Brainscape's Knowledge GenomeTM

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


See full index

Pediatrics > Exam 4; Psych, GI, endo, random > Flashcards

Exam 4; Psych, GI, endo, random Flashcards

1
Q

The ASQ-3 (ages and stages questionnaire) is used for what ages?

A

1mo-5.5yrs

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

ADD/ADHD is predominant in

A

Boys

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

What psych condition is characterized by
- Diminished sustained attention
- Increased impulsivity and hyperactivity

A

ADD / ADHD

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

Etiology of ADD/ADHD

A
  • Largely genetic at ~75%
  • Foods contributing to hyperactivity (sugar/colorings/preservatives)
  • Developmental factors (premature birth/infections while in womb/perinatal insult to brain/being born in September)
  • Psychosocial (chronic abuse, neglect, maltreatment)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

T/F: Most children with ADHD demonstrate structural damage in the CNS?

A

FALSE - there is no structural damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

These are some features of what psych condition?
- finishing tasks rapidly but they are incomplete
- unable to wait to be called on/ interrupt in class
- impulsivity and inability to delay gratification
- may show aggression or defiance

A

ADD/ADHD

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

what is the first symptom to remit in ADD/ADHD?

A

Overactivity

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

What is the last symptom to remit in ADD/ADHD?

A

Distractibility

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

What is the first line of treatment in a school aged child with ADD/ADHD?

A

STIMULANTS (dopamine agonists)
- Methylphenidate (Ritillin)
- Amphetamine and dextroamphetamine (adderall)

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

What are adverse effects of stimulants?

A
  • Elevated BP and pulse
  • Weight changes
  • Stunted growth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is first line treatment of a child 3-5, not in school, with ADD/ADHD?

A

Behavioral therapy!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

in healthy people adderall and ritillin do what?

A

Serve as performance enhancers

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

Name three behavior disorders…

A
  • Disruptive mood dysregulation disorder
  • Oppositional defiant disorder
  • Conduct disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What TWO behavior disorders CAN co-exist at the SAME TIME?

A
  • Disruptive mood dysregulation disorder and conduct disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Severe, developmentally inappropriate, and recurrent temper outbursts at least 3x per week and persistent irritable/angry mood in between outbursts is suggestive of

A

Disruptive mood dysregulation disorder

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

What are the three types of oppositional defiant disorder?

A
  1. Angry/irritable mood (lose temper easily)
  2. Argumentative / defiant behavior (pattern of arguing with authority)
  3. Vindictiveness (spiteful actions at least twice in 6 mo)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

These are some features of what psych condition?
- Mistrust (feels everyone is against them)
- Hostile and negative behavior towards authority figures
- Inability to take responsibility for mistakes AND places blame on others
- *Difficulty in classroom and with peer relationships
- Generally do not report to physical aggression or destructive behavior

A

Oppositional defiant disorder

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

Tx for oppositional defiant disorder includes

A
  • Dealing with the child’s trust issues
  • Family intervention / parenting training
  • Cognitive therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Dx of oppositional defiant disorder includes the following behaviors outside the expected range of normal

A
  • Arguing with adults
  • Loss of temper
  • Chronic anger
  • Resentful
  • Active defiance against requests or rules
20
Q

Repetitive and persistent pattern of behavior in which the rights of others OR major age-appropriate societal norms or rules are violated is suggestive of

A

Conduct disorder

21
Q

In pts with conductive disorder, they typically have behaviors in the following four categories

A
  • Physical aggression / threats to others
  • Destruction of their OWN property
  • Theft or acts of deficit
  • Frequent violation of age appropriate rules
22
Q

What behavior disorder has a HIGH RISK for incarceration?

A

Conduct disorder

23
Q

when is anxiety considered a disorder?

A
  • when it is overwhelming, disrupting life, persistent, and interferes with functioning
24
Q

Dx of panic disorders

A
  • Recurrent and unexpected panic attacks followed by at least 1 mo of persistent concern abt having another panic attack OR significant behavioral change related to the attacks
25
Q

Tx for anxiety / panic disorders includes

A
  • Cognitive behavioral therapy
  • SSRIs (Zoloft or lexapro)
26
Q

What disorders are the MOST IMPORTANT RISK FACTOR for youth suicide

A

MOOD DISORDERS

27
Q

Sad or irritable mood or diminished interest/pleasure, associated with significant distress or impairment in function that represents a CHANGE from previous functioning is suggestive of

A

Depression

28
Q

Loss of interest and enthusiasm in play, socializing, school, unusual activities, or loss of pleasure is termed

A

Anhedonia

29
Q

Tearfulness, sad, dowturned expression, anger, irritability, unhappiness is termed as

A

Dysphoric mood

30
Q

Self-harming thoughts or statements, thoughts of disaster, abandonment, death or suicide is termed

A

Morbid ideation

31
Q

Changes in sleep or appetite patterns, difficulty concentrating, bodily complaints such as headache or stomachache is termed as

A

Somatic symptoms

32
Q

Tx of depression includes

A
  • psychotherapy
  • SSRIs
33
Q

When is autism typically relevant

A

in the second year of life

34
Q

Approximately 1/3 of children meeting the criteria for autism spectrum disorder also exhibit

A

intellectual disability

35
Q

Two persistent deficits of autism spectrum disorder include:

A
  1. Deficits in social communication and social interaction across multiple contexts
  2. Restricted, repetitive patterns of behavior, interests, or activities
36
Q

T/F: children with autism spectrum disorder have increased serotonin levels

A

TRUE

37
Q

Autism spectrum disorder tool used in toddlers is called

A

M-Chat-R/F

38
Q

Screening tool for autism in toddlers and young children (STAT) looks at what four things

A
  • Social interaction
  • Communication
  • Play
  • Imaginative use of materials
39
Q

Children with autism spectrum disorder and an IQ of what number have the best prognosis?

A

IQ of >70

40
Q

What are the most prevalent co-existing conditions with autism spectrum disorder?

A
  • Sleep problems
  • Feeding/limited diet
  • GI issues
41
Q

Tx for autism spectrum disorder includes?

A

INTENSE behavioral therapy

42
Q

What is a rare, non-inherited genetic POSTnatal neurological disorder that OCCURS ALMOST EXCLUSIVELY IN GIRLS and leads to severe impairments in every aspect of life?

A

Rett syndrome

43
Q

The hallmark of Rett syndrome is

A

Near constant repetitive hand movement s while awake

44
Q

Loss of acquired purposeful hand skills in children with Rett syndrome happens at age

A

5-30 months

45
Q

What subset of autism spectrum disorder has no language delay but deficits in social and communication skills?

A

Asperger’s syndrome

46
Q

Two disorders that are subsets of autism spectrum include

A
  • Rett syndrome
  • Asperger’s disorder
47
Q

How is intellectual disability characterized?

A

Characterized as significant limitations in
1. Intellectual function (reasoning, learning, problem solving)
2. Adaptive behavior (conceptual, social, and skills)
all of which MUST emerge before 18 yrs

Pediatrics (3 decks)

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