Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CP2 PAEDS > Community + Psych Part 2 > Flashcards

Community + Psych Part 2 Flashcards

1
Q

Prevalence autism

A

Around 1/54

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When does autism usually present

A

2-4 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Classic triad in Autism

A

Impaired social interaction
Speech and language disorder
Routines with ritualistic/repetitive behaviour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Examples of impaired social interaction - Autism (4)

A

Can’t form friendship
Own company/no interest in others
Avoids eye contact
Socially inappropriate/ no empathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Examples of speech and language disorder in Autism (5)

A 
Delayed development 
Limited use of gestures/facial expression 
Pedantic language 
Monotone voice 
Over-literal interpretation of speech
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Examples of routines w/ ritualistic behaviour in Autism (4)

A

Violent temper tantrum if disrupted
Lack of imagination in play
Hand-flapping/ tip-toe gait
Peculiar interest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is Aspergers

A

Milder form of ASD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pre-natal aetiology ASD/Aspergers (3)

A

Advanced maternal age
Teratogens
Maternal DM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Peri-natal aetiology ASD/Aspergers

A

Low birth Weight

Short gestation length

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Post-natal aetiology Asperers/ASD (3)

A

AI disease
Viral infection
Hypoxia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Mx ASD/Aspergers

A 
Applied behavioural analysis 
CBT for anxiety 
OT's - develop motor skills 
Musical therapy 
Dietician 
SALT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Aims of Applied behavioural analysis for ASD (3)

A

Decrease ritualistic behaviour
Develop language/soc skills
Increase play

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Prevelance ADHD

A

1-5%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

M:F ADHD

A

3:1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

By what age must ADHD onset by?

A

7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 3 core Sx in ADHD

A

Innattention
Hyperactivity
Impulsivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Diagnostic criteria ADHD

A

3 core Sx
In more than one location
For >6months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Mx ADHD - psychological

A

Psychotherapy - bheavioural modification + family education + support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Mx ADHD - social

A

Liason w/ education

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Mx ADHD - biological (3)

A

CNS stims e.g. ritaline/dexamfetamine to incr attention
Non stims e.g. Atomoxetine
Monitor BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What % of ADHD persists into adulhood

A

15%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Factors for worse prognosis ADHD (2)

A

Unstable family

Coexisting conduct disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Causes of daytime enuresis (4)

A 
Lack of bladder control b/c: 
UTI
Ectopic ureter 
Neuropathic bladder 
Decreased sensation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Ix daytime enuresis (5)

A 
Check dermatomes + sensation 
Check reflexes+ gait 
Is bladder distended (neuropathic) 
Urine - MCS
USS bladder 
Urodynamics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Def secondary enuresis

A

Loss of previously achieved continence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is secondary enuresis due to? (3)

A

Emotional upset
UTI
Polyuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Which gender suffers from nocturnal enuresis more?

A

Males

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Causes nocturnal enuresis (3)

A

UTI
Faecal retention
DM/renal disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

At what age is Mx for nocturnal enuresis commended

A

Aged 6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Mx nocturnal enuresis

A

Star charts
Enuresis alarm
Desmopressin (short term)
Self help groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Mild LD IQ

A

70-80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Moderate LD IQ

A

50-70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Severe LD IQ

A

35-50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Profound LD IQ

A

<35

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

When would a parent 1st notice a child has a severe/profound LD

A

Infancy

DUe to marked developmental delay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

When would a parent 1st notice a child has a mod/ LD

A

Delay in S+L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

When would a parents 1st notice a child has a mild LD

A

School or later

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Prenatal causes - LD (6)

A 
Genetics (Downs/FragileX/hydrocephalus/microcephaly) 
Vasc - haemorrhage
Met - HypoThyroidism, phenylketonuria 
Terotgens - alcohol/Dx
TORCH
NCT syndromes - TS/NFM
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Perinatal causes of LD (3)

A

Extreme prematurity
Birth Asphyxia
Metabolic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Post natal causes of LD (5)

A 
Infections (meningitis/encepahlitis) 
Anoxia 
Trauma (head injury)
Hypoglycaemia 
Stroke
41
Q

Def Dyslexia

A

Disorder of reading skills disproportionate to iQ

Reading age >2y behind chronological age

42
Q

Dyscalculia

A

Disorder of calculation

43
Q

Dysgraphia

A

Disorder of writing skills

44
Q

Diagnostic criteria Dyspraxia

A

Disorder motor planning/execution
No signif findings on neuro exam
Disorder higher cortical processes
Assoc w/ perception, use of language + putting thoughts together
Can impact education progress + self esteem

45
Q

Assessment dyspraxia (2)

A

OT

SALT

46
Q

Mx dyspraxia

A

Therapy
SALT
Maturity

47
Q

PS - physical abuse

A

Bruises
Burns
Bites

48
Q

Factors indicating intent physical abuse (7)

A 
Hx factors 
Plausibility of explanation 
Background of previous abuse 
Delay in reporting 
Inconsistent stories 
Inappropriate reaction to parents 
Parents are vague, evasive, unconcerned, agitated
49
Q

Def neglect

A

Persistent failure to meet childs basic needs –> serious impairment of health and development

50
Q

When to suspect neglect (13)

A 
Consistently misses appts
Lacks glasses
Lacks imms 
Seems hungry v
Dirty
Wearing inapprop clothes 
abusing Dx/alc
'No one at home' 
If parent: 
Indifferent to child 
Apathetic
Irrational behaviour 
Bizarre behaviour 
Abusing dx/alc
51
Q

Def emotional abuse

A

Persistent emotional mistreatment of child –> poor emotional development

52
Q

PS - emotional abuse - baby (3)

A

Apathetic
Non-demanding
attention seeking

53
Q

PS - emotional abuse - toddler (3)

A

Violent
Apathetic
Fearful

54
Q

PS - emotional abuse - school children (3)

A

Wetting
Soiling
Relationship difficulties

55
Q

PS - emotinoal abuse - adolescents (3)

A

Poor attendance
Self harm
Depression

56
Q

Def sexual abuse

A

Forcing acts, including prostitution, being made to look at porn/make it

57
Q

PS sexual abuse (7)

A 
Child may tell someone 
ID'd on porn 
STI
Vaginal bleeding/itch/discharge
Rectal bleed 
Pregnancy <13
Behavioural Sx
58
Q

Which parent is responsible for Munchausen’s by proxy in 80% cases

A

Mother

59
Q

RF child abuse (10)

A 
Child not meeting expectations 
Disabled/gender 
Parents mental health 
Parents Dx/alc abuse 
Step parents 
DOmestic biolence 
Closely spaced children 
Young parental age
SOcial isolation 
Poverty
60
Q

Ix suspected child abuse

A

XR - #
CT head
Opthal review
Coag screen

61
Q

DDx - NAI/bruising (2)

A

Coagulation disorder

Mongolion blue spot

62
Q

DDx - NAI/#

A

Osteogenesis imperfecta

63
Q

DDx - NAI/Scalds (2)

A

Imeptigo

Scalded skin syndrome

64
Q

Mx abuse (5)

A 
Note injuries 
Note child/parent interaction 
Decide if child needs immediate protection - admit 
Safety of other siblings 
Organise strategy meeting
65
Q

Features anorexia nervosa

A

Low BMI <17.5
Determined attempt to lose weight
Evidence generalised endocrine disorder
Overvalued ideas

66
Q

Biological Mx anorexia nervosa (6)

A 
W restoration 
Reg weight monitoring 
Reg bloods monitoring 
DEXA scan if req
ECG
Specialist dietician
67
Q

Bloods Ix anorexia (11)

A 
FBC
U+E
LFT
GLucose 
PO4
Mg
Ca
CK
Zn
B12
Folate
68
Q

Psychological Mx anorexia (2)

A

CBT/Interpersonal therapy/Mindfullness/Arts

Family therapy

69
Q

Social Mx anorexia

A

Informed loved one for extra support
Carer support
Incr flexibility

70
Q

WHat are Russels sign

A

Callusses on back of the hands from induced vomiting

71
Q

Biological Tx Bulimia (5)

A

SSRIs (fluoxetine)
Advise to stop taking laxatives/alcohol
Reg W monitoriing
Reg blood monitoring esp hypokalaemia

72
Q

Psychological Mx bulimia (3)

A

Psychoeducation
20 sessions CBT
Specialist dietician - focus on balanced eating

73
Q

Social Mx bulimia

A

Informed loved one for extra suppoort
Carer support
Encourage extra intake + stop binge/purge cycle
Increase involvement in social plans/lifestyle plans

74
Q

Biological impact of chronic illness (5)

A 
Delayed puberty 
Short stature 
Decr bone mass 
Malnutrition 
Localised growth abnormality
75
Q

Psychological impact of chronic illness (6)

A 
Decr maturity 
Adopt sick role 
Impaired sexual development 
Parental stress 
Depression 
Financial problems
76
Q

Social impact of chronic illness (6)

A 
Decr independence 
Failure in relationships 
Social isolation 
Decr academics 
Decr self-esteem 
Vocational failure
77
Q

Def school refusal

A

Inability to attend school due to overwhelming anxiety

78
Q

2 common causes of school refusal

A

Separation anxiety from parents

Anxiety from other aspect of school

79
Q

Tx school refusal

A 
Increase sep fom parents slowly. Early school return 
Advice + support of parents + school
Tx underlying emotional disorder 
Reward going to school 
Address any school difficulties
80
Q

What age does conduct disorder occur in males

A

10-12

81
Q

What age does conduct disorder occur in girls

A

14-16

82
Q

Def conduct disorderr

A

Repetitive aggressoin to people/animals, destruction of property, theft, violations of approp bheaviours

83
Q

Aetiology of conduct disorer (4)

A

Abuse
Parental psychopathology
Education
SE status

84
Q

Mx conduct disorder

A

CBT

Behavioural therapy

85
Q

Are tantrums normal?

A

Yes

= toddlers response to frustration

86
Q

What must you check for in tatrum children

A

Medical causes:
Global language delay/hearing impairment
Dx - bronchodilators, anticonvulsantns

87
Q

Mx tantrums

A

Distractions
Time outs
Star charts

88
Q

Features depression in children (6)

A 
Sadness 
Lack of motivation 
Poor judgement 
No pleasure 
Sleep/appetite disturbance 
Social withdrawal
89
Q

Which Tool is used to elicit Self harm Hx in children?

A

PATHOS tool

90
Q

PATHOS tool

A 
Problems for >1month? 
Alone at the time? 
Plan to OD for >THREE hrs ? 
Feeling HOPELESS for futre? 
SAD before OD? 
>2 = at risk
91
Q

What is Chronic fatigue syndrome?

A

Persisting high levels of subjective fatigue –> rapid exhaustion on minimal exertion

92
Q

What is ME?

A

Myalgic encephalopathy

93
Q

Which 3 organisms can cause chronic fatigue syndrome?

A

EBV
Coxsackie B
Hep

94
Q

Sx Chronic fatigue syndrome (7)

A 
Myalgia 
Headaches 
Poor [  ] 
Stomach pain 
Scalp tenderness 
Eye pain 
Photophobia
95
Q

Mx Chronic fatigue syndrome (4)

A

Graded exercise therapy
CBT
Maintain normal life
Anti-D

96
Q

Mx - difficulty getting child to sleep

A

Create bedtime routine = cues

Graded sleep pattern

97
Q

When do night terrors occur?

A

1.5hrs after settling

98
Q

Appearance of child during night terror

A 
Sat in bed 
Eyes open 
Seemingly awake 
Obviously disorientated 
Unresponsive to q

CP2 PAEDS (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions