Disorders with childhood onset

Question 1

Requirements for a diagnosis of ASD in DSM V

Answer 1

Deficits in social communication and interaction

Restricted repetitive behaviours, activities and interests

Question 2

Diagnosis given where there is ASD with disorder of intellectual development AND marked impairment in functional language with individuals not able to use single words or simple phrases. Involves a loss of previously acquired skills after normal development up until age 2

Answer 2

Heller’s syndrome

Question 3

Disorder where a child loses receptive and expressive language skills from around age 3 while retaining general intelligence. Associated with bilateral temporal epilepsy.

Answer 3

Landau-Kleffner syndrome

Question 4

Number of settings impairment from inattention or hyperactivity must be present for a diagnosis of ADHD

Answer 4

At least 2

Question 5

Enduring set of antisocial and aggressive behaviours that develop over time, characterised by violations of the rights of others

Answer 5

Conduct disorder

Question 6

Features of conduct disorder

Answer 6

Aggression or threats of harm towards people or animals
Destruction of property
Theft or deceitful acts
Violation of age appropriate rules
Early sexual behaviour
Lack of empathy
Low self-esteem

Question 7

Persistent pattern of negative, hostile, disobedient and defiant behaviour for at least six months. Includes temper outbursts, refusal to comply with rules, blaming of others, and spiteful or annoying behaviours.

Answer 7

Oppositional defiant disorder

Question 8

Developmentally inappropriate and excessive anxiety concerning separation from home or loved ones.

Answer 8

Separation anxiety disorder

Question 9

Persistent failure to speak in certain settings despite the full use of language in other settings

Answer 9

Elective mutism

Question 10

Relaxation of age restrictions needed to diagnose ADHD in DSM V

Answer 10

Symptoms need to have been present before the age of 12 (previously 7)

Question 11

Qualifiers that may be added to the disruptive behaviour or dissocial disorders category in ICD 11, which includes oppositional defiant disorder and conduct disorder

Answer 11

Limited prosocial emotions

Typical prosocial emotions

Question 12

Core diagnostic features of ADHD

Answer 12

Inattention
Hyperactivity
Impulsivity

Question 13

Most common psychiatric co-morbidity seen in children with ADHD

Answer 13

Oppositional defiant disorder

Question 14

Disorder characterised by difficulty with social interaction and non-verbal social skills, but normal speech and language

Answer 14

Asperger’s syndrome

Question 15

Male to female ratio of autism

Answer 15

4:1

Question 16

Most common psychiatric disorder in children with mild intellectual disablity

Answer 16

Conduct disorder