First Aid Psychiatry: Children

Question 1

before gathering information form a child, what first must be determinedd

Answer 1

developmental stage

Question 2

Intellectual Disability

Answer 2

Severely impaired cognitive/social/adaptive functioning

Question 3

Epicanthal folds, flat nasal bridge, and palmar crease

Answer 3

Down Syndrome

Question 4

Macrocephaly, joint hyperlaxity and macroorchdism in postpubertal male

Answer 4

Fragile X

Question 5

obese, small stature, almond-shaped eyes

Answer 5

Prader-Willi

Question 6

Specific Learning disorder usually occurs with what other disorder

Answer 6

ADHD

Question 7

growth retardation, smooth philtrum, short palpebral fissures, thin vermillion border

Answer 7

fetal alcohol syndrome

Question 8

what should be ruled out when diagnosing specific learning disorder

Answer 8

sensory hearing deficits

Question 9

Language Disorder

Answer 9

difficulty acquiring and using language

Question 10

Speech sound disorder

Answer 10

difficulty articulating speech

Question 11

Childhood-onset fluency disorder

Answer 11

stuttering

Question 12

Social disorder

Answer 12

• issues with verbal and nonverbal communication

- if repetitive activities are seen: autism

Question 13

2 domains of ADHD

Answer 13

inattentiveness and hyperactivity

Question 14

ADHD is comorbid with

Answer 14

• oppositional defiant disorder
• conduct disorder
• specific learning disorder

Question 15

third drug option for ADHD medication

Answer 15

alpha 2 agonists

- clonodine and guanfacine

Question 16

autism spectrum disorder

Answer 16

social communication/interaction and restrictive, repetitive behaviors/interests

Question 17

what is red flag for autism spectrum disorder

Answer 17

rapid deterioration of social and/or language skills during the first 2 years of life

Question 18

2 most important predictors of outcome for autism spectrum disorder are

Answer 18

1. intellectual functioning

2. language impairment

Question 19

define Tourette’s

Answer 19

multiple motor tics and at least one vocal tic lasting for at least 1 year

Question 20

coprolalia

Answer 20

utterance of obscene, taboo words

Question 21

echolalia

Answer 21

repeating other’s words

Question 22

frist line for tics

Answer 22

alpha 2 agonists guanfacine then clonodine

Question 23

Persistent chronic motor or vocal tic disorder

Answer 23

single or multiple motor or vocal tics but not both. does not meet criteria for Tourette’s

Question 24

provisional tic disorder

Answer 24

single or multiple motor and/or vocal tics less than one year

Question 25

If a child has no difficulties getting along with peers but will not comply with rules from parents or teachers consider

Answer 25

ODD

Question 26

comorbid for ODD

Answer 26

ADHD and substance abuse

Question 27

Conduct disorder

Answer 27

violates the rights of other humans and animals

- most serious disruptive behaviors

Question 28

difference between ODD and CD

Answer 28

ODD does not have

• physical aggression
• violating others’ basic rights

Question 29

enuresis treatment

Answer 29

• urine alarm
• Desmopressin: first line
• Imipramine

Question 30

most common drug of abuse by adolescents

Answer 30

alcohol then cannabis