Most Commons: Psychoactive & Behavior

Question 1

Fussy infant DDx

Answer 1

GERD Milk protein intolerance infxn colic

Question 2

Anatomical d/o of a Fussy infant (7)

Answer 2

pyloric stenosis intussusception incarcerated hernia testicular torsion trauma hair tourniquet fracture

Question 3

GERD signs in infants

Answer 3

Reflux poor weight gain/feeding/refusal irritability rectal bleeding Sandifer sign: arching of back, torsion of neck, lifting up of chin

Question 4

Age Intussusception occurs

Answer 4

6 mths - 3 yrs

Question 5

Bright blood in stool

Answer 5

Typical presentation of milk protein intolerance in infants who are otherwise asymptomatic

Question 6

When GERD is worst

Answer 6

1st 4 mths

Question 7

Pyloric stenosis Age: ____ PE finding: ____ Risk factors: ____

Answer 7

5 wks, almond sign is advanced sign RF: first born, males

Question 8

Definition of Colic

Answer 8

crying for >3 hrs/day, 3 days/wk, >3wk period.

Question 9

Colic is a diagnosis of ____

Answer 9

exclusion

Question 10

5 S of soothing an infant

Answer 10

swaddling, shushing, sucking, swinging, stomach

Question 11

___ are explosive emotional outburst

Answer 11

Tantrums

Question 12

What are possible DDx of tantrums

Answer 12

Sz WPW syndrome

Question 13

Tx for repeat tamtrum offenders

Answer 13

positive behav Modification extinguishing behaviors

Question 14

Nocturnal enuresis DDx

Answer 14

UTI renal tubular acidosis/CKD bowel/bladder dysfxn if hx constipation (rx miralax) occult spina bifida

Question 15

Safe origins of nocturnal enuresis

Answer 15

primary enuresis - easier to train- more psychiatric small bladder, deep sleeper.

Question 16

Secondary nocturnal enuresis is ___ until proven otherwise

Answer 16

pathology

Question 17

what should you consider If night and day incontinence occurs

Answer 17

ADH insensitivity

Question 18

Tx for nocturnal enuresis

Answer 18

Chummie alarm underwear - most effective

Question 19

___ is involuntary stooling

Answer 19

Encopresis

Question 20

What is a common presentation of Encopresis

Answer 20

Diarrhea secondary to constipation

Question 21

Tx for encopresis

Answer 21

Bowel training diet changes - fiber! behav changes/therapy medical therapy - Miralax or magnesium citrate Often referred to ED for disimpaction

Question 22

Etiologies for Sleep disturbances

Answer 22

Parasomnias: night terror, sleepwalking [high fever]

Question 23

DSM V criteria for ADHD

Answer 23

persistent pattern interferes w/ fxn inappropriate for dev level

Question 24

DDx of ADHD

Answer 24

learning d/o

Question 25

3 types of ADHD

Answer 25

Primary inattentive type Hyperactive type Mixed : most common

Question 26

Screening for ADHD?

Answer 26

Connor’s and Vanderbilt Rating Scale

Question 27

What is the youngest age of ADHD Dx?

Answer 27

school age

Question 28

Comorbid d/o of ADHD

Answer 28

Tic OCD

Question 29

Tx for ADHD

Answer 29

IEP [individualized education plan] Rx: +/- long acting stimulants, non-stimulant therapies