Common disorders in children part 2

Question 1

what are the core symptoms of ADHD

Answer 1

inattention, hyperactivity, and impulsivity

Question 2

when is the onset, duration, and symptoms for ADHD

Answer 2

onset prior to age 7, duration greater than 6 months, symptoms in 2 or more settings

Question 3

Fails to finish things. Loses things. Poorly organized. what core symptom of ADHD

Answer 3

inattention

Question 4

has difficulty awaiting turn. Intrudes upon others. what core symtom o ADHD

Answer 4

impulsiviity

Question 5

what is the most common type of ADHD

Answer 5

combined type

Question 6

which ADHD type do we tend to see in females and dont get diagnosed till middle school

Answer 6

ADHD, predominately inattentive type

Question 7

Psychosis. ADHD or Bipolar 1

Answer 7

bipolar 1

Question 8

both ADHD and bipolar 1 have difficult to get to sleep, but which one also has low energy the next morning

Answer 8

ADHD

Question 9

hypersexual behaviors. Gory nightmares. Bipolar or ADHD

Answer 9

bipolar

Question 10

***what are ways to test for ADHD

Answer 10

1) Continuous performance test
- computer based test (look for X’s popping up, really boring)
2) Conner’s Rating scale
- subjective rating scales usually filled out by teachers and parents

Question 11

Kids who have ADHD. what can cause their symptoms to get worse if this is not controlled

Answer 11

Sugar and certain food intake

-note, kid who doesnt have ADHD. will not develop ADHD just bc his sugar intake

Question 12

what is the first line therapy in tx ADHD

Answer 12

amphetamines (adderall/Vyvanse) and methyphenidates (ritalin, concerta, Focalin)

Question 13

Clonidine and guafacine are what type of drugs

Answer 13

alpha adrenergic agonists

-short acting

Question 14

what are the long acting versions of alpha adrenergic agonists

Answer 14

kapvay, intuniv

Question 15

how long does it take atomoxetine (strattera) to start working

Answer 15

6 weeks

Question 16

a group of conditions in which there is delay or absence in the development of social skills, language/communication, and range of behavioral skills

Answer 16

pervasive developmental disorders

Question 17

Diagnosis includes deficits in 3 main areas of development, such as social skills, language development and usage, restricted or stereotypical behavioral patterns. is it autistic disorder or asperger’s

Answer 17

Autistic

-note asperger’s has no problem w/ language development

Question 18

kid is rocking and grunting..what are you thinking

Answer 18

autistic

Question 19

this disorder has restricted, repetitive patterns of behavior, interest, and activities

Answer 19

asperger’s disorder

-have friends but they all are into the same thing

Question 20

which patient would typically be treated w/ applied behavioral analysis (ABA therapy)? Autism or Asperger’s

Answer 20

Autism

Question 21

what are some medications used in treating autistic spectrum disorders

Answer 21

Risperidone (for aggression) and aripiprazole (for irritability)

Question 22

**which type of pervasive developmental disorder only occurs in females

Answer 22

Rett’s

-btw 6 months and 2 years of age, development of encephalopathy w/ other symptoms

Question 23

loss of purposeful hand movements, stereotypical motions, loss of previously acquired speech/language/social skills, Ataxia, head-circumference growth decelerates

Answer 23

Rett’s disorder

-prognosis is progressive, note childhood disintegrative disorder is not progressive, reaches a plateau phase

Question 24

marked regression in several areas after at least 2 years of normal development, usually onset is btw 3 and 4 years of age

Answer 24

childhood disintegrative disorder

Question 25

loss of communication skills, marked regression of reciprocal interactions, regression of self help skills such as bowel/bladder control, ANXIETY

Answer 25

childhood disintegrative disorder