Mental health Flashcards

1
Q

3 defining features of Autism Spectrum Disorder

A

ABC

  1. Antisocial
  2. Behavioural restrictions
  3. Communication impaired
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2
Q

According to ICD-10 criteria for autism,

impaired development should be noticed before what age

A

Before 3yo

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3
Q

What type of behavioural restrictions are typical of autism

A
  • repetitive behaviour eg rocking, twisting
  • upset at changes to daily routine
  • sensory sensitivity
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4
Q

What type of communication difficulties are typical of autism

A
  • delayed speech

- echolalia (word repetition)

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5
Q

What investigations to do for Autism

A
  • Full developmental assessment
  • Hearing tests
  • Screening tools including CHAT (Checklist for Autism in Toddlers)
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6
Q

How does Asperger’s differ from Autism

A

Same: antisocial, behaviour restrictions

Different: NO impairment in language, cognition or intelligence

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7
Q

3 core features of ADHD (hyperkinetic disorder)

A
  1. Inattention
  2. Hyperactivity (fidgety, talkative)
  3. Impulsivity (interrupting others)
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8
Q

ICD-10 for ADHD: 7 criteria

A
  1. Abnormal attention, activity, impulsivity at home
  2. Abnormal attention, activity, impulsivity at school
  3. DIRECTLY OBSERVED excessive activity, inattention
  4. Onset before age 7
  5. Lasting >6 months
  6. IQ above 50
  7. Does not meet criteria for pervasive developmental disorder, mania, depressive or anxiety disorder
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9
Q

Investigations for ADHD

A
  • Bloods: TFTs (rule out thyroid disease)
  • Hearing tests
  • Rating scales: Conner’s rating scale; Strengths & Difficulties questionnaire
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10
Q

What 3 drugs can be given to severe ADHD children

A
  1. Methylphenidate (Ritalin)
  2. Atomoxetine
  3. Dexamfetamine
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