Children Psych

Question 1

What is the definition of of intellectual disability?

Answer 1

IQ < 70, onset before age of 18, deficits in adaptive skills

Question 2

What are the characteristics of Prader willi?

Answer 2

mental retardation, obesity, hypogonadism, almond shaped eyes

Question 3

What are the DSM criteria for Oppositional defiant disorder?

Answer 3

6 months of hostile, defiant behavior with frequent loss of temper, easily annoyed

Question 4

What are the DSM criteria for conduct disorder?

Answer 4

patterns of behavior that violate basic rights of others including aggresion towards people, destruction of property, deceitfulness of theft, serious violation of rules

Question 5

What are the DSM criteria for ADHD?

Answer 5

6 symptoms of inattentiveness, hyperactivity, impulsivity, persistent for 6 months, onset prior to age 7

Question 6

What disorders are comorbid with ADHD?

Answer 6

ODD, anxiety disorders, personality disorders

Question 7

What is the treatment for ADHD?

Answer 7

CNS stimulants, amphetamine salts (adderall) , family and group psychotherapy

Question 8

What are the DSM criteria for autistic disorder?

Answer 8

problems with social interaction, problems in communication, problems with repetitive stereotyped behavior

Question 9

What are the DSM criteria for asperger’s?

Answer 9

same as autisim without the limitation in communication

Question 10

What are the characteristics of Rett disorder?

Answer 10

onset at age 5-48 months, stereotyped hand movements, decreased head growth rate, loss of purposeful hand skills

Question 11

What are the features of childhood disintegrative disorder?

Answer 11

normal development in first 2 years of life and loss of integrative skills before age 10 in language, bowel/bladder control, motor skills, communication
-> associated with medical conditions

Question 12

What are the DSM criteria for tourette’s disorder?

Answer 12

tic = stereotyped involuntary movements or vocalization

DSM: multiple motor and one or more vocal tics occuring many times a day every day for over a year

Question 13

What is the epidemiology of tourettes? (who does it affect, how often does it go away, comorbidities)

Answer 13

more boys than girls, high comorbidity with OCD, ADHD

goes away about 1/2 to 2/3 of the time

Question 14

What is the etiology of tourette’s?

Answer 14

genetic
perinatal factors
neurochemical factors - impaired regulation of dopamine in caudate nucleus
post infectious autoimmune factors 
psychological factors

Question 15

What is the treatment for tourette’s?

Answer 15

atypical neuroleptics (risperidone), alpha-2 agonists (clonidine)

Question 16

What is the definition of enuresis?

Answer 16

involuntary voiding of urine after age 5 at least 2 times a week for 3 months

Question 17

What is the definition of encopresis?

Answer 17

involuntary passage of feces by age 4 at least 1x month for 3 months

Question 18

What is the best tx option for elimination disorders?

Answer 18

high rate of remission, behavior modification

Question 19

What is selective mutism?

Answer 19

refusal to speak in certain conditions for at least 1 month, usually occurs between 2-5 years of age

Question 20

What is separation anxeity disorder?

Answer 20

ecessive fear for more than 4 weeks of leaving parents - treat with family therapy

Question 21

What treatment should be prescribed in the treatment of severe tourette’s?

Answer 21

antipsychotics (Clonidine)

Question 22

How is depression in children different from depression in adults?

Answer 22

More irritable, more hypersomnia, more psychomotor agitation

Question 23

What is the most common method for children to kill themselves?

Answer 23

Overdose

Question 24

What are some of the major risk factors for conduct disorder?

Answer 24

no biological father, mother with somatization/alcohol abuse, large family, aggressive unsupportive parents

Question 25

What are the criteria for an individual to be diagnosed with a reading disorder?

Answer 25

reading impairment sig lower than IQ performance

Question 26

What percent of children with learning disorders have a comorbid mental illness?

Answer 26

50%

Question 27

What percent of children respond to methylphenidate?

Answer 27

70

Question 28

How old are children when they begin to appreciate the irreversibility of death?

Answer 28

7-8 years