dysphoria. Otherwise criteria is same as for adults.

Question 19

ADHD tx

Answer 19

1) pharma- CNS stimulants - ritalin= first line. Dextroamphetamine, pemoline. SSRI/TCA -adjuct 2) indivi psychotherapy-behavior mod techniques 3) parental counseling (edu and parenting skills) 4) group therapy (improve social skills, self esteem)

Question 20

pervasive develpmental disorders

Answer 20

social skills, language, behaviors. Autistic, asperger’s , rett’s, child disintegrative disorder

Question 21

autistic D DSM

Answer 21

need 6 sx from folling categories. 1) social interaction prob (>2): impairment in nonverbal behaviors, failure to dev peer relationships, failure to seek sharing of interest or enjoyment iwht others, lack of social/emotional reciprocity. 2) impairment in communiation (>1): lack of delayed speech, repetitive use of language, lack of varied/ spontaenous play. 3) repetive and stereotyped patterns of behavior and activities (>1): inflexible rituals; reoccupation with parts of obj

Question 22

autistic epi

Answer 22

.02-.05% in children under age 12. M>F. sig association with fragile C, tuberous sclerosis, mental retardation, seizures. Delay social milestones (smile), usually bf 3yo. 70% metnally retarded. 1-2% func indep as adult

Question 23

autism/ asperger’s t x

Answer 23

no cure. Manage by remedial edu, behavioral theray, neuroleptics to cotrl aggression, hyperactivity, mood lability. SSRI ctrl stereotpyed and repetitive bahviors. Stimulatns

Question 24

aspergers D DSM

Answer 24

normal language and cog dev. 1) impared social interaction (>2): failure to dev peer relationships; impared use of nonvebal behaviors, lack seeking to share enoyment or interests with others; lack social emational reciprocity 2) restricted or stereotyped behaviors, interests, activites (inflexible routines, reprtitive mvt, preoccupation)

Question 25

Rett’s D

Answer 25

normal prenatal/perinator, psychomotor dev 5mo, head circumfrance. Decr rate of head growth btw age 5-48mo. Loss of previously leared purposeful hand skills 5-30mo. Dev stereotyped hand mvt (wringing hands, had washing). Early loss of social interaction –> subseq improve. problem with gait or trunc mvt. impaired language and psychomotor dev. seizure. cyanotic spells.

Question 26

Rett’s D etiology, tx

Answer 26

MECP2 gene mut on X chromosome. Supportiv tx

Question 27

childhood disintegrative D

Answer 27

1) normal dev in 1st 2 years. Loss of previously aquired skills in (>2): langauge, social skills, bowel or bladder ctrl, play, motor skills 3) (>2): impaired social itneraction; impaired language use; restricted/repetitive, sterotyped behaviro and interests

Question 28

Rett’s D etiology, tx

Answer 28

MECP2 gene mut on X chromosome. Supportiv tx

Question 29

childhood disintegrative D

Answer 29

1) normal dev in 1st 2 years. Loss of previously aquired skills in (>2): langauge, social skills, bowel or bladder ctrl, play, motor skills 3) (>2): impaired social itneraction; impaired language use; restricted/repetitive, sterotyped behaviro and interests

Question 30

childhood disintegrative D etio, epi, tx

Answer 30

onset 2-10, M>F. rare. Unknown etio. Supportive tx ~ autism

Question 31

tourette’s dsm

Answer 31

multiple motor and voval tics. Occur many times a day almost every day for >1y (no tic free period >3mo). Onset prior to 18yo. Distress or impairment in social/occupational func

Question 32

tourrette etio

Answer 32

M>F, onset 7-8yo. Comorbid- OCD, ADHD. Genetic. Impaired reg of dopamine in caudate nucleus.

Question 33

tourette’s tx

Answer 33

pharm- haloperidol, or pimozide (dop R antagonist). Supportive psychotherapy

Question 34

enuresis

Answer 34

primary- never established urinary conteinence. 2p: manifestation occur after a period of urinary continence usualy btw 5-8. diurnal-daytime episodes. Nocturnal.

Question 35

enuresis DSM

Answer 35

involuntary voiding after age 5. at least 2x/wk for 3mo or with marked imapirment

Question 36

enuresis tx

Answer 36

behavior mod (buzzer wake child up when sense wetness). Pharm- antidiuretics (DDAVP) or TCA

Question 37

encopresis

Answer 37

r/o hypothyroidism, lower GI prob (anal fissure, IBD) and dietary factor

Question 38

encopresis dsm

Answer 38

involuntary or intentional passage of faces in inappropriate places. At least 4yo. Occur at least 1/mo for 3mo.

Question 39

selective mutism

Answer 39

rare. F>M. onset 5-6. precede by stressful life event. Involve supportive psycho/behavioral/ family therapy

Question 40

separation anxiety D

Answer 40

4% of school age children. F=M. parents often have anxiety D and may express excessive concern. Onset ~7yo. Tx: fx therapy, supportive psychotherapy, low dose antidepressants

Question 41

child abuse dev

Answer 41

anxiety D, depressive D, dissociative D, substance abuse D, PTSD. Incr risk of subseq abusing own child.