DSM Peds

Question 1

ID diagnostic criteria

Specifier

Answer 1

Meet the following 3

• def in intellectual functioning
• def in adaptive functioning
• onset during dev period

Specify:
Mild/mod/severe/profound

Question 2

Treatment (pharma) for CDD

Answer 2

If ADHD (or adhd and aggressive!) stimulant>strattera=guanfacine>clonidine
If aggressive no adhd- risperdal
If aggressive, impulsive and or tics- antipsychotics

Question 3

Bulimia
Vomiting shows what kind of change?

Laxatives?

Answer 3

Metabolic alkalosis

Metabolic acidosis

Question 4

Klein levin syndrome

Kluver bucy syndrome

Answer 4

Klein levin: hypersomnolence, hypersexuality, hyperphagia

Kluver bucy: compulsive eating, hyper orality, hypersexuality, visual agnosia, docility

Question 5

Lesch Neehan syndrome

Answer 5

Recessive x chromosome 
Mental retardation
Self mutilation
HYPERURIC ACID
CONFUSED FOR CEREBRAL PALSY

Question 6

Changes seen on EEG in ADHD

Answer 6

Increase theta in frontal areas

Question 7

Medical conditions to rule out in ADHD as per nul

Answer 7

Petit mal seizures
Thyroid
Hypoglycaemias

Question 8

Stimulants increase which medications

Answer 8

Coumadin
Anticonvulsants
TCAs

Question 9

Type of inheritance for Tourette’s

Answer 9

Autosomal dominant

Question 10

Two meds that worsen tics

Answer 10

Wellbutrin and stimulants (in 1/3) of cases

Question 11

Tx for EDs

Answer 11

AN: first family therapy, no good evidence for pharmaco but can use olanzapine

BN: cbt, iPt
Fluox 60-80, sertraline, citalopram
Wellbutrin contraindicated due to seizures

Question 12

Di George acronyms

Answer 12

CATCH 22
Cardiac anomalies (tetralogy of falot)
Abnormal facies 
Thymus hypoplasia
Cleft palate

Question 13

Persistence of adhd into adulthood

Answer 13

60%

Non response to tx is NOT a risk factor

Question 14

How many kids convert to BAD from depression

Answer 14

20-40%

Vs adults 5-10%