Child Psychiatry

Question 1

You are conducting a routine review in your medical practice for a 13 year old girl with Anorexia Nervosa. She admits that she has escalated her restrictive eating behaviours, and is exercising at least an hour a day. She has not menstruated for 5 months. She denies feelings of self harm or intent. On examination her BMI is 13.5. She has a postural drop of 25 mmHg during BP assessment. Her resting heart rate is 40/minute. You take her temperature and it is 35.2°C. What is your priority course of action at this point?

Question 3Select one:

a.
Refer to dietitian for safe weight restoration

b.
Refer to community family-based therapy

c.
Refer for cognitive behavioural therapy

d.
Refer for immediate inpatient admission

Answer 1

Refer for immediate inpatient admission

Question 2

Compared to age-matched population samples, adolescents with Anorexia Nervosa (restricting subtype) have increased prevalence of what other specific behavioural disorder?

Question 2Select one:

a.
Gilles de la Tourette’s syndrome

b.
Oppositional-Defiant Disorder

c.
Attention-Deficit Hyperactivity

d.
Obsessive-Compulsive Disorder

Answer 2

OCD

Question 3

A 7-year old girl is referred to you for behaviour problems. Her parents say that since her preschool years she has been extremely demanding, physically active, noisy and talkative. She tends to get upset easily and sometimes impulsively strikes out at others, though she often settles down quite quickly and usually feels very sorry afterward. She is loving and affectionate toward her family and gets along well with other children when all is going her way. She likes school, but is struggling academically because she has difficulty starting or completing schoolwork. What is the most likely diagnosis?

Question 1Select one:

a.
Major anxiety / depression disorder

b.
Early onset major psychotic disorder

c.
Attention-deficit hyperactivity disorder

d.
Oppositional-defiant conduct disorder

Answer 3

ADHD