Developmental and Psychiatry

Question 1

DSM Criteria for Autism Spectrum Disorder

Answer 1

1. Dysfunction in communication or social interactions that is manifested by:
   Problems with making relationships
   No emotional reciprocity
   Non verbal communication problems
2. Restrictive and Repetitive patterns of behaviours with 2 of the following:
   Stereotypical/repetitive speech and motor movements
   excessive fixed interests
   rigid routine
   hypo/hyperactive sensation

Question 2

Autism Screen Red Flags

GBS RN LAMPP

Answer 2

Gaze aversion
Body parts - difficulties naming, or only knows 1 
Speech difficulties 
Rigid patterns of behaviour
Name - does not respond
Lining things up
Attention - no joint attention 
M - fascination with certain movements
Point to interest - none
Pretend play - none

Question 3

DSM Criteria for Depression

Answer 3

Need to have at least 5 symptoms for 2 weeks and it to affect daily functioning:
Sadness (depressed mood)
Interests (Ahedonia)
Guilty 
Energy (decreased)
Concentration 
Appetitie (up or down)
Psychomotor agitation (signs and sympatoms that manifests from anxiety or mental tension such as pacing or wringing of the hands)

Question 4

Two Disruptive Behaviour Disorders

Answer 4

ODD (BAD A2T2 being good)
These children are angry and argumentative for 6 months with four other features:
Blaming, annoys, defies, argues, angry, touchy, temper

Conduct disorder: defy the basic rights of others and norms are violated. They need 3/15 in 12 months or 1/15 in 6 months.
Agression to people and animals, destruction of property, etc.

Question 5

Indications to hospitalize an ED

Answer 5

Outpatient failed 
heart rate while awake <55 asleep <45
electrolyte abnormalities 
syncope or changes in blood pressure 
Hypothermia
Acute medical complication

Question 6

5 Causes for Large Anterior Fontanelle

Answer 6

Increased ICP
Tumor, Hydrocephalus
Hypothyroidism 
Normal
Trisomy 13, 18 and 21

Question 7

Side effects and monitoring for Risperidone

Answer 7

Metabolic syndrome
Liver dysfunction
Acute Dystonic Reaction
Bone Marrow Suppression

Question 8

Risk Factors for Completed Suicide

F2M2 B S2IP

Answer 8

Family history 
Fire arms
Male 
Mental Health Status
Bullying
Sexual minority
Substance abuse 
Ideation 
Prior attempts

Question 9

DSM Criteria for PTSD

6

Answer 9

a. Previous exposure to death or tragedy
b. Intrusive thoughts, nightmares, flashbacks (the event needs to be re experienced)
c. Avoidance of situations
d. negative thoughts and feelings after the event
e. Trauma related arousal
f. More than 1 month of functional impairment