Child psych

Question 1

What does ADHD stand for?

Answer 1

Attention deficit hyperactivity disorder

Question 2

For diagnosis of ______, features should be consistent across various settings

Answer 2

ADHD

If not consistent, indicates an environmental problem instead

Question 3

Conservative management of ADHD

Answer 3

Parental and child education
Healthy diet and exercise
Food diary (with dietician, to eliminate triggers)

Question 4

What are possible medications for ADHD?

Answer 4

Stimulants!!!

Ritalin (methylphenidate)
Dexamfetamine
Atomoxetine

Question 5

Define anorexia nervosa

Answer 5

Person feels overweight despite normal/low body weight.

Restrict calorie intake obssessively with intention of losing weight.

Person exercises excessively and may use diet pills or laxatives to restrict absorption of food.

Question 6

List some features of anorexia nervosa

Answer 6

Excess weight loss
Amenorrhoea
Lanugo hair across most of body
Hypokalemia
Hypotension
Hypothermia
Anxiety, Depression
Solitude

Question 7

What are cardiac complications of anorexia nervosa?

Answer 7

Arrythmia
Cardiac atrophy
Sudden cardiac death

Question 8

Define bulimia nervosa

Answer 8

Binge eating followed by purging.

NORMAL body weight usually (unlike anorexia)

Purging - vomiting or taking laxatives

Question 9

List some features of bulimia nervosa

Answer 9

Alkalosis, due to vomiting HCl from stomach

Hypokalemia
Teeth erosion
Swollen saliva glands
Mouth ulcers
GOR and irritation
Russell's sign (knuckle calluses)

Question 10

3 aspects affected in autism spectrum disorder

Answer 10

Social interaction
Communication
Flexible behaviour

Question 11

List the ways in which social interaction is affected in autism spectrum disorder

Answer 11

Lack of eye contact
Delay in smiling
Avoids physical contact
Unable to read non-verbal cues
Difficulty with friendships
Not playing with others

Question 12

List the ways in which communication is affected in autism spectrum disorder

Answer 12

Delay, absence or regression in language development
Lack of appropriate non-verbal communication (smiling, eye contact, responding to others, sharing interest)
Difficulty with imaginative/ imitative behaviour
Repetitions of words/phrases

Question 13

List the ways in which behaviour is affected in autism spectrum disorder

Answer 13

Greater interest in objects/numbers/patterns > people
Stereotypical repetitive movements (hand-flapping/rocking)
Intensive and deep interests that are persistent and rigid
Repetitive behaviour and fixed routines
Anxiety/distress if outside normal routine
Extremely restricted food preferences

Question 14

Which professions are involved in MDT management of autism spectrum disorder?

Answer 14

CAMHS
SALT team
Dietician
Paediatrician
Social workers
SEN
Charities (National autistic society)